Therapeutic Management of a 14 year old Rower

Cubital and Carpal Tunnel Syndrome in a 14 year old rower:

While treatment to relieve the symptoms, including ice and analgesia, may prove adequate acute pain relief, long-term management involves correcting muscle imbalances including strengthening scapulothoracic stabilizers, stretching the neck muscles, postural realignment, and technique modification.

In the case of the 14-year-old girl who is attending hand therapy, treatment is including:

* Neck exercises

* Nerve glide exercises

* Massage of the ulnar nerve to improve circulation

* Provision of night time

* Provision of CMC I OA splints to support the CMC joints

* Shoulder mobilization and strengthening

* Hand strengthening

* Core strengthening through Pilates

* Full body strengthening through Barre exercises

* All ergo training and rowing has been halted for the time being. * Land training with the couch is continuing.