Back Clinic Carpal Tunnel Syndrome Team. This is a condition involving numerous symptoms affecting the hands and wrists. This painful condition is caused when the median nerve, found within the wrist’s carpal tunnel and other tendons in hand become compressed. Trauma from an accident to the hand or wrist and/or overuse from repetitive activities, such as constant typing on a keyboard, are common reasons carpal tunnel syndrome develops.
The added pressure begins to irritate and compress the median nerve, leading to impairing pain symptoms, among others. The most common symptoms include pain, numbness, a tingling sensation, and weakness on the hands, wrists, and forearms. Pain and numbness in these areas are usually intense. The discomfort from these symptoms can affect an individual’s everyday lifestyle.
Gripping objects may become difficult as carpal tunnel syndrome progresses over time due to loss of muscle strength. The tingling sensations radiating from the hand are often described as a feeling of pins and needles through the hands, wrists, and forearms.
Find out about effective chiropractic care options for addressing hand numbness and enhancing your quality of life.
Understanding Hand Numbness and Carpal Tunnel Syndrome: How Chiropractic Care Offers Natural Relief
Hand numbness and tingling sensations affect millions of people worldwide, disrupting daily activities and diminishing quality of life. These uncomfortable symptoms often signal nerve compression issues, with carpal tunnel syndrome being the most common culprit. While many individuals immediately think surgery is their only option, research increasingly demonstrates that conservative, non-surgical approaches—particularly chiropractic care—can provide significant relief and lasting results. This comprehensive guide explores the causes, symptoms, and clinical rationale for using chiropractic treatment to address hand numbness and carpal tunnel syndrome. We’ll examine how environmental factors contribute to nerve compression, the critical connection between spinal health and hand symptoms, and evidence-based conservative treatments that can help you avoid surgery.
Understanding Hand Numbness: Causes and Symptoms
Hand numbness represents a sensory dysfunction involving the loss of normal sensation, including pain, temperature, touch, or vibratory perception. The severity varies considerably among individuals, ranging from mild intermittent tingling to constant numbness that significantly impairs hand function.
Common Symptoms of Hand Numbness
Individuals experiencing hand numbness typically report a constellation of symptoms that may include:
Paresthesia: The medical term for abnormal sensations, paresthesia manifests as numbness with loss of touch or temperature sensation. Some people describe feeling like they’re wearing gloves when they aren’t, while others experience gait and balance problems when numbness affects their ability to feel the ground beneath their feet.
Tingling and “Pins and Needles”: Often described as the sensation of limbs “falling asleep,” this symptom frequently occurs in the thumb, index, middle, and sometimes the ring finger. The tingling may start intermittently but can progress to become constant.
Burning Sensations: Many patients report a burning feeling along the affected nerve pathway, which can extend from the fingertips up through the hand and into the forearm.
Pain: Sharp, stabbing, or shooting pain often accompanies numbness, particularly at night when symptoms tend to worsen. This pain may radiate from the wrist up the forearm and sometimes as far as the shoulder.
Weakness: Muscle weakness accompanies numbness in the same location, making it difficult to grip objects, hold tools, or perform fine motor tasks like buttoning clothing.
Loss of Coordination: Decreased finger dexterity and hand clumsiness can make everyday activities challenging, from typing on a keyboard to opening jars.
What Causes Hand Numbness?
Hand numbness occurs when there is pressure, irritation, or damage to the nerves that supply sensation to the hands. The causes are varied and understanding the underlying mechanism is crucial for effective treatment:
Peripheral Neuropathy: This condition affects the very ends of nerves in the hands and feet. Diabetes is the most common cause of peripheral neuropathy, but alcoholism, vitamin deficiencies (especially B12), autoimmune conditions, liver or kidney disorders, and exposure to toxins can also damage peripheral nerves.
Nerve Compression Syndromes: Pressure on a nerve anywhere along its course from the neck to the fingertips can cause numbness. Common compression sites include the carpal tunnel at the wrist (carpal tunnel syndrome), the cubital tunnel at the elbow (cubital tunnel syndrome), and the cervical spine in the neck.
Cervical Radiculopathy: Compression or irritation of nerve roots exiting the cervical spine can send radiating pain, numbness, and weakness down through the shoulder, arm, and hand. This occurs when herniated discs, bone spurs, or degenerative changes put pressure on the nerve roots.
Thoracic Outlet Syndrome: Compression of nerves and blood vessels between the collarbone and first rib can cause symptoms similar to carpal tunnel syndrome.
Trauma and Injuries: Bone dislocations, fractures, and crushing injuries can cause swelling or direct nerve damage, resulting in numbness.
Double Crush Syndrome: This phenomenon occurs when a nerve is compressed at two distinct locations along its pathway—typically at both the cervical spine and the wrist. Compression at one site makes the nerve more vulnerable to symptoms from compression at a second site.
What is Carpal Tunnel Syndrome?
Carpal tunnel syndrome represents the most common peripheral nerve entrapment condition, affecting approximately one in ten adults at some point in their lifetime. For individuals with diabetes, the lifetime risk increases dramatically to 84 percent.
Anatomical Overview
The carpal tunnel is a narrow passageway in the wrist formed by the transverse carpal ligament at its upper boundary and the carpal bones at its lower boundary. This confined space accommodates nine flexor tendons and the median nerve, which must traverse through it to reach the hand.
The median nerve originates from nerve roots C5-T1 in the cervical spine and travels through the brachial plexus, down the arm, through the forearm, and ultimately through the carpal tunnel. The nerve provides both motor function (allowing movement) and sensory function (providing feeling) to the thumb, index finger, middle finger, and the thumb-side of the ring finger.
How Carpal Tunnel Syndrome Develops
Carpal tunnel syndrome develops when elevated pressure within the carpal tunnel compresses the median nerve. Normal pressure within the carpal tunnel ranges from 2 to 10 mmHg. However, extension or flexion of the wrist causes pressure to increase eight to ten times the normal level.
The pathophysiology involves a combination of mechanisms:
Mechanical Trauma: Repetitive compression and friction damage the nerve over time.
Increased Pressure: Elevated intracarpal pressure restricts blood flow to the endoneurial capillary system, causing ischemic damage to nerve tissue.
Inflammation: Swelling of the tendons and surrounding tissues within the confined space further compresses the median nerve.
Demyelination: Repeated compression can lead to demyelination (loss of the protective nerve covering) at the site of compression, impairing nerve signal transmission.
Symptoms Specific to Carpal Tunnel Syndrome
While carpal tunnel syndrome shares many symptoms with general hand numbness, it has distinctive characteristics:
Distribution Pattern: Numbness, tingling, and pain specifically affect the thumb, index, middle, and lateral half of the ring finger. The little finger is typically spared because it receives sensation from the ulnar nerve rather than the median nerve.
Nocturnal Symptoms: Symptoms frequently manifest or worsen at night while lying down. Many patients wake up shaking their hands to restore sensation—a phenomenon so common it’s considered pathognomonic for carpal tunnel syndrome.
Progressive Nature: Initially, symptoms come and go and tend to improve during the daytime. Over time, most patients begin to encounter symptoms during the day, particularly when engaged in repetitive activities such as typing, driving, or holding a phone.
Thenar Atrophy: In advanced cases, the muscles at the base of the thumb (thenar eminence) can atrophy and weaken, causing a flattened appearance and inability to oppose the thumb effectively.
Positive Provocative Tests: Clinical examination reveals positive Phalen’s test (symptoms reproduced by flexing the wrists for 60 seconds) and Tinel’s sign (tapping over the median nerve at the wrist reproduces symptoms).
Environmental and Occupational Risk Factors
Carpal tunnel syndrome is a multifactorial condition arising from a combination of patient-specific, occupational, social, and environmental factors. Understanding these risk factors is essential for both prevention and treatment.
Personal and Medical Risk Factors
Obesity: Being obese or overweight significantly increases carpal tunnel syndrome risk. Each unit rise in body mass index (BMI) increases the risk by approximately 7.4 percent. The association can be explained by accumulation of fat tissue inside the carpal tunnel or by increased hydrostatic pressure causing swelling that compresses the median nerve.
Diabetes Mellitus: Diabetes is strongly associated with carpal tunnel syndrome, with prevalence estimates suggesting that 60-70 percent of people with diabetes have mild to severe neuropathy. Diabetic polyneuropathy may render the median nerve more prone to entrapment, exemplifying the “double crush” phenomenon.
