How can you keep from getting carpal tunnel? For some people, you just can't. You're already predisposed. Your bony canal is small, the nerves and the tendons have a fixed size. But you can avoid making things worse. Protect your hands. If you are a laborer or you do lots of things with your hands in your time at work or your time off and your past times, get some fingerless gloves, bicycle gloves - wear them inside your regular gloves. Also try to keep whatever it is that's pushing on that central part - just where the risk becomes the palm. You don't want to use an awl or a work implement right there, day in, day out.
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