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Module 3: A pastry chef has developed Guyon’s Canal Syndrome from compression of the ulnar nerve. The chef currently has numbness, tingling and muscular weakness in the ring and little fingers of his right hand. The OT is concerned that the chef will develop ulnar claw deformity? What advice should the OT give the chef to prevent this from happening? Marked as spam
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Private answer
Do not knead dough by hand. Use a mixer or have an assistant do it. The act of kneading dough places pressure on the base of the hand near the wrist, including the Guyon’s Canal where the ulnar nerve passes through from the forearm to the ulnar side of the hand. Repeatedly kneading dough throughout the day could make the chef’s Guyon’s Canal Syndrome worse, causing permanent damage to the ulnar nerve and resulting in ulnar claw deformity. The chef should avoid the activity of kneading dough until the ulnar nerve has healed. The other adaptations mentioned could help to alleviate the chef’s symptoms as well, but they will not directly address pressure on the Guyon’s Canal. Marked as spam
 Posted by Stephanie (Questions: 14, Answers: 14) Answered on March 2, 2018 3:34 pm
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