Thyroid Disorders: Hypothyroidism increases the risk of carpal tunnel syndrome with an odds ratio of 3.70. Thyroid disease was present in 7.8 percent of participants who developed acute carpal tunnel syndrome complicating distal radius fractures.
Pregnancy: Hormonal fluctuations and fluid retention during pregnancy commonly cause temporary carpal tunnel syndrome, which typically resolves after delivery.
Rheumatoid Arthritis and Inflammatory Conditions: Autoimmune diseases like rheumatoid arthritis, lupus, and Guillain-Barré syndrome increase susceptibility to nerve compression.
Age and Gender: Carpal tunnel syndrome is more common in women than men for unclear reasons, and incidence increases with age, particularly affecting individuals aged 45 to 64.
Genetics: Carpal tunnel syndrome tends to run in families, suggesting a genetic component. Certain physical characteristics like wrist shape (a square wrist ratio exceeding 0.7) increase risk.
Workplace and Environmental Factors
Repetitive Hand Movements: Occupations involving frequent repetitive hand and wrist activities significantly elevate carpal tunnel syndrome risk. Workers who assemble products, particularly in meat and poultry processing (incidence as high as 15 percent) and automobile manufacturing (affecting up to 10 percent of workers), face exceptionally high risk.
Forceful Exertion: Time spent in forceful exertion can be a greater risk factor for carpal tunnel syndrome than even obesity if job exposure is high. Research demonstrates that working with forceful exertion 20-60 percent of the time increases risk nearly threefold, while exertion more than 60 percent of the time increases risk nearly twentyfold.
Vibrating Tools and Equipment: Workers using hand-held vibratory tools such as rock drills, chainsaws, and power tools in quarry drilling and forestry operations face elevated risk. Hand-arm vibration syndrome can cause tingling and numbness that persist even after vibration stops.
Non-Neutral Wrist Postures: Positions of wrist flexion and extension during work activities increase carpal tunnel pressure and nerve compression risk.
Cold Temperature Exposure: Work performed in cold environments while performing repetitive wrist movements or using vibrating equipment significantly increases risk.
Computer and Keyboard Use: While traditionally associated with carpal tunnel syndrome, the evidence implicating computer use as a major cause is actually weak. Mouse use shows some association with carpal tunnel syndrome, but keyboard typing alone has not been definitively linked to the condition.
Psychosocial Workplace Factors: Job strain, intense deadlines, poor social work environment, and low job satisfaction are major contributors to carpal tunnel pain beyond just physical factors.
Chemical Exposure
Emerging research suggests that workers exposed to neurotoxic chemicals face increased carpal tunnel syndrome risk. Chemicals like n-hexane have potential neurotoxic effects, and frequent biomechanical and chemical co-exposure may create synergistic effects. Exposure to chemicals may generate diffuse subtle nerve damage, rendering the median nerve more prone to entrapment at the carpal tunnel—particularly when combined with biomechanical wrist stressors.
The Clinical Anatomy: How Nerve Compression Occurs
Understanding the anatomical pathway of the median nerve from the cervical spine through the carpal tunnel illuminates why symptoms can arise from compression at multiple sites and why addressing spinal health is crucial for treating hand numbness.
The Median Nerve Pathway
The median nerve begins its journey from nerve roots C5-T1 in the cervical spine. The anterior rami of these nerve roots merge to form the lateral and medial cords of the brachial plexus, which unite to create the median nerve proper.
Upper Arm Course: The median nerve descends through the arm lateral to the brachial artery, then crosses the artery (usually in front) to lie on its medial side at the elbow.
Forearm Course: At the elbow, the median nerve passes between the two heads of the pronator teres muscle and descends beneath the flexor digitorum superficialis. In the forearm, the median nerve supplies motor innervation to most flexor muscles including the pronator teres, palmaris longus, flexor digitorum superficialis, flexor carpi radialis, and through its anterior interosseous branch, the flexor pollicis longus and pronator quadratus.
Wrist Approach: Approximately 5 cm above the wrist, the median nerve becomes more superficial, lying between the tendons of the flexor digitorum superficialis and flexor carpi radialis. At this point, it gives off the palmar cutaneous branch, which passes over (not through) the carpal tunnel to provide sensation to the palm.
Carpal Tunnel Transit: The median nerve enters the carpal tunnel under the transverse carpal ligament, traveling alongside nine flexor tendons in this confined space. The median nerve is the most superficial structure within the carpal tunnel.
Hand Distribution: After exiting the carpal tunnel, the median nerve gives off the recurrent thenar motor branch to innervate the abductor pollicis brevis, opponens pollicis, and superficial head of the flexor pollicis brevis. It then divides into digital branches providing sensation to the palmar surface of the thumb, index, middle, and lateral half of the ring finger, while also innervating the first and second lumbrical muscles.
Multiple Compression Sites and Double Crush Syndrome
Nerve compression can occur at any point along the median nerve’s pathway from the cervical spine to the fingertips. The “double crush” hypothesis, formalized by Upton and McComas, suggests that compression of an axon at one location makes it more sensitive to effects of compression at another location because of impaired axoplasmic flow.
Cervical Spine Compression: Misalignments in the cervical vertebrae, herniated discs, bone spurs, or degenerative changes can compress nerve roots as they exit the spinal cord. A forward head posture can increase strain on the brachial plexus, and tight scalene or pectoralis minor muscles may compress nerves along their path.
Thoracic Outlet: Dysfunction in the thoracic outlet—located between the collarbone and first rib—can mimic or worsen carpal tunnel symptoms.
Elbow (Pronator Syndrome): The median nerve can be compressed at the elbow as it passes between the two heads of the pronator teres muscle.
Wrist (Carpal Tunnel): Finally, compression occurs at the carpal tunnel itself, the most common site of median nerve entrapment.
The double crush phenomenon is particularly relevant because in approximately 10 percent of carpal tunnel cases, there is also a cervical radiculopathy. Studies show that 65-75 percent of chronic lower arm injuries have a neck component, and treating the neck often produces much better and quicker results.
The clinical implication is profound: treating only the wrist may result in residual symptoms from uncorrected cervical compression, while addressing both sites of impingement offers the best outcomes.
Double Crush Syndrome: The Neck-Wrist Connection
Many patients diagnosed with carpal tunnel syndrome actually experience nerve compression originating not primarily at the wrist but at the cervical spine or multiple locations simultaneously. This concept—known as double crush syndrome—has important implications for treatment selection and outcomes.
Understanding Double Crush Physiology
Double crush syndrome occurs when a nerve is compressed at two distinct points along its pathway. The theory proposes that compression at one site renders the nerve more susceptible to dysfunction from compression at a second site, even when neither compression alone would produce significant symptoms.
Several mechanisms explain this increased vulnerability:
Impaired Axoplasmic Flow: Compression at one location disrupts the transport of nutrients and sustaining compounds along the length of the nerve, compromising overall nerve health.
Ion Channel Deregulation: Compression can disrupt the ion channels integral to the nerve’s ability to carry information to and from the spinal cord.
Restricted Nerve Mobility: Nerves normally glide along openings in the neck, muscles, and around joints during movement. Compression at one location may compromise this movement, creating increased pressure and tension in other parts of the nerve.
Clinical Presentation and Diagnosis
Patients with double crush syndrome often present with symptoms that extend beyond typical carpal tunnel distributions. They may experience:
Numbness and tingling not only in the first three-and-a-half fingers but also radiating up the forearm, past the elbow, into the upper arm, shoulder, and neck
Associated neck pain, cervical stiffness, or limited cervical range of motion
Positive cervical spine examination findings including hyperreflexia, sensory deficits, or motor weakness
Chiropractors and other clinicians trained in differential diagnosis can identify double crush syndrome through comprehensive examination that includes cervical spine assessment, postural evaluation, orthopedic testing at multiple sites, and neurological screening.
The Importance of Treating Both Sites
In double crush syndromes, recognizing and treating both compression sites is essential. Research demonstrates that addressing cervical spine dysfunction can completely resolve carpal tunnel symptoms in many cases—even without direct wrist treatment.
One case report documented complete resolution of carpal tunnel syndrome after improving cervical spine posture to remove the “first crush,” suggesting that treatment should be aimed at restoring normal cervical spine alignment. Another study found that when chronic carpal tunnel or arm pain cases failed to respond to traditional one-site treatments including physical therapy, chiropractic care, or even surgery, addressing the neck component led to successful resolution.
Discovering the Benefits of Chiropractic Care- Video
Clinical Rationale for Chiropractic Care
Chiropractic care offers a comprehensive, evidence-based approach to treating hand numbness and carpal tunnel syndrome by addressing the root causes of nerve compression rather than merely masking symptoms.
