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From: Marcia Tauber <marcia_at_simplymacintosh.com>
subject: [Paddlewise] hand numbness
Date: Wed, 20 Aug 2003 08:59:59 -0700
I just got back from my first week long expedition in the Puget Sound.  
After about five days of paddling, I began noticing some tingling in 
the finger tips on my right hand.  After the sixth day, my right hand 
was totally numb from the middle, ring and pinky fingers almost to my 
wrist.  This lasted for about half a day.  I was trying to be careful 
about not gripping the paddle too tightly, although I did have a couple 
of fairly long, windy crossings.  What was I doing wrong and what 
should I do differently next time?  Thanks for your advice.

Marcia Tauber
Simply Macintosh
837 H St.
Arcata, CA 95521
(707) 825-7100
(707) 825-7200 Fax

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From: Nick Schade <nick_at_guillemot-kayaks.com>
subject: Re: [Paddlewise] hand numbness
Date: Wed, 20 Aug 2003 13:51:06 -0400
Numbness in your fingers may not be related to anything going on in 
your hands. I experienced finger numbness when I had a pinched nerve in 
my neck. You may have some swelling in your neck or shoulders or 
somewhere else along your arm which is causing a pinched nerve.
  I am not an expert of such things, but if there is some pinching some 
where in the neck or shoulder region, you might want to work on 
improving your torso rotation. You might be putting too much stress in 
you shoulders or arms.
But then again, maybe you need to adjust your hand grip. It is possible 
to open your pushing hand completely and still paddle effectively.

On Wednesday, August 20, 2003, at 11:59  AM, Marcia Tauber wrote:

> I just got back from my first week long expedition in the Puget Sound. 
>  After about five days of paddling, I began noticing some tingling in 
> the finger tips on my right hand.  After the sixth day, my right hand 
> was totally numb from the middle, ring and pinky fingers almost to my 
> wrist.  This lasted for about half a day.  I was trying to be careful 
> about not gripping the paddle too tightly, although I did have a 
> couple of fairly long, windy crossings.  What was I doing wrong and 
> what should I do differently next time?  Thanks for your advice.
Nick Schade

Guillemot Kayaks
824 Thompson St
Glastonbury, CT 06033
USA
Ph/Fx: (860) 659-8847
http://www.guillemot-kayaks.com/

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From: John March <jsmarch_at_acpub.duke.edu>
subject: Re: [Paddlewise] hand numbness
Date: Wed, 20 Aug 2003 15:39:39 -0400
[Moderator's Note: Content unaltered. Excessive quoting (i.e.  headers/footers/sig lines/extraneous text from previous posts, etc.) have been removed. Please edit quoted material in addition to removing header/trailers when replying to posts.]

Hi Marcia, The symptoms you describe are consistent with ulnar nerve 
entrapment either at the wrist or the elbow. It is something like carpal 
tunnel syndrome, but in the ulnar rather than the median nerve 
distribution. I hate to say it but you should stop paddling and get 
yourself to a good hand surgeon, who can identify precisely where the 
problem lies. Since your symptoms resolved, this may require a nerve 
conduction study. With this degree of sensory impairment, motor problems 
likely aren't far behind if you continue to insult the ulnar nerve. This 
isn't good as grip strength (baseball bat style) is with the pinky and 
ring fingers in contrast to pinching, which is thumb and pointer finger. 
More importantly, if the problem is not addressed (even if this simply 
means adjusting your paddling mechanics) and the symptoms continue to 
occur, you could end up with long term nerve damage, which you definitely 
don't want.  Best of luck in getting this sorted out, John


