6 Exercises for Upper Extremity Neuropathy

Written By Julianne Madeline, OTD, OTR/L

Neuropathy is nerve damage causing pain, numbness, tingling, swelling, or muscle weakness in different parts of the body. It usually begins in the hands or feet and typically worsens over time.

What causes neuropathy?

  • Cancer or cancer treatment (chemotherapy)

  • Physical injury

  • Infection

  • Toxic substances

  • Conditions such as diabetes

  • Kidney failure

  • Malnutrition

  • chronic alcoholism

  • nutritional deficiencies (B1, B6, B12, and vitamin E)

  • Autoimmune diseases (rheumatoid arthritis)

  • Guillain-Barre syndrome

  • Medications (antibiotics, cardiovascular medications) (Hammi & Yeung, 2022).

What is peripheral neuropathy?

Peripheral neuropathies are conditions that affect the peripheral nerves, which can occur due to different health issues. These nerves can include those from the brain, spinal cord, and the body’s systems that control automatic functions (Hammi & Yeung, 2022).

Symptoms include pain, weakness, and loss of deep tendon reflexes (involuntary muscle contractions when a muscle is stretched).

Individuals diagnosed with neuropathy can experience both pain and reduction in functional ability.

1. Nerve Flossing (Median, Radial, Ulnar)

  • What it is: Nerve flossing involves a series of movements designed to promote the mobility of peripheral nerves and alleviate symptoms of neuropathy.

  • How to:

    • Median Nerve: Extend your arm out to the side at shoulder height, palm facing up. Slowly flex your wrist and fingers while tilting your head away from the extended arm.

    • Radial Nerve: Extend your arm out to the side again, palm facing down. Flex your wrist and fingers while simultaneously turning your head towards the outstretched arm.

    • Ulnar Nerve: With your arm raised, bend your elbow with your palm facing your face, then extend your elbow while moving your wrist in the opposite direction.

  • Reps/Sets: Perform each nerve flossing exercise 10 times per session, completing 2-3 sets daily.

2. Nerve Glides (Median Nerve and Flexor Tendon)

  • What it is: Nerve glides facilitate the movement of the median nerve and flexor tendons to reduce tension and discomfort.

  • Reps/Sets: Perform 10 repetitions, with 2-3 sets daily.

3. Shoulder Rolls/Shrugs

  • What it is: Shoulder rolls and shrugs help relieve tension in the shoulders and upper back while promoting mobility in the upper extremities.

  • How to:

    • Shoulder Rolls: Sit or stand with arms relaxed. Roll your shoulders forward in a circular motion for 10 repetitions, then switch direction and roll backwards.

    • Shoulder Shrugs: Lift your shoulders towards your ears, hold for a few seconds, and then release them back down. Repeat 10 times.

  • Reps/Sets: Incorporate these into your routine with 2-3 sets daily.

4. Upper Back Stretch/Scapular Squeezes

  • What it is: This exercise helps stretch the upper back while promoting scapular mobility and strength, which can be beneficial in reducing neuropathic symptoms.

  • How to:

    • Upper Back Stretch: Sit or stand, interlace your fingers and stretch your arms out in front, rounding your upper back. Hold for 20-30 seconds.

    • Scapular Squeezes: While sitting or standing, pull your shoulder blades back and down as if trying to pinch a pencil between them. Hold for 5 seconds and release.

  • Reps/Sets: Perform each exercise for 10 repetitions, ensuring 2-3 sets each day.

5. Prayer Hands

  • What it is: This low-impact stretch is meant to stretch and relax the wrists, forearms, and shoulders, contributing to improved flexibility and reduced tension.

  • How to: Place your palms together in front of your chest, keeping the elbows wide. Gradually lower your hands towards your waist while maintaining the palm contact until a gentle stretch is felt in the wrists and forearms.

  • Reps/Sets: Hold the position for 20-30 seconds, and repeat 3 times.

6. Desensitization Ball Rolls

  • What it is: This exercise helps reduce hypersensitivity in the hands and fingers by gradually exposing them to different textures and pressure.

  • How to: Use a small, textured ball (e.g., a rubber or squishy ball). Gently roll the ball in your palms, between your fingers, and on the backs of your hands. Experiment with different pressures and speeds.

  • Reps/Sets: Spend about 5-10 minutes daily rolling the ball.

Incorporating these exercises into your daily routine can significantly help manage symptoms of upper extremity neuropathy while enhancing overall function. Always ensure to consult with a healthcare provider before starting any new exercise program.

Read this important disclaimer:

  • The exercises provided by Integrative OT Insights are intended for educational and informational purposes only!

  • They are not a substitute for professional medical advice, diagnosis, or treatment.

  • Before starting any exercise program, it is essential to consult with a qualified healthcare professional, especially if you have any pre-existing health conditions or have a history of injuries.

  • All exercises carry inherent risks, and participants are encouraged to perform them at their own discretion.

  • By participating in these exercises, you acknowledge that you are doing so at your own risk and assume all responsibility for any injuries or outcomes that may occur.

  • Integrative OT Insights is not liable for any injuries or losses that may arise from your participation in these activities. Always listen to your body and modify or discontinue any exercise that causes discomfort or pain.


Reference

Hammi, C., Yeung, B. (2022). Neuropathy. National Library of Medicine. https://www.ncbi.nlm.nih.gov/books/NBK542220/

Julianne Madeline, OTD, OTR/L https://www.integrativeotinsights.com
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