The Chiropractic Philosophy
Chiropractors recognize that the spine and nervous system are deeply interconnected. Misalignments in the spine—particularly in the cervical region—can interfere with nerve function throughout the body, including the median nerve that passes through the carpal tunnel.
Unlike conventional treatments that often focus on localized wrist pain, chiropractors take a holistic, full-body approach. They investigate and treat compression of nerves anywhere in the body, understanding that issues in the spine and musculoskeletal system can profoundly influence nerve function.
How Chiropractic Adjustments Address Nerve Compression
Spinal Realignment: Chiropractic adjustments gradually restore proper alignment of the cervical, thoracic, and lumbar spine. This realignment releases compression within nerve roots exiting the spinal cord, allowing nerve signals to flow normally to the extremities.
Improved Nerve Communication: By correcting spinal misalignments (subluxations), chiropractors restore proper nerve communication between the brain and body. When the upper cervical spine is properly aligned, nerve function improves, reducing pressure on nerves and restoring sensation and function to the hands.
Reduced Inflammation: Chiropractic care helps decrease inflammation around compressed nerves, reducing swelling that contributes to carpal tunnel pressure.
Enhanced Blood Flow: Adjustments promote improved circulation to nerve tissues, supporting healing and reducing ischemic damage.
Improved Biomechanics: Correcting postural dysfunctions like forward head carriage and protracted shoulders reduces strain on the brachial plexus and median nerve pathway.
Evidence Supporting Chiropractic for Carpal Tunnel Syndrome
Research increasingly supports the effectiveness of chiropractic care for carpal tunnel syndrome and related nerve compression conditions:
Manual Therapy Effectiveness: A 2024 systematic review and meta-analysis comparing manual therapy versus surgery found that manual therapy was more effective for short-term pain relief at one and three months compared with surgery. At six to twelve months, surgical intervention provided greater improvements, but quality-of-life improvements were similar in both groups. The researchers concluded that manual therapy offers effective short-term relief for mild to moderate carpal tunnel syndrome, making it a viable first-line option.
Conservative Treatment Success: A comprehensive 2018 European review of ten studies comparing surgery versus non-surgical care found that while results favored non-surgical approaches at three months and surgery at six months, there was no difference in outcome one year later. The research team concluded that conservative treatment should be preferred unless otherwise indicated.
Cochrane Review Findings: A Cochrane systematic review of exercise and mobilization interventions found that nerve mobilization, carpal bone mobilization, yoga, and chiropractic treatment provided symptom improvement for patients with carpal tunnel syndrome. While acknowledging limited evidence quality, the review supported these approaches as valid non-surgical treatment options.
Case Study Evidence: Multiple published case reports document successful chiropractic management of nerve compression syndromes. One case involving a 41-year-old woman with ulnar nerve compression demonstrated complete symptom resolution after 11 treatments consisting of chiropractic manipulation, myofascial therapy, and elastic therapeutic taping. Another case documented identification and successful treatment of cervical myelopathy by a chiropractor, leading to complete symptom resolution.
Comparison with Traditional Treatments: A 2003 Cochrane review found that chiropractic care and medical treatment provided similar short-term improvement in mental distress, vibrometry, hand function, and finger sensation. Importantly, chiropractic care achieved these results without medications or their associated side effects.
What Chiropractic Treatment Involves
Chiropractic care for carpal tunnel syndrome typically includes multiple treatment modalities:
Cervical Spine Adjustments: Gentle manipulations realign the neck to relieve pressure on nerve roots, improve posture, reduce forward head carriage, and restore proper nerve communication to the arm and hand.
Wrist and Hand Adjustments: Specific adjustments restore joint mobility in the carpal bones, reduce inflammation, increase circulation, and address biomechanical imbalances from overuse or improper motion.
Elbow and Shoulder Adjustments: Treatments resolve radial nerve entrapment, release restrictions in the shoulder girdle affecting nerve flow, and address thoracic outlet compression.
Myofascial Release: Soft tissue techniques ease tension in the forearm and hand muscles, target trigger points that radiate pain, and break up adhesions and scar tissue using active release technique or instrument-assisted mobilization.
Nerve Gliding Exercises: Patient education on specific exercises that help the median nerve move freely within surrounding tissues, reduce entrapment, and prevent scar tissue buildup.
Ergonomic Education: Guidance on proper workstation setup, posture correction, activity modification, and techniques to minimize repetitive stress.
Therapeutic Modalities: Additional treatments may include ultrasound therapy to reduce inflammation, cold laser therapy to accelerate healing, electrical stimulation, and massage therapy.
Dr. Alexander Jimenez’s Clinical Approach
Dr. Alexander Jimenez, DC, APRN, FNP-BC, represents a unique dual-credentialed practitioner who combines advanced medical expertise as a board-certified Family Practice Nurse Practitioner with specialized chiropractic training. His integrative approach exemplifies the evolution of conservative care for conditions like carpal tunnel syndrome and hand numbness.
Dual-Scope Practice Model
Operating El Paso’s premier wellness and injury care clinic, Dr. Jimenez offers comprehensive assessment and treatment capabilities that bridge traditional medical diagnosis with natural, non-invasive chiropractic interventions. As both a Doctor of Chiropractic and Advanced Practice Registered Nurse Practitioner, he can perform detailed clinical evaluations, order and interpret advanced imaging and diagnostic tests, and provide evidence-based treatment protocols inspired by integrative medicine principles.
Clinical Assessment Methodology
Dr. Jimenez’s approach to patients presenting with hand numbness or carpal tunnel symptoms includes:
Comprehensive Health History: Detailed evaluation of symptom onset, progression, aggravating and relieving factors, occupational exposures, medical conditions, and family history.
Functional Medicine Assessment: Utilizing the Institute for Functional Medicine’s assessment programs, Dr. Jimenez evaluates personal history, current nutrition, activity behaviors, environmental exposures to toxic elements, psychological and emotional factors, and genetics.
Advanced Imaging: When clinically indicated, Dr. Jimenez correlates patient injuries and symptoms with advanced imaging studies including X-rays, MRI, nerve conduction studies, and electrodiagnostic testing.
Physical Examination: Thorough orthopedic, neurological, and musculoskeletal examination assessing the cervical spine, thoracic outlet, shoulder, elbow, wrist, and hand.
Postural Analysis: Evaluation of forward head posture, shoulder protraction, and other biomechanical dysfunctions that contribute to nerve compression.
Individualized Treatment Plans
Dr. Jimenez emphasizes that treatment must be personalized based on each patient’s unique presentation, underlying causes, and health goals. His treatment protocols may include:
Chiropractic Adjustments: Targeted spinal and extremity manipulations to restore proper alignment and relieve nerve compression.
Functional Medicine Interventions: Root-cause analysis incorporating nutrition, lifestyle modifications, and environmental factor correction.
Acupuncture and Electro-Acupuncture: Traditional and modern techniques to reduce inflammation and promote healing.
Rehabilitation Programs: Customized flexibility, agility, and strength programs tailored for all age groups and abilities.
Nutritional Support: Personalized nutrition plans to optimize health, reduce inflammation, and support nerve function.
Collaborative Care Philosophy
A distinguishing feature of Dr. Jimenez’s practice is his commitment to collaborative care. When he believes another specialist is better suited for a patient’s condition, he refers to appropriate providers, ensuring patients receive the highest standard of care. He has established partnerships with top surgeons, medical specialists, and rehabilitation experts to bring comprehensive treatment options to his patients.
Focus on Non-Invasive Protocols
Dr. Jimenez’s practice prioritizes natural recovery, avoiding unnecessary surgeries or medications whenever possible. His treatments focus on what works for the patient, using the body’s inherent ability to heal rather than introducing harmful chemicals, controversial hormone replacement, unnecessary surgery, or addictive drugs.
Through his unique functional health approach to healing, Dr. Jimenez continues to be voted the best chiropractor in El Paso by reviewing sites, clinical specialists, researchers, and readers. This recognition reflects his compassionate, patient-centered approach and commitment to addressing the root causes of health issues through integrative care.
Non-Surgical Treatments and Conservative Management
Numerous non-surgical interventions have demonstrated effectiveness for carpal tunnel syndrome and hand numbness, offering patients alternatives to surgical intervention while providing significant symptom relief and functional improvement.
1. Wrist Splinting and Bracing
Wrist splints represent one of the most commonly prescribed and effective conservative treatments for carpal tunnel syndrome.