>On Wednesday, August 20, 2003, at 11:59  AM, Marcia Tauber wrote:
>
>>I just got back from my first week long expedition in the Puget 
>>Sound.  After about five days of paddling, I began noticing some tingling 
>>in the finger tips on my right hand.  After the sixth day, my right hand 
>>was totally numb from the middle, ring and pinky fingers almost to my 
>>wrist.  This lasted for about half a day.  I was trying to be careful 
>>about not gripping the paddle too tightly, although I did have a couple 
>>of fairly long, windy crossings.  What was I doing wrong and what should 
>>I do differently next time?  Thanks for your advice.
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From: Nick Schade <nick_at_guillemot-kayaks.com>
subject: Re: [Paddlewise] hand numbness
Date: Wed, 20 Aug 2003 13:51:06 -0400
Numbness in your fingers may not be related to anything going on in 
your hands. I experienced finger numbness when I had a pinched nerve in 
my neck. You may have some swelling in your neck or shoulders or 
somewhere else along your arm which is causing a pinched nerve.
  I am not an expert of such things, but if there is some pinching some 
where in the neck or shoulder region, you might want to work on 
improving your torso rotation. You might be putting too much stress in 
you shoulders or arms.
But then again, maybe you need to adjust your hand grip. It is possible 
to open your pushing hand completely and still paddle effectively.

On Wednesday, August 20, 2003, at 11:59  AM, Marcia Tauber wrote:

> I just got back from my first week long expedition in the Puget Sound. 
>  After about five days of paddling, I began noticing some tingling in 
> the finger tips on my right hand.  After the sixth day, my right hand 
> was totally numb from the middle, ring and pinky fingers almost to my 
> wrist.  This lasted for about half a day.  I was trying to be careful 
> about not gripping the paddle too tightly, although I did have a 
> couple of fairly long, windy crossings.  What was I doing wrong and 
> what should I do differently next time?  Thanks for your advice.
Nick Schade

Guillemot Kayaks
824 Thompson St
Glastonbury, CT 06033
USA
Ph/Fx: (860) 659-8847
http://www.guillemot-kayaks.com/

***************************************************************************
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From: Dave Kruger <kdruger_at_pacifier.com>
subject: Re: [Paddlewise] hand numbness
Date: Sat, 23 Aug 2003 18:37:57 -0700
Marcia Tauber <marcia_at_simplymacintosh.com> wrote:

>>I just got back from my first week long expedition in the Puget Sound.
After about five days of paddling, I began noticing some tingling in
the finger tips on my right hand.  After the sixth day, my right hand
was totally numb from the middle, ring and pinky fingers almost to my
wrist.  This lasted for about half a day.  I was trying to be careful
about not gripping the paddle too tightly, although I did have a couple
of fairly long, windy crossings.  What was I doing wrong and what
should I do differently next time?

Marcia, I can not speak with the authority of John March..  However, the
situation may not be so dire as John paints it, although I agree seeing a
physician is wise.  Finger/hand numbness is a common paddler's complaint.

I experienced similar problems beginning my second season, when I went from a
240 cm Werner San Juan paddle to a 250 San Juan.  (These blades have huge
surface area.)  I did it because I regularly paddled alongside an animal and
I wanted more bite so I could keep up with the dude.  However, hand/finger
numbness and elbow pain began to occur during/after paddling sessions and I
had to quit for a couple months.  I got a 220 cm Lightning paddle with blade
area about the size of Werner's Camano, adjusted my paddling style to avoid
putting any stress on the wrist when it is bent, and have been OK the 10-12
years since.  Except when I lapse back into "death grip" form on the shaft,
my numbness is gone.

It demands concentration to avoid stressing the wrists, but after a while, it
becomes a matter of muscle/reflex memory and I don't have to think about it.

A couple of suggestions:

1. Get a good observer to paddle alongside you to watch carefully and analyze
your stroke.

2. Get someone to videotape your stroke, and use successive video tape
sessions to correct any problems you detect.

Matt Broze may be able to provide some insight on this also.

I suspect you can fix the mechanics of your stroke so the wrist problems will
go away, but it is still a good idea to consult a physician, anyway.  The
issues John raised are serious, and may not apply to you, but wrists are
tricky.

Hope this helps.

--
Dave Kruger
Astoria, OR

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