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Guyon’s Canal Syndrome (Handlebar Palsy)
Like Carpal Tunnel Syndrome, this condition is often seen in cyclists when the ulnar nerve is compressed in its canal over the wrist. Resting the palms of the hands on bicycle handlebars is typically the cause.
Treatment is similar to that for Carpal Tunnel Syndrome - activity modification, such as wearing a padded glove during cycling, rest, splinting, hand therapy - including ultrasound/iontophoresis, exercise, and less often, surgery.
Possible Treatments
- Cryotherapy or Cold Therapy Video
- Electrotherapeutic Modalities
- Hand Active Range of Motion Video
- Isometric Exercise Video
- Iontophoresis
- Proprioceptive Neuromuscular Facilitation (PNF) Video
- Physical Agents
- Soft Tissue Mobilization Video
- Stretching/Flexibility Exercise Video
- Wrist Active Range of Motion Video
- Wrist Joint Mobilization Video
- Wrist Passive Range of Motion Video
- Wrist Resistive Range of Motion Video
- Cryotherapy or Cold Therapy
Possible Treatment Goals
- Decrease Risk of Reoccurrence
- Improve Muscle Strength and Power
- Decrease Nerve Compression
- Increase Oxygen to Tissues
- Improve Range of Motion
- Improve Relaxation
- Self-care of Symptoms
- Improve Tolerance for Prolonged Activities
Additional Resources
Wrist/Hand Articles
Pick a Body Area
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The information in this medical library is intended for informational and educational purposes only and in no way should be taken to be the provision or practice of physical therapy, medical, or professional healthcare advice or services. The information should not be considered complete or exhaustive and should not be used for diagnostic or treatment purposes without first consulting with your physical therapist, occupational therapist, physician or other healthcare provider. The owners of this website accept no responsibility for the misuse of information contained within this website.
