A pain in the wrist: carpal tunnel syndrome and the remote worker
With an increasing number of employers allowing the option to work-from-home, makeshift offices where employees work hunched over their computer on the bed, floor or kitchen table are becoming more common. Work and home life balance is more indistinct. Employees often put in more hours in front of a computer than they would in an office setting. As a result of repetitive motion like typing and mousing, employees are at an increased risk of developing carpal tunnel syndrome.
Carpal tunnel syndrome is a disorder affecting the hands and wrists. It is caused by the compression and entrapment of the tendons housed inside the median nerve, which extends down the arm to the hand, and provides the sense of touch in the thumb and select fingers. If left unaddressed, the nerve can become damaged, causing permanent loss of sensation and even partial paralysis.
Risk factors of carpal tunnel syndrome
Aside from workplace issues, several factors contribute to carpal tunnel syndrome. While they may not be a direct cause, they may increase the risk of irritation or damage to the median nerve. This includes anatomic features such as a wrist fracture or arthritis; chronic illnesses such as diabetes and obesity, and fluid retention due to pregnancy and menopause. Generally, carpal tunnel is more common in women since the carpal tunnel area is relatively smaller than in a man. Other medical conditions, such as thyroid disorders, kidney failure, and lymphedema may increase the risk of carpel tunnel syndrome.
Cost associated with carpal tunnel surgery
If an employee allows this disorder to progress to the point of requiring surgery, assessing the cost can be complicated. Factors to consider include the type of surgery, the kind of facility the surgery is performed in, whether there were complications, and how well and how quickly the employee recovers. Employers should be mindful of the additional cost burden since most employees do not return to their former occupation after carpal tunnel surgery.
Complications in a remote environment
Even employers with ergonomic programs for remote workers must rely on the employee to not only actively participate in training, but to continually implement the strategies suggested. Employers also rely on employees to recognize and report discomfort before it becomes a serious issue. In the case of carpal tunnel syndrome, symptoms to be aware of include tingling, numbness, or severe pain in the wrist and hand.
Process for protecting employees
Ergonomics is the science of fitting the job to the worker. It involves a strong commitment by management to define clear goals and objectives for the ergonomic process. It must involve employees directly through solution development and implementation. Training is key to ensuring that employees understand the importance of reporting symptoms early, which can accelerate the improvement process to help prevent or reduce the progression of symptoms. Also, continued evaluation and corrective action procedures are key.