Mechanism of Action: Splints maintain the wrist in a neutral position, which results in the lowest carpal tunnel pressure compared with flexion or extension positions. Neutral positioning minimizes compression on the median nerve and prevents the excessive wrist flexion that commonly occurs during sleep—a primary contributor to nocturnal symptoms.
Optimal Splint Design: Recent research indicates that wrist splints incorporating the metacarpophalangeal (MCP) joints are more effective than traditional wrist-only splints. Active finger flexion causes lumbrical muscles to intrude into the carpal tunnel, elevating pressure and compressing the median nerve. Splints that limit both wrist and MCP joint motion yield better outcomes, with improvements persisting even after six months of intervention.
Wearing Schedule: Most doctors recommend wearing splints primarily at night, as symptoms like numbness and tingling tend to worsen during sleep when wrists naturally assume flexed positions. During the day, wearing the brace for a few hours while performing repetitive wrist movements can reduce strain on the median nerve. However, continuous wear is not recommended as overuse can lead to stiffness and weakness.
Evidence: A randomized controlled trial of 83 participants found that subjects wearing a soft hand splint at night for four weeks had decreased self-reported carpal tunnel symptoms and functional limitations compared to untreated controls. Another study comparing splinting with surgery found that while both groups improved, the differences at one-year follow-up were not statistically significant.
2. Therapeutic Ultrasound
Ultrasound therapy represents an evidence-based non-invasive treatment that has shown effectiveness for carpal tunnel syndrome relief.
Mechanism: Therapeutic ultrasound uses high-frequency sound waves (typically 1 MHz) to penetrate deep into wrist tissues, reducing inflammation, improving circulation, and promoting healing. The treatment creates gentle vibrations that increase blood flow, reduce swelling, help release pressure on the median nerve, and soften scar tissue in chronic cases.
Treatment Protocol: Effective protocols typically involve 20 sessions of ultrasound treatment (1 MHz, 1.0 W/cm², pulsed mode 1:4, 15 minutes per session) applied to the area over the carpal tunnel. Initial treatments are performed daily (five sessions per week), followed by twice-weekly treatments for five weeks.
Evidence: A landmark randomized, double-blind, sham-controlled trial found that ultrasound treatment had good short-term effectiveness and satisfying medium-term effects in patients with mild to moderate idiopathic carpal tunnel syndrome. At the end of treatment, 68 percent of wrists treated with active ultrasound showed satisfactory improvement or complete remission compared to 38 percent receiving sham treatment. At six-month follow-up, 74 percent of actively treated wrists maintained improvement compared to only 20 percent of sham-treated wrists. Both subjective symptoms and electroneurographic variables (motor distal latency and sensory nerve conduction velocity) showed significant improvement with active treatment.
Anti-Inflammatory Effect: Ultrasound therapy induces an anti-inflammatory effect that provides relief of carpal tunnel symptoms by enhancing blood flow, increasing membrane permeability, altering connective tissue extensibility, and affecting nerve conduction through thermal effects.
3. Low-Level Laser Therapy (Cold Laser)
Low-level laser therapy (LLLT), also called cold laser therapy, offers a non-invasive treatment option that has gained support from multiple systematic reviews and meta-analyses.
Mechanism: LLLT uses focused light at specific wavelengths and low intensities to stimulate healing without heating tissue. The light energy penetrates tissue and interacts with intracellular biomolecules to increase biochemical energy production, enhance oxygenated blood supply, increase collagen supply for tissue elasticity, accelerate nerve regeneration, and reduce swelling and inflammation.
Treatment Application: During treatment, low-intensity laser diodes are placed directly on the skin over the carpal tunnel and affected areas. Patients typically feel a warming sensation at the treatment site, and treatment is virtually painless with relief often experienced immediately.
Evidence: A 2016 meta-analysis of seven randomized clinical trials involving 531 participants found that LLLT improved hand grip strength, visual analog scale pain scores, and sensory nerve action potential after three months of follow-up for mild to moderate carpal tunnel syndrome. The researchers concluded that LLLT was more effective than placebo for both short-term and long-term symptom improvement.
Limitations: A 2017 Cochrane review noted that while some studies showed benefit, the risk of bias was moderate to low across studies, and more high-quality research using standardized laser intervention protocols is needed to confirm effects.
4. Nerve Gliding and Tendon Gliding Exercises
Nerve gliding (also called nerve flossing) and tendon gliding exercises help mobilize the median nerve and flexor tendons, improving their movement through the carpal tunnel and reducing compression.
Nerve Gliding Technique: Basic median nerve glides involve extending the affected arm straight out with the elbow extended and palm facing up, then bending the wrist downward toward the floor while tilting the head away from the arm. This position is held for two to five seconds, then released. More advanced versions involve extending the arm to the side, bending the wrist upward while tilting the head away, then bending the wrist downward while tilting the head toward the arm.
Tendon Gliding Exercises: These exercises involve sequential finger movements designed to glide the flexor tendons through the carpal tunnel. Starting with the wrist neutral and fingers straight, patients flex fingers at different joints in specific sequences, performing approximately 20 repetitions of each pattern.
Benefits: Nerve gliding improves median nerve mobility, reduces adhesions and tension along the nerve pathway, relieves symptoms associated with nerve compression (pain, tingling, numbness), enhances flexibility and range of motion, and supports the rehabilitation process. When combined with other conservative treatments, nerve gliding exercises significantly enhance outcomes.
Evidence: Studies incorporating nerve gliding as part of multi-component interventions have shown symptom improvement, though the independent effect of nerve gliding alone requires further research.
5. Oral Medications
Several oral medications have been studied for carpal tunnel syndrome treatment, with varying levels of evidence supporting their use.
Oral Corticosteroids: Short-term oral steroid treatment has demonstrated significant improvement in symptoms. Pooled data from randomized trials showed that two-week oral steroid treatment resulted in significant symptom improvement (weighted mean difference -7.23), with benefits maintained at four weeks. However, long-term use of steroids carries significant side effects and is not recommended.
NSAIDs (Non-Steroidal Anti-Inflammatory Drugs): Despite their anti-inflammatory properties and common prescription, NSAIDs have not demonstrated significant benefit compared to placebo for carpal tunnel syndrome in randomized trials.
Vitamin B6: The use of vitamin B6 (pyridoxine) for carpal tunnel syndrome remains controversial. While some early studies and clinical observations suggested benefit, the largest and most comprehensive study found no correlation between vitamin B6 status and carpal tunnel syndrome. A University of Michigan study of 125 workers found that 32 percent reported carpal tunnel symptoms and 8 percent had vitamin B6 deficiency, but there was no relationship between the deficiency, symptoms, or impaired nerve function. Vitamin B6 at doses less than 200 mg daily is unlikely to cause adverse effects, but excessive doses (200 mg or more) can be neurotoxic and cause sensory nerve damage.
Diuretics: Diuretics have not demonstrated significant benefit for carpal tunnel syndrome when compared to placebo.
6. Acupuncture
Acupuncture and electroacupuncture represent traditional and modern approaches to treating carpal tunnel syndrome that have shown promise in research studies.
Mechanism: Acupuncture involves inserting needles at specific points on the wrist, forearm, and hand. The needles are typically left in place for 15 to 30 minutes, with multiple sessions needed to alleviate pain.
Evidence: A 2013 study on acupuncture-evoked response in carpal tunnel syndrome found that electroacupuncture applied at local acupoints on the affected wrist and at distal acupoints on the contralateral ankle both produced reduced pain and paresthesia. Brain response to acupuncture in prefrontal cortex and other regions correlated with pain reduction following stimulation.
A multicenter randomized controlled trial examining acupuncture with complementary and integrative medicine modalities for chemotherapy-induced peripheral neuropathy (which shares mechanisms with carpal tunnel-related numbness) found significant improvement in hand numbness, tingling, discomfort, and physical functioning.
7. Yoga and Stretching
Yoga has been investigated as a treatment for carpal tunnel syndrome based on the theory that stretching may relieve compression in the carpal tunnel, better joint posture may decrease nerve compression, and improved blood flow may benefit the median nerve.
Evidence: A randomized trial involving 51 participants found that yoga significantly reduced pain after eight weeks when compared with wrist splinting alone. The yoga program focused on upper body postures, breathing, and relaxation techniques designed to improve strength, flexibility, and awareness in the joints from the shoulder to the hand.
8. Ergonomic Modifications
Activity and workstation modifications aim to position the wrist in a neutral position, provide maximum space within the carpal tunnel, and avoid forceful and repeated movements central to occupations associated with increased carpal tunnel risk.
