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Hair Stylists & Carpal Tunnel Syndrome

Dr. Z • Apr 21, 2020

A Bad Partnership: Hair Stylists & Carpal Tunnel Syndrome

You've heard it before: for hair stylists, carpal tunnel syndrome is an occupational hazard. In fact, it's almost a bad joke in the styling industry. 


It's also extremely common for severe hand pain, numbness or weakness to sideline a successful styling career. Personally, every day I can count on at least one phone call from a stylist who has carpal tunnel syndrome and needs immediate help. 


A case in point: I recently spoke with Roseanne who owns a small salon in southern California. She called me to find out more about the pain in her thumb and forefinger. After working with carpal tunnel patients for so many years, I already knew what Roseanne was going to say.


She began with, “I’m having trouble using shears. My hand just won’t work right anymore.”



Roseanne saw a family doctor for this. He told her that her symptoms were indeed carpal tunnel syndrome. But that’s no surprise. 


Actually, anybody in the field of professional hairdressing and styling is at high risk for getting this condition. Hence the statistics, which come from the National Institutes of Health are very clear:


This industry has nearly 5 times the incidence of carpal tunnel syndrome compared to the rest of the population.

pins & needles

For now I’m going to focus the rest of this discussion on treatment. So I’ll skip over the anatomy and physiology of carpal tunnel syndrome (you can learn more about it here).


Exactly why there is an association between hair stylists & carpal tunnel is well known. Indeed, there are plenty of articles that discuss who gets carpal tunnel syndrome and why.


It’s enough to say that professional hairdressers or stylists do one thing, a lot. That is, they constantly use shears and grip utensils like combs and brushes. In other words, their fingers and hands are always moving. 


As a matter of fact, using shears is especially taxing on the thumb. The thumb makes rapid and forceful open-close motions which cause huge stresses on tendons. The thumb also provides most of the force when gripping an object. These are the very seeds for growing carpal tunnel syndrome.

carpal tunnel syndrome

What Roseanne’s doctor said

Roseanne’s doctor sent her for testing using EMG and MRI. The test results confirmed his suspicion that she had carpal tunnel syndrome. 


After referral to a specialist, his conclusion was that surgery would be Roseanne’s only hope to restore her hand to normal. As a matter of fact, this is the same recommendation I hear about a lot. For most hair stylists, carpal tunnel syndrome diagnosis means surgery. 


But Roseanne’s main concern was that she could not take the time to recover from surgery. Your carpal tunnel surgery recovery time can typically take up to 6 months if the surgery is on your dominant hand. She simply couldn't afford that. 

uncaring doctor

Roseanne’s situation is an example of what infuriates me about the state of carpal tunnel medicine today. There are 3 basic problems:

 

  1. First, surgeons almost always compare hand surgery to a tooth extraction. They say, “It’s simple.” or “It’s quick and over with.” Actually, it’s not even close to being simple or quick. In fact, it’s major surgery with potentially major complications. It’s far from a minor dental procedure.

  2. Second, after years of analysis, the National Institutes of Health warns doctors that EMG and MRI are NOT reliable for a  diagnosis of carpal tunnel syndrome. Frequently, these tests produce far too many false positive diagnoses. In other words, these tests diagnose carpal tunnel when it’s actually not there. Yet thousands of these lucrative tests are performed on carpal tunnel patients every single day. And the false positive results makes doctors rush patients into a surgery they don't actually need.

  3. Third, pushing Roseanne into surgery without offering her non-surgical options is unethical. In the past decade, many great non-surgical options became available. Moreover, study after study shows that in MOST cases, non-surgical treatment turns out to be equal to, or even better than surgery.

 

pain

How hair stylists & carpal tunnel can part company

Roseanne is in the category of needing to treat her painful carpal tunnel syndrome right away. It’s too late for her to avoid it. 


If you’re lucky, your symptoms are not as bad as hers… at least not yet. That means you can avoid full blown carpal tunnel syndrome if you just take some simple precautions. This is why I say hair stylists & carpal tunnel can finally part company, and for good.


Maybe pain, numbness, tingling or weakness are just starting out in your hand or fingers. Or maybe these symptoms are already severe. Either way, the best things a stylist can do right now are stretching exercises.


I’ve found that the following 3 core stretching exercises can bring your hands back to normal again. If symptoms are only just beginning, they will worsen fast if you don’t do something now. (Usually it takes 3-6 months to become severe.) And if symptoms are severe, you need to add other remedies to the stretching exercises, like night bracing and myofascial release massage.


The following 3 core stretching exercises alone can reverse the symptoms of mild or even moderate carpal tunnel syndrome. But there’s a catch; you must take a break every half hour to do them.


Happily, they don’t take long to do; maybe 1 minute in total. But they need to be done regularly. (Some patients tell me they use a timer to make sure they don’t skip their exercise breaks.)

hair stylist using shears.

Exercises so hair stylists & carpal tunnel don’t cross paths

All hairdressers and stylists should do ALL of the following core stretching exercises for carpal tunnel during each 30 minute break. They're quick and simple. And when done regularly they WILL make a big difference.

Core Exercise 1

carpal tunnel exercise

This is a forearm tendon stretch exercise. First, hold your arm out straight in front of you, fingers pointing up, like you’re saying ‘stop’. Next, use your other hand and pull your upturned fingers backward. Hold this for 5 seconds and release. Switch arms and repeat. Then drop both hands to your sides and shake them out a few seconds. Repeat once. 


This exercise should feel like your wrist area is stretched and pulled. Shaking out your hands afterward increases blood blow. That’s why they feel warm when you do it. With hands outstretched, take a moment and also pull your thumb backward. Hold it for 5 seconds.

Core Exercise 2

prayer exercise

This exercise also stretches your entire forearm tendons. First, put your hands together in a ‘prayer’ position close to your chest. Point your fingers upward. Next, keeping your palms pressed together, slowly raise your elbows but not your shoulders. 


Feel the stretching in your forearms. Hold this for 5 seconds, then drop your hands and wring them out. Repeat once.

Core Exercise 3 

carpal tunnel massage

Actually this is not an exercise but a massage. First, use the opposite thumb and push it into your wrist, just below the wrist crease. You’ll feel the ropy tendons below the skin. Next, rub that area deeply in a circular fashion, and from side to side for 5-10 seconds. 


Next, move your thumb down 2 inches, toward your elbow, then repeat. Then move another 2 inches and repeat again. 


This massage helps break up adhesions in your flexor tendons that cause carpal tunnel syndrome. It also drains excess fluid from inside your wrist joint.

Conclusions

For hair stylists, carpal tunnel syndrome is an occupational hazard. The profession is known to be high risk for developing this painful condition. But there are great core exercises targeted toward relieving symptoms — and even reversing carpal tunnel completely. But to be successful, you must commit to taking the time to do these exercises regularly during your workday.

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