Hand Pain/Numbness & Motorcycle Riding Seminar
Topics
  • Hand nerve anatomy
  • Nerve injury & motorcycle riding
  • Types of nerve injury
  • Symptoms
  • Physical exam
  • Prevention & treatment
  • Qwi Motorcycle Gloves
  • Question & answer session
Information Resource
  • www.QwiNerveProtector.com
  • www.QwiPro.com
Hand Nerve Anatomy
  • Median nerve
  • Ulnar nerve
Nerve Injury & Motorcycle Riding
  • Pressure
  • Vibration
  • Wrist position
Causes Of Hand Pain/Numbness
  • Injury, fracture
  • Repetitive activities
  • Computer keyboard
  • Computer mouse
  • Power tools
  • Bicycling
Extrinsic Causes Of Hand Pain/Numbness
  • Cervical radiculopathy
  • Cubital tunnel syndrome
  • Thoracic outlet syndrome
  • Rheumatoid arthritis
  • Diabetes mellitus
  • Hypothyroidism
  • Tumor: lung, hand
Hand Nerve Injury
  • Carpal Tunnel Sydnrome
  • Guyon's Canal Syndrome
Carpal Tunnel Syndrome (CTS): Median nerve involvement
Median Nerve Function: Supplies thumb side of hand
CTS Symptoms
  • Aggravated by use
  • Hand pain, numbness
  • Radiating pain
  • Grip weakness
  • Night symptoms
CTS Physical Exam Findings
  • Tinel’s sign
  • CT compression
  • Phalen’s sign
  • Numbness
  • Thenar atrophy
  • Grip weakness
CTS Diagnostic Tests
  • X-ray: deformity, 1st CMC joint (thumb base) osteoarthritis
  • EMG/NCT: CTS, ulnar neuropathy, peripheral neuropathy, cervical
    radiculopathy
CTS Treatment
  • Modify activity
  • Wrist splint
  • NSAID
  • Carpal tunnel steroid injection
  • Carpal tunnel release: open vs endoscopic
Carpal Tunnel Release (CTR)
CTR Aftercare
  • Splint x 1 week
  • Suture removal after 1 week
  • Exercises
  • Protected activities x 6 weeks
Guyon’s Canal Syndrome
  • Sx, Dx, Rx similar to CTS
  • Ulnar nerve
Guyon’s Canal Syndrome: Ulnar nerve (small finger side of hand)
CTS & GCS: Improved Prognosis
  • Preventative measures
  • Early recognition
  • Early treatment
Prevention: Hand/Wrist Exercises
Motorcycle Riding Tips
  • Avoid wrist extension
  • Keep wrists in neutral position
  • Initially grip throttle with wrist hyperflexed, so wrist will be neutral in final
    position
  • Firm, but not tight grip
  • Upright position: hands, neck
  • Avoid high handlebars
  • Cruise control
  • Breaks, exercises
  • +/- Throttle Boss or wrist rest
  • +/- Foam grips
  • Weighted bar ends
  • Motorcycle Gloves
Conventional Glove Padding
  • Randomly placed pads
  • Global padding
  • Padding over the nerves
  • Pressure & vibration transfer to nerves
Qwi Nerve Protection Motorcycle Gloves
  • Patented gel pads divert pressure & vibration away from nerves
  • Proven Effective
  • Truck Driver Study Results
Qwi Motorcycle Gloves
  • Partial finger, spandex top, leather palm
  • Partial finger, all leather
  • Full finger, gauntlet, noninsulated
  • Full finger, gauntlet, lightly insulated
  • Full finger, no cuff
  • Washable, water resistant, pigskin leather
  • Satisfaction Guarantee
Qwi Motorcycle Gloves
  • 75% of riders describe reduction of hand pain & numbness
  • Average of 75% less hand pain & numbness in these riders
Summary
  • Hand nerve anatomy
  • Nerve injury & motorcycle riding
  • Types of nerve injury
  • Symptoms
  • Physical exam
  • Prevention & treatment
  • Qwi Motorcycle Gloves
Questions And Answer Session
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