Principles: Effective ergonomic interventions include adjusting chair height so feet rest flat with knees level with hips, positioning monitors at eye level to avoid neck strain, using ergonomic keyboards or mice to reduce wrist strain, ensuring proper wrist positioning during typing (wrists held up in line with backs of hands rather than resting), and investing in chairs with lumbar support.
Workplace Interventions: Research on ergonomic keyboards compared to controls has demonstrated equivocal results for pain and function. However, comprehensive ergonomic programs that include workstation modifications, job rotation, frequent microbreaks, and worker education show promise for preventing repetitive strain injuries including carpal tunnel syndrome.
Practical Tips and Home Remedies
In addition to professional treatment, numerous self-care strategies can help manage carpal tunnel symptoms and prevent progression.
Daily Hand Care Practices
Frequent Breaks: When performing repetitive hand activities, take breaks every 30-45 minutes to stretch and rest your hands. Set a timer as a reminder to prevent prolonged repetitive motions without rest.
Gentle Hand Shaking: When numbness occurs, particularly at night, gently shake your hands to restore circulation and sensation. Many carpal tunnel patients instinctively do this, and it can provide temporary relief.
Temperature Therapy: Some patients find relief alternating between cold and warm compresses on the wrist. Cold reduces inflammation, while warmth improves circulation.
Avoid Sleeping on Hands: Sleeping with hands under pillows or in bent positions increases carpal tunnel pressure. Try to maintain neutral wrist positions during sleep, and consider wearing wrist splints at night.
Hand Strengthening Exercises
Grip Strengthening: Use a stress ball or therapy putty to strengthen hand muscles. Compress the ball with your affected hand and repeat 10 times.
Wrist Curls: Hold a light weight (1-2 pounds) in your hand with your palm facing up. Curl your wrist up, then release and let the weight fall back down. Repeat 10 times.
Finger Opposition: Touch the tip of your thumb to the base of each finger on the same hand, moving from index finger to pinky. Repeat 10 times. This exercise helps maintain thenar muscle function.
Finger Abduction: Hold your hand out with fingers together. Slowly spread your fingers apart, then release and let them come back together. Repeat 10 times.
Stretching Exercises
Prayer Stretch: Place your hands together in front of your chest in a prayer position. Keeping palms together, slowly lower them toward your waist until you feel a moderate stretch in your wrists and forearms. Hold for 20-30 seconds and repeat 2-4 times.
Wrist Flexor Stretch: Extend your affected arm straight in front of you with your palm facing down. Bend your wrist back, pointing your fingers upward toward the ceiling. Use your opposite hand to gently pull the fingers back until you feel a stretch. Hold for 20-30 seconds and repeat 3 times.
Wrist Extensor Stretch: Extend your arm with palm facing down, then bend your wrist so fingers point toward the floor. Gently pull down with your opposite hand until you feel a stretch on top of your forearm. Hold for 20-30 seconds.
Thumb Stretch: Using your opposite hand, gently push your thumb backward until you feel a gentle stretch. Hold for 20 seconds and repeat 3-4 times.
Activity Modifications
Modify Grip: When possible, use tools and utensils with larger handles that require less grip force. Avoid pinch grips when a whole-hand grip will suffice.
Reduce Force: Type gently rather than pounding keys. Use a light touch on computer mice and avoid death-gripping steering wheels, tools, or phones.
Neutral Wrist Position: Keep wrists in neutral alignment rather than flexed or extended during activities. Use wrist rests appropriately—they’re for resting between typing, not supporting your wrists while typing.
Hand Position Variation: Alternate hand positions and tasks throughout the day to avoid sustained postures. If possible, switch between different types of work to vary the stress on your hands.
Nutritional Considerations
Anti-Inflammatory Diet: While specific dietary interventions for carpal tunnel syndrome lack extensive research, adopting an anti-inflammatory diet rich in omega-3 fatty acids, colorful fruits and vegetables, and whole grains may help reduce systemic inflammation.
Adequate Hydration: Proper hydration supports tissue health and may help reduce swelling that contributes to carpal tunnel pressure.
Limiting Pro-Inflammatory Foods: Reducing intake of processed foods, excess sugar, and trans fats may help minimize inflammation.
Vitamin B6 Consideration: While evidence is controversial, some practitioners recommend moderate vitamin B6 supplementation (50-100 mg daily) with zinc support. However, consult with a healthcare provider before starting supplements, as excessive B6 (over 200 mg daily) can cause nerve damage.
Lifestyle Modifications and Ergonomic Strategies
Preventing carpal tunnel syndrome progression and reducing symptoms requires addressing the lifestyle and environmental factors that contribute to nerve compression.
Workstation Ergonomics
Computer Setup: Position your monitor directly in front of you at arm’s length, with the top of the screen at or slightly below eye level. This prevents excessive neck flexion that contributes to cervical spine dysfunction and double crush syndrome.
Keyboard and Mouse Placement: Keep your keyboard directly in front of you at a height that allows your elbows to rest comfortably at a 90-degree angle. Position your mouse close to your keyboard at the same height to avoid reaching. Consider an ergonomic mouse that’s moved with finger motion rather than wrist motion.
Chair Adjustment: Select a chair with good lumbar support and adjust the height so your feet rest flat on the floor with knees at hip level. Armrests should support your elbows without elevating your shoulders.
Document Holder: If you frequently reference documents while typing, use a document holder positioned at the same height and distance as your monitor to avoid repetitive neck turning and flexion.
Posture Correction
Forward Head Posture: One of the most common postural dysfunctions contributing to upper extremity nerve compression is forward head carriage. For every inch your head moves forward from neutral alignment, it effectively weighs an additional 10 pounds, increasing strain on cervical structures. Conscious correction of forward head posture, combined with strengthening exercises for deep neck flexors and stretching of chest muscles, can significantly reduce nerve compression.
Overall Spinal Alignment: Maintaining neutral spinal curves throughout the day reduces stress on the nervous system. Regular breaks from sitting, standing desks used intermittently, and conscious attention to posture all contribute to better spinal health.
Activity Management
Job Rotation: If your work involves repetitive hand motions, advocate for job rotation that allows you to alternate between different types of tasks throughout the day. This variation prevents sustained stress on the same structures.
Microbreaks: Taking frequent short breaks (30-60 seconds every 20-30 minutes) to stretch and change position is more effective than infrequent long breaks. Use these microbreaks to perform wrist rotations, finger stretches, and shoulder rolls.
Pacing: Avoid marathon sessions of repetitive activities. Break large projects into smaller segments with rest periods between.
Tool Selection: When possible, choose ergonomically designed tools that require less grip force and allow neutral wrist positioning. Power tools with anti-vibration features reduce transmission of harmful vibrations to hands and wrists.
Weight Management
Obesity significantly increases carpal tunnel syndrome risk, with each BMI unit increase raising risk by approximately 7.4 percent. Weight loss through balanced nutrition and regular physical activity can reduce pressure within the carpal tunnel and improve symptoms.
Management of Underlying Conditions
Diabetes Control: Maintaining optimal blood glucose levels through medication, diet, and exercise helps protect nerves from diabetic neuropathy and reduces carpal tunnel risk.
Thyroid Management: If you have hypothyroidism, ensuring proper thyroid hormone replacement and regular monitoring can help reduce carpal tunnel risk.
Blood Pressure Control: Managing hypertension may reduce carpal tunnel syndrome risk, as arterial hypertension shows strong association with the condition.
Stress Management
Psychosocial factors including job strain, stress, and low job satisfaction contribute significantly to carpal tunnel symptoms. Incorporating stress management techniques such as mindfulness, meditation, adequate sleep, and work-life balance can help reduce overall symptom burden.
Conclusion and Disclaimer
Hand numbness and carpal tunnel syndrome affect millions of people, significantly impacting quality of life and functional capacity. However, as this comprehensive review demonstrates, numerous conservative treatment options—particularly chiropractic care—offer effective alternatives to surgery for many patients experiencing these conditions. The clinical rationale for chiropractic treatment is grounded in understanding the median nerve’s complete pathway from the cervical spine through the carpal tunnel. By recognizing that nerve compression can occur at multiple sites and that spinal dysfunction often contributes to hand symptoms through the double crush phenomenon, chiropractors can address root causes rather than merely treating symptoms. This whole-body approach, combined with specific adjustments, soft tissue therapy, patient education, and ergonomic guidance, provides comprehensive care that has been validated by research demonstrating effectiveness comparable to or exceeding more invasive interventions in the short to medium term. Dr. Alexander Jimenez’s integrative model, combining advanced nurse practitioner medical training with chiropractic expertise, exemplifies the evolution toward comprehensive, patient-centered care that utilizes advanced diagnostics while prioritizing conservative, natural treatment approaches. His emphasis on functional medicine assessment, personalized treatment plans, and collaborative care ensures patients receive optimal management tailored to their unique circumstances. The extensive non-surgical treatment options reviewed—including wrist splinting, therapeutic ultrasound, low-level laser therapy, nerve gliding exercises, acupuncture, and ergonomic modifications—provide patients and practitioners with an evidence-based toolkit for managing carpal tunnel syndrome and hand numbness. Combined with lifestyle modifications addressing underlying risk factors such as obesity, diabetes, and occupational exposures, these interventions offer real hope for symptom resolution without surgical intervention.
