Monday, March 24, 2008

Ouch My Aching Wrists: No More Keyboarding Or Golf

You may have heard either experienced computer users or serious golfers lamenting that Carpal Tunnel Syndrome has affected them big time. Just what is Carpal Tunnel Syndrome and how can I prevent it from affecting my computer keyboarding and golf activities.

The hand to keyboard relationship is the most strained interface between you and your computer. Typing can be more than a bothersome task. Typing can cause permanent damage to your hands and wrists. It has been found that approximately 60 % of keyboard operators can be found to have recurring symptoms of keyboard related injury. Damage to wrist and hand function can be so severe that in approximately 10 % of those affected have had to contact health care professionals - be it Physiotherapist, chiropractor, medical gp or orthopedic medical specialist.

The most serious of the health problems associated with keyboard use is the same ailment suffered by chicken puckers and meat packers. The formal medical name for this ailment is Repetitive Stain injury (RSI). The name explains the cause. Straining to perform the same hand movements over and over again and again eventually leads to physical wrist and / or hand damage. The most common manifestation of RSI among computer keyboard users is Carpal Tunnel Syndrome (CTS). In addition a similar ailment wrist tendonitis has also been associated with extensive regular keyboard use.

The carpal tunnel is a narrow passageway in your wrist through your median nerves: it carries sensations for your entire hand. As well the median nerve affects the finger flexor tendons, which link your fingers to the muscles in your lower arm. The tunnel is formed by walls of solid bone on three sides with the bottom enclosed by the transverse carpal ligament, a tough inelastic cartilage.

Carpal Tunnel Syndrome occurs when the tendons protect themselves from overuse. Each tendon is surrounded by a thick, fluid filled sac called a synovial sheath, which swells with extra fluid to protect the tendon. Scientifically, this swelling called tendonitis. When these sacs swell in the carpal tunnel, they can pinch the median nerve against the bones of the carpal ligament. This can result in the loss of sensation in the hand and debilitating pain.

Although the problem develops over a period of years, the onset of pain caused by Carpal Tunnel Syndrome, the onset of pain is often sudden. Some sufferers have no symptoms at night and wake up the next morning with excruciating pain. Often these people with carpal tunnel syndrome are unable to work for months. And it is not only the computer skills that suffer.

It is not as if these people can lead normal lives. Other enjoyments such as the game and sport of golf may not be possible to be played. In most cases those afflicted with carpal tunnel syndrome have ignored all the pain warning signs: a minor pain in the wrist after a day of typing or some numbness in the thumb or fingers.

People have been typing for over 100 years, yet Carpal Tunnel Syndrome appears to be a recent phenomenon. The diagnosis is not new, and the condition is not caused by a recently evolved virus or bacterium. Peoples typing habits have actually changed.

Today, a computer users fingers stay as close to the home row on the keyboard as possible, a simple press of the pinkie is all that is needed to issue a carriage return. Old typewriters required a definite change of the position and a resounding right hook to send the carriage back to the left after each page, and the end of the page, the typist had to extract one sheet and roll a new one in the typewriter. All of these simple necessary acts added variation to the typing process. Computers encourage extended use, resulting in hour upon hour of entering and editing text and data.

These difference between classic typing and modern keyboarding hint at one way of avoiding Carpal Tunnel Syndrome: What can you do to prevent Carpal Tunnel Syndrome or reduce your symptoms?

First you may wish to replace your keyboard with an ergonomic friendly model. Avoid the following hand and wrist postures ulnar deviation where the wrist is bent outwards in the direction of the little finger, abduction where the hands and arms are angled together in front of the body rather than at shoulder width. Avoid flexion which is the anatomical term where the wrist is bent down in such a manner where the fingers are lower than the wrist joint. Extension of the wrists and hands where the wrist is bent up and back so that the fingers are higher than the wrist joint. Finally pronation is a bad idea. Pronation refers to the anatomical term describing a forearm and hand position in which the hand is open, palm down and parallel with the flat surface of the desk or floor.

If you are involved with computer keyboard tasks for very long period of times of time here are several tips to spare your keyboarding and golfing abilities and skill levels. Try to keep your wrists straight while typing. Adjust your chair so that as you type, your elbows are at the same height as your wrists. A proper computer desk which lies at the proper height rather than an old office desk that you just happened to have lying around is an excellent idea. As well spring on a proper, adjustable ergonomically designed chair. Be sure that you rest your wrists often.

