Page 31 - Waterfall Issue 9 2021
P. 31

sLouCH PoTATo






        We look at bad computer posture related to

        upper limb syndromes and give tips for an

        ergonomic workstation at home
        o        ur work lives have changed   ball to avoid long typing hours with

                                            the wrist in a flexed position.
                 dramatically during the
                 pandemic, leading to
                 large numbers of people    CuBiTAL TunnEL
        working from home. This often       syndRoME
        means working hunched on your       Compression of the ulna nerve at the
        bed or leaning over your dining     elbow can occur when keeping your
        room table, as opposed to your well   elbows in a flexed (bent) position
        put together office workstation.    for long periods. A chair with a rigid   By Dr Ashley Naidoo, Specialist
        This can lead to a myriad of painful   armrest upon which the flexed elbow   Hand, Shoulder and Upper Limb
        hand, wrist, and elbow problems.    is positioned for an extended time      Surgeon at Waterfall City Hospital
 POLOFIELDS_WaterfallMag_NewHalfPageAd_Sept2021_FINAL_cropmarks&bleed.pdf   1   2021/08/23   08:26:20
                                                      can also cause this.            and Co-Founder of Gauteng
                                                      Symptoms usually consist          Orthopaedic Associates
                                                      of pain on the inside
                                                      of the elbow with pins
                                                      and needles radiating     compression and symptoms. Taking
                                                      down the forearm and      appropriate breaks and doing
                                                      a clawed posture of the   stretching exercises in extension
                                                      little and ring fingers.   can also assist with relief. A choice
                                                      Therapy with nerve glide   of an ergonomic chair with a well-
                                                      exercises and sometimes   padded elbow rest is best.
                                                      splinting the hand can
                                                      improve symptoms,         A simple tip to improve your
        IMAGE CREDIT: WWW.BODYINBALANCE.COM
                                                      with surgical release     posture is to follow the 90/90/90
        CARPAL TunnEL                       performed for refractory cases.     rule. Keeping your screen at eye
 C                                                                              level reduces neck pain, whilst
        syndRoME
 M                                          A simple set-up of maintaining a    having the correct elbow and wrist
        A long-standing association exists
        between personal computer usage and
 Y                                          maximum of 90 degrees of elbow      reach with a well-padded armrest
        the compression of the median nerve   flexion, when seated and typing   chair will reduce wrist and elbow
 CM
        at the wrist. Patients usually complain   for long periods, can reduce nerve   pain and nerve compressions.
 MY
        of dull wrist pain with numbness or
 CY
        pins and needles radiating to the
 CMY
        thumb and index finger. Although                                                         Good sitting
 K
        more common on the dominant hand,                                                        Ergonomics:
        it can occur in both wrists. Treatment
        usually involves hand therapy for nerve                                                  Hips, knees
        glide exercises and strengthening, with                                                  and elbows
        surgical releases for refractory cases.                                                  ideally at a
                                                                                                 90 degree
        This can be circumvented by using a
        wrist support in front of your keyboard                                                  angle
        and occasionally squeezing a stress                          IMAGE CREDIT: WWW.BODYINBALANCE.COM


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