Important Medical Disclaimer
This article is intended for educational and informational purposes only and should not be construed as medical advice, diagnosis, or treatment recommendation. The information presented here represents a synthesis of current research and clinical practice patterns but does not replace individualized medical evaluation and care. If you are experiencing hand numbness, tingling, weakness, or other concerning symptoms, you should seek immediate evaluation by a qualified healthcare provider. These symptoms may indicate serious conditions including but not limited to nerve compression syndromes, peripheral neuropathy, cervical spine disorders, vascular insufficiency, or other medical conditions requiring prompt diagnosis and treatment. The treatments and interventions described in this article—including chiropractic care, physical therapy, exercises, and complementary approaches—should only be undertaken under the supervision and guidance of licensed healthcare professionals who can properly diagnose your specific condition, assess for contraindications, and monitor your progress. Not all treatments are appropriate for all patients, and individual results will vary based on numerous factors including symptom severity, underlying causes, patient compliance, and individual health status. Carpal tunnel syndrome and related nerve compression conditions can progress to cause permanent nerve damage if left untreated or if treatment is delayed. While conservative approaches are often successful, some cases require surgical intervention. Failure to seek appropriate medical evaluation or delaying necessary treatment can result in irreversible complications including permanent sensory loss, chronic pain, and loss of hand function. Dr. Alexander Jimenez and the practitioners mentioned in this article provide clinical services within their scope of practice and licensure. References to specific practitioners are for informational and illustrative purposes and do not constitute an endorsement or guarantee of specific outcomes. Patients should verify credentials, licensure, and appropriateness of care providers for their individual needs. Decisions regarding your healthcare should be made in consultation with qualified medical professionals who have personally examined you, reviewed your complete medical history, conducted appropriate diagnostic testing, and can provide individualized recommendations based on your specific circumstances. This article does not establish a doctor-patient relationship, and readers should not rely solely on the information presented here for making healthcare decisions. By reading and using the information in this article, you acknowledge that you have read and understood this disclaimer and agree to seek appropriate professional medical evaluation and treatment rather than relying solely on self-diagnosis or self-treatment based on information obtained from this or any other educational resource.
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Schmid, A. B., Brunner, F., Luomajoki, H., Held, U., Bachmann, L. M., Künzer, S., & Coppieters, M. W. (2009). Reliability of clinical tests to evaluate nerve function and mechanosensitivity of the upper limb peripheral nervous system. BMC Musculoskeletal Disorders, 10, 11.
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El Paso Back Clinic’s Guide to Ergonomic Mice for Pain-Free Hands
Spending hours at a computer can strain your hands, wrists, and arms, especially after injuries from accidents or repetitive tasks. At El Paso Back Clinic in El Paso, TX, led by Dr. Alex Jimenez, DC, APRN, FNP-BC, we specialize in providing holistic solutions to help patients overcome pain. An ergonomic mouse, designed to fit your hand’s natural shape, reduces strain and helps prevent conditions like carpal tunnel syndrome and tendonitis. Paired with our chiropractic care, advanced diagnostics, and integrative therapies, it supports recovery and long-term wellness. This article explains how El Paso Back Clinic uses ergonomic tools and expert care to restore health and prevent future issues.
Why Choose an Ergonomic Mouse?
Unlike standard flat mice, an ergonomic mouse curves to match your hand, often tilting upright in a manner similar to a handshake grip. This keeps your wrist straight, easing muscle and nerve strain (Goldtouch, 2023a). At El Paso Back Clinic, we recommend these for patients with desk jobs or those recovering from accidents.
Traditional mice twist your forearm, pinching nerves. Ergonomic designs hold your arm neutrally, reducing fatigue (Logitech, n.d.). For example, Logitech’s MX Vertical tilts at 57 degrees, cutting wrist tension (Logitech, n.d.). Our patients report less pain after switching, helping them work or recover comfortably.
Pick a mouse with thumb rests or adjustable angles to suit your hand. Our clinic guides you to the best choice for your needs (ProtoArc, 2023).
Supporting Natural Posture for Comfort
Your hand’s position affects your entire arm. Regular mice force your wrist to bend inward, stressing bones and nerves (ZDNet, 2023). An ergonomic mouse reduces this twist, called pronation, keeping your hand in a relaxed position (Goldtouch, 2023a).
Studies show these mice cut muscle effort by up to four times (Logitech, n.d.). They also help ease shoulder and neck tension, which is crucial for those recovering from injuries (Kosak Chiropractic, n.d.). At El Paso Back Clinic, we have seen patients benefit from this switch, especially those who have experienced motor vehicle accidents (MVAs) or repetitive strain injuries.
Reducing Repetitive Strain Injuries
Repetitive strain injuries (RSI) from constant clicking cause tingling, numbness, or pain (EffyDesk, 2023). Ergonomic mice minimize hand movements, featuring curves that allow fingers to rest naturally (Goldtouch, 2023b).
Thumb rests stop over-gripping, and lightweight designs make moving easier (ProtoArc, 2023). Our patients, from office workers to MVA survivors, use these to avoid worsening injuries. This supports healing during rehabilitation.
Preventing Carpal Tunnel and Tendonitis
Carpal tunnel syndrome squeezes the wrist’s median nerve, causing tingling or a weak grip. Tendonitis inflames tendons from overuse (FlexiSpot, n.d.). Both are common in desk workers and individuals who have been in accidents. Ergonomic mice open the wrist’s tunnel, reducing pressure by up to 30% (Goldtouch, 2023a).
They also limit bends that inflame tissues (ZDNet, 2023). For tendonitis, less forearm twist eases elbow strain, preventing long-term damage (Lowery Chiropractic, n.d.). El Paso Back Clinic patients who use these mice often stop the progression of injury early.
Setting Up Your Workstation for Health
An ergonomic mouse works best with a properly set-up desk. At El Paso Back Clinic, we recommend adjusting your chair to a 90-degree elbow angle with your feet flat. Keep your mouse at elbow height to avoid reaching (Kosak Chiropractic, n.d.).
Use a keyboard tray to maintain a straight wrist position and set your monitor at eye level to prevent neck strain (Kosak Chiropractic, n.d.). Take hourly breaks—stretch wrists, roll shoulders—to boost blood flow (EffyDesk, 2023). Our team offers personalized tips to make your workspace support recovery.
El Paso Back Clinic’s Holistic Healing Approach
Our clinic blends chiropractic adjustments, acupuncture, and rehabilitation to treat pain holistically. Adjustments realign joints, easing nerve pressure and swelling (Rozenhart Chiropractic, n.d.). For wrist pain, we target hand-to-elbow alignment to relieve carpal tunnel (Lowery Chiropractic, n.d.).
We utilize integrative therapies, such as ultrasound to warm tissues and electrical stimulation to calm nerves (Lowery Chiropractic, n.d.). Nutrition counseling helps reduce inflammation, thereby aiding recovery (Evolve Chiropractic, n.d.). Dr. Jimenez creates custom plans to address the causes of injuries, not just their symptoms.
Dr. Alex Jimenez’s Expertise in Injury Care
Dr. Alex Jimenez, a chiropractor and nurse practitioner, leads El Paso Back Clinic with dual expertise. He treats work, sports, personal, and MVA injuries using advanced neuromusculoskeletal imaging and dual-scope diagnosis to pinpoint issues like nerve compression (Jimenez, n.d.a).
For MVAs, he links whiplash to arm pain, using scans to guide treatment (Jimenez, n.d.b). Care includes adjustments, exercises, and massage to restore function. Acupuncture boosts natural healing (Evolve Chiropractic, n.d.). We also manage legal documentation for injury claims, easing patient stress (Jimenez, n.d.a).
A recent patient, following a motor vehicle accident (MVA), utilized an ergonomic mouse and our care plan. Pain dropped 70% in weeks, avoiding surgery (Jimenez, n.d.b). Dr. Jimenez focuses on natural healing over medication.
Targeted Therapies for Lasting Relief
We pair ergonomic tools with rehab. Grip exercises strengthen the hands, while wrist stretches build flexibility (EffyDesk, 2023). Acupuncture targets specific pain points, and massage helps loosen muscles (Rozenhart Chiropractic, n.d.).
Dr. Jimenez utilizes electro-acupuncture for nerve recovery, which has been shown to be effective for chronic pain (Jimenez, n.d.a). Patients track their progress with pain logs to achieve steady improvement. Our El Paso clinic provides these therapies for seamless care.
Success Stories at El Paso Back Clinic
Anna, a receptionist, switched to an ergonomic mouse and received our adjustments. Her wrist pain faded in weeks, improving her work (Goldtouch, 2023a). Carlos, an MVA survivor, worked with Dr. Jimenez. Adjustments and exercises restored his arm strength (Jimenez, n.d.b).
These stories show our approach delivers. Small changes, combined with expert care, transform lives.
Building a Pain-Free Future
Start with an ergonomic mouse and a tuned workspace. Experience the benefits of our chiropractic care, acupuncture, and nutrition for lasting health. Short walks and breathing exercises boost recovery (Evolve Chiropractic, n.d.).
Visit El Paso Back Clinic for a custom plan. Dr. Jimenez’s team treats all injuries naturally, from desk strain to MVAs (Jimenez, n.d.a). Act early to stay pain-free.
Conclusion: Heal with El Paso Back Clinic
An ergonomic mouse supports natural hand posture, cutting strain. Paired with our chiropractic and integrative care, it helps prevent and manage issues such as carpal tunnel syndrome. Dr. Jimenez’s expertise ensures effective recovery. Call +1 (915) 850-0900 to start your pain-free journey today.
Strumming Without Pain: Chiropractic Solutions for Guitarists and Bassists at El Paso Back Clinic
Playing guitar or bass fills life with rhythm and joy. The thrill of strumming chords or plucking deep notes creates unforgettable moments. But for many string players in El Paso, Texas, this passion can lead to pain. Hours of practice can strain hands, wrists, forearms, elbows, and shoulders, leading to repetitive strain injuries (RSIs) such as tendonitis. These injuries bring swelling, stiffness, and aches that make playing tough. At El Paso Back Clinic, led by Dr. Alexander Jimenez, DC, APRN, FNP-BC, we offer integrative chiropractic care to tackle these issues, helping musicians heal naturally and keep the music alive.
This article explains why guitarists and bassists are prone to RSIs, how tendonitis affects key areas, and how our clinic’s holistic approach—combining chiropractic adjustments, massage, acupuncture, and nutrition—restores health. With insights from Dr. Jimenez’s 30+ years of expertise, we’ll show how El Paso Back Clinic helps local musicians recover from injuries and prevent future pain, so they can strum and pluck without worry.
Why String Players Face Repetitive Strain Injuries
Guitarists and bassists repeat the same motions for hours: fretting chords, strumming strings, or plucking heavy bass lines. These actions stress tendons—the tough bands connecting muscles to bones. Over time, small tears form, which can lead to inflammation or tendonitis. Unlike a one-time injury, RSIs develop gradually from overuse, making them common among musicians (Pianucci et al., 2021).
The fretting hand curls tightly to press strings, while the strumming or plucking arm moves fast. Bassists face extra strain from thicker strings that need more force. Poor posture, like slouching over a guitar, adds pressure to the shoulders and neck. Heavy instruments—guitars at 7-10 pounds and basses up to 12—strain the body more during gigs (Pain Free NY, n.d.). Cold El Paso nights or long jam sessions at local venues like Lowbrow Palace can worsen symptoms by stiffening muscles.
Other factors increase risks. Older players over 40 have less flexible tendons (Bend Total Body Chiropractic, n.d.). Poor habits, such as gripping picks too hard or skipping warm-ups, can speed up strain. Diet matters too—sugary or fatty foods fuel inflammation, slowing recovery (Healthline, 2022). El Paso’s active music scene, with frequent gigs and rehearsals, means local players often push their limits, increasing the risk of RSI.
Where It Hurts: Tendonitis in Musicians’ Bodies
Tendonitis hits specific spots based on how guitarists and bassists play. Here’s where pain strikes:
Hands and Fingers: Fretting chords strains finger tendons, especially at the thumb base. Thumb tendonitis (De Quervain’s) causes sharp pain when gripping the neck. Swelling or a gritty feel signals trouble (Guitar Strength Project, n.d.).
Wrists: Strumming and plucking bend wrists repeatedly, inflaming tendons on top (extensor) or below (flexor). Stiffness after waking or a weak grip are signs. Carpal tunnel syndrome may add tingling or numbness (Rawlogy, n.d.).
Forearms: Constant flexing causes the forearm muscles to burn. Redness, warmth, or lumps show tendonitis. Bassists feel it more from forceful plucks (Healthline, 2022).
Elbows: “Guitar elbow” mimics tennis elbow, with pain on the outer elbow from strained tendons. Inner elbow pain (golfer’s elbow) also hits. Both weaken grip, making it hard to hold picks or instruments (Tennis Elbow Classroom, n.d.).
Shoulders: Holding arms out for chords strains the rotator cuff tendons, causing aches that spread down the arm. Slouching worsens it (Smithsonian Folkways, n.d.).
These areas link up. Hand pain can trigger elbow issues, and shoulder misalignment can strain wrists. Catching early signs—such as soreness or fatigue—prevents more severe problems.
Symptoms That Stop the Show
Tendonitis symptoms creep in but hit hard. Pain starts as a dull ache during play, then sharpens at rest. Swelling puffs up joints, and stiffness locks fingers, especially in the morning. Numbness or tingling buzzes in cold venues, sometimes with fingers turning blue from poor blood flow (Pain Free NY, n.d.). Weakness, drops, and fatigue, as well as burning or throbbing sensations, often linger after gigs. A grating sensation hints at the presence of scar tissue.
For El Paso musicians, long practices for gigs at Tricky Falls or house shows can exacerbate symptoms. Stress from late-night sets or cold weather can cause muscles to tighten, exacerbating pain. If symptoms last for weeks, it’s time to visit El Paso Back Clinic for expert care.
Quick Relief at Home
Before professional help, try these steps to ease tendonitis:
RICE Method: Rest by avoiding play and using splints. Ice for 15 minutes, wrapped, several times daily. Compress with elastic wraps, not too tight. Elevate arms on pillows (Mayo Clinic, 2023).
Meds: Ibuprofen reduces swelling, but ask a doctor first.
Stretches: Gentle wrist circles, finger spreads, or forearm pulls, held 15-30 seconds (Healthline, 2022).
Massage: Use massage balls to roll out knots gently (Rawlogy, n.d.).
Diet: Eat berries, fish, and leafy greens to help combat inflammation. Avoid sugary snacks common at El Paso food trucks.
These help, but don’t address the root cause. For lasting relief, see the experts at El Paso Back Clinic.
Chiropractic Care at El Paso Back Clinic
At El Paso Back Clinic, Dr. Alexander Jimenez and his team utilize chiropractic care to effectively treat RSIs. Adjustments realign joints in the wrist, elbow, or shoulder, freeing nerves and boosting blood flow. For elbow tendonitis, specific adjustments reduce pain and swelling, with patients often regaining full motion in weeks (Stamford Spine, n.d.).
Our clinic checks the whole body. A misaligned shoulder can strain wrists, so we adjust the entire chain. Soft tissue work, such as Graston therapy, breaks down scar tissue in the wrists. Laser therapy reduces inflammation, and taping supports joints during physical activity (Pinnacle Hill Chiropractic, 2024). Regular visits help keep the body aligned, reducing the risk of re-injury by up to 50% (Chiro One, n.d.).
Dr. Jimenez’s dual training as a chiropractor and nurse practitioner ensures precise diagnosis and treatment. Using advanced imaging like MRIs, we pinpoint tendon tears or nerve issues. Treatments are safe, with only mild soreness possible, and tailored to each musician’s needs (Bend Total Body Chiropractic, n.d.).
Integrative Healing for El Paso Musicians
Our integrative approach goes beyond adjustments. We combine:
Massage Therapy: Kneads forearm knots, easing tension from long sets (Beech Street Health, n.d.).
Acupuncture: Calms nerves, reducing wrist tingling for smoother playing.
Exercises: Wrist curls with light weights or finger bands build strength (Chiro One, n.d.).
Nutrition: Collagen supplements and omega-3 fatty acids accelerate tendon repair. We guide patients to local El Paso markets for healthy foods.
Ergonomics: Adjust guitar straps or use lighter picks. Take breaks every 20 minutes during practice (Smithsonian Folkways, n.d.).
This mix helps heal faster and prevents future pain, allowing musicians to stay on stage.
Dr. Jimenez’s Expertise at El Paso Back Clinic
Dr. Alexander Jimenez brings over 30 years of experience to El Paso Back Clinic. His dual-scope approach—combining chiropractic and functional medicine—targets the root causes of injuries. We provide personalized plans for musicians, workers, athletes, and individuals who have experienced accidents. Advanced tools, such as neuromusculoskeletal imaging, can reveal hidden damage, while assessments also consider lifestyle and genetics (Jimenez, n.d.a).
For a local guitarist who was injured in a car accident, we utilized adjustments, massage, and nutrition to restore their fretting ability. Our clinic also handles legal documentation for injury claims, ensuring smooth insurance processes (Jimenez, n.d.b). From whiplash to wrist strain, we help El Paso’s music community heal naturally.
Preventing Pain for Lifelong Playing
Prevention keeps musicians playing. Try these:
Exercises: Wrist stretches, towel twists, or 1-pound weight curls, 10 reps, three times weekly (Healthline, 2022).
Warm-Ups: 10-minute finger flexes and arm circles before gigs.
Technique: Use loose grips and neutral wrists. Alternate hands for songs (No Treble, 2011).
Gear: Ergonomic straps and lighter instruments ease shoulder strain.
Breaks: Rest every 20 minutes. Relax with meditation to cut stress.
El Paso Back Clinic offers tailored plans to keep your body gig-ready.
Keep the Music Playing
Tendonitis doesn’t have to silence your strings. At El Paso Back Clinic, Dr. Jimenez and our team use chiropractic and integrative care to heal RSIs and prevent pain. From hands to shoulders, we address the root causes so you can play without fear. Visit us in El Paso to get back to strumming and plucking with ease.
Contact El Paso Back Clinic at 915-850-0900 or dralexjimenez.com to schedule your consultation today.
Find out the benefits of carpal tunnel syndrome by incorporating chiropractic care for reducing pain and enhancing wrist health and mobility.
Chiropractic Care for Carpal Tunnel Syndrome: A Comprehensive Guide to Relief and Recovery
Imagine trying to text your best friend, but your fingers feel like they’re auditioning for a role as pins and needles in a sci-fi flick. Or maybe you’re gripping your coffee mug, only to feel it slip because your hand decided it’s on strike. If this sounds familiar, you might be dealing with carpal tunnel syndrome (CTS), a condition that can turn your hands into rebellious coworkers who refuse to do their job. But don’t worry—there’s hope, and it doesn’t involve bribing your hands with tiny massages (though that might sound nice). Chiropractic care, especially from experts like Dr. Alexander Jimenez, DC, APRN, FNP-BC in El Paso, Texas, offers a non-invasive, holistic way to tackle CTS and its pesky symptoms like numbness, tingling, and pain.
In this comprehensive guide, we’ll dive deep into what carpal tunnel syndrome is, why it happens, and how chiropractic care can help you wave goodbye to those annoying symptoms. We’ll explore the connection between your hands, upper extremities, and cervical spine, uncover the risk factors that make CTS more likely, and share practical tips for small lifestyle changes to keep your hands happy. Plus, we’ll highlight Dr. Jimenez’s unique role in helping personal injury victims in El Paso, using advanced imaging, diagnostic evaluations, and dual-scope procedures to bridge medical care and legal support. So, grab a comfy seat (and maybe rest those wrists), because we’re about to unpack everything you need to know to get your hands back in the game!
What Is Carpal Tunnel Syndrome?
Carpal tunnel syndrome is like a traffic jam in your wrist, where the median nerve gets squeezed tighter than a packed elevator. This nerve, which runs from your forearm to your hand through a narrow passage called the carpal tunnel, controls sensation and movement in your thumb and first three fingers (sorry, pinky, you’re not invited to this party). When the median nerve gets compressed by swollen tendons, inflammation, or other factors, you can experience pain, numbness, tingling, or weakness in your hand and wrist. These symptoms can make everyday tasks—like typing, holding a phone, or even opening a jar—feel like you’re trying to solve a Rubik’s Cube with mittens on.
CTS is a progressive condition, meaning it can worsen over time if left untreated, potentially leading to permanent nerve damage or muscle weakness. Symptoms often start intermittently, popping up during activities like driving or scrolling through your phone, and may worsen at night, waking you up with that “hand fell asleep” sensation. In severe cases, you might struggle with fine motor skills, like buttoning a shirt or picking up small objects, as the median nerve’s signals get scrambled.
Dr. Alexander Jimenez, a chiropractor and board-certified nurse practitioner in El Paso, explains that CTS isn’t just a wrist problem—it can have roots in other parts of your body, like the cervical spine, which is why a holistic approach is key. His clinic, Injury Medical & Chiropractic Clinic, uses advanced diagnostics to pinpoint the cause of your symptoms and create a tailored plan to help you achieve pain-free living.
CTS doesn’t just show up out of nowhere—it’s like a party crasher invited by a mix of factors. Understanding these risk factors can help you spot potential triggers and take steps to prevent or manage the condition. Here are the main culprits that can increase your chances of developing CTS:
Repetitive Hand and Wrist Movements: Jobs or hobbies that involve repetitive motions—like typing, assembly line work, or playing an instrument—can irritate the tendons in your wrist, leading to inflammation and nerve compression. Think of it as your wrist saying, “I’m tired of this repetitive playlist!”
Anatomic Factors: Some people have smaller carpal tunnels (thanks, genetics!), which can make the median nerve more prone to compression. Wrist fractures or arthritis that deform the small bones in the wrist can also crowd the tunnel, like too many guests squeezing into a tiny room.
Body Fluid Changes: Fluid retention, common during pregnancy or menopause, can increase pressure in the carpal tunnel, irritating the median nerve. The good news? CTS related to pregnancy often improves after delivery.
Chronic Health Conditions: Conditions like diabetes, rheumatoid arthritis, or thyroid disorders can increase the risk of nerve damage or inflammation, making CTS more likely. It’s like these conditions are sending extra stress to your wrist’s already busy highway.
Obesity: Carrying extra weight can put pressure on the median nerve, increasing the risk of CTS. Maintaining a healthy weight can help keep that tunnel clear.
Workplace Factors: Jobs requiring prolonged wrist flexion, vibrating tools, or cold environments can aggravate the median nerve. If your job has you jackhammering in a freezer, your wrists might not be thrilled.
Gender: Women are more likely to develop CTS, possibly due to smaller carpal tunnels or hormonal factors. Sorry, ladies, it’s like your wrists drew the short straw.
Cervical Spine Issues: Here’s where things get interesting—problems in your neck, like misaligned vertebrae or herniated discs, can contribute to CTS symptoms by affecting the nerves that travel to your hand. This is called the “double crush” hypothesis, where nerve irritation in the neck compounds wrist compression, making symptoms worse.
Dr. Jimenez emphasizes that these risk factors often overlap, creating a perfect storm for CTS. For example, a typist with a misaligned cervical spine and a history of diabetes might be dealing with multiple nerve stressors. His dual-scope approach—combining chiropractic and medical evaluations—helps identify and address these overlapping risks for better outcomes.
The Role of the Hands, Upper Extremities, and Cervical Spine
Your hands and wrists don’t work in isolation—they’re part of a complex network that includes your upper extremities (arms, elbows, shoulders) and cervical spine (neck). Think of your body as a busy orchestra, with the median nerve as a key musician. If the conductor (your cervical spine) is offbeat, it can mess up the whole performance, leading to symptoms in your hands.
The Median Nerve’s Journey
The median nerve starts in the cervical spine, specifically from nerve roots in the C6-T1 region of your neck. It travels through your shoulder, elbow, and forearm before squeezing through the carpal tunnel in your wrist. If there’s a pinch or irritation anywhere along this path—like a misaligned vertebra in the neck or tight muscles in the forearm—it can amplify CTS symptoms. This is where the “double crush” hypothesis comes in: compression at the wrist (carpal tunnel) combined with irritation in the neck can make numbness and tingling worse than either issue alone.
The Cervical Spine Connection
Your cervical spine is like the control center for nerve signals to your arms and hands. Misalignments (subluxations