Guyon’s Canal Syndrome (Handlebar Palsy)
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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
- Electrotherapeutic Modalities
- Hand Active Range of Motion
- Isometric Exercise
- Iontophoresis
- Proprioceptive Neuromuscular Facilitation (PNF)
- Physical Agents
- Soft Tissue Mobilization
- Stretching/Flexibility Exercise
- Wrist Active Range of Motion
- Wrist Joint Mobilization
- Wrist Passive Range of Motion
- Wrist Resistive Range of Motion
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
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