Lastly and most importantly take frequent rests and relaxation periods along your conquests.

It may be important to be on par with the other players in your office. However it is false economy at the end of the game if both your keyboarding skills and golf game on the fairway suffers.

Syd Nohcud

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Ab-information.coms Top 10 Six-Pack Abdominal Training Questions

Given their worldwide recognition as experts in the area of health and fitness, its not surprising that ab-information.com receives hundreds of questions each week on the topic of abdominal training. The following are the most common questions on developing six-pack abs that we answer of a weekly basis.

Q. Are sit-ups good for fat loss and shrinking my waist?

A. The key to shrinking the waist is getting your diet under control and performing effective abdominal training exercises for the muscles. Sit-ups are no longer recommended for the abs as they primarily target the hip flexors and can be very stressful on the lower back for many individuals.

Q. Should I train abs every day?

A. There is no easy answer to this question. Some experts consider the abs to be just another set of muscles and as such you only need to train them a couple of times per week. Other experts counter that the abs are designed for repeated training and can be worked every day. Our advice is to try both abdominal training approaches and see which one seems to work best for you.

Q. Should I work my whole body or just my abs?

A. The real key to overall health and fitness and developing six-pack abs is dropping your body fat levels. Performing a half hour of abs will burn a few calories and perhaps lower your body fat, but training the whole body will do it much quicker and much more effectively.

Q. Do supplements help?

A. Yes absolutely. Despite a clean diet and regular exercise its extremely difficult to develop amazing abdominals. Youre fighting a couple of million years of human evolution and your body will fight you for those last 10 or 12 pounds. Check out the Super Abs with Super Supplements page for more information on the most effective fat loss supplements.

Q. What is the best ab exercise?

A. Its always risky to suggest that one exercise is best as what works for one person may not work for another. Still most people find that crunches seem to stimulate the abdominal muscles the best. Unlike those old-fashioned sit-ups that were all the rage for decades, crunches eliminate most of the hip flexor involvement that plague sit-ups. Crunches are far less stressful on the lower back than sit-ups as well. You can do crunches on the floor or using one of those big colorful exercise balls.

Q. Can I target my upper and lower abs?

A. The answer to this question is yesand no! From an anatomy point of view there is really no upper and lower abs. The abdominal muscle fibers dont run sideways but up and down (from pelvis to sternum). The reason that most people assume that there are upper and lower abs is because a well-defined midsection has that six-pack look. Youll see a couple of muscle ridges high beneath the ribcage and a couple low around the bellybutton region. Even though that the abdominal muscle is really one large muscle, it is possible to target the upper and lower sections by performing different exercises. Exercises where the torso moves and legs remain stationary primarily target the upper abs, while the lower abs are hit most effectively by moving the legs and locking the torso.

Q. Will abdominal training help my posture?

A. You bet. Many posture-related problems are related to insufficient abdominal and lower back strength. One of the first things physiotherapists do with rehab patients is start working on their core muscles the abs and lower back. But why wait until you have posture problems before you start training your abs. You should be training them a minimum of two to three times a week RIGHT NOW!

Q. Will ab exercises hurt my lower back?

A. No. In fact training your abs will actually help prevent lower back problems. Ab exercises are also go therapy for existing lower back problems. Just be careful to perform your exercises with good form and eliminate movements that are stressful to the lower back such as sit-ups and straight leg, leg raises.

Q. Are side bends a good way to get rid of my love handles?

A. Not a chance. Doing side bends to get rid of love handles is based on the myth of spot reduction. Many people think that by doing high reps for the fat deposits around the waist they can somehow stimulate fat loss in this area. But as we keep saying you cant spot reduce. Only cardio, healthy eating, and weight training to boost the metabolism will effectively get rid of the love handles.

Q. Should I buy one of those home ab-training gadgets?

R. A. Absolutely not! Most of these gadgets are designed to cash in on peoples willingness to do virtually nothing but get great results. Unfortunately its not that easy. Most of those crazy contraptions are either dangerous or just not that effective. You can rock back and forth all day but you wont lose and fat from your waist. If you truly want a rock hard midsection you must clean up your diet. Youll also need to do 3 to 4 sessions of both cardio AND weight training every week. Save your hard-earned cash for healthy food and a gym membership rather than buying one of those foolish ab-training gadgets.

Bob Howard expert on bodybuilding and steroids. Are you looking for more of his Abdominal Training Questions articles? http://abs-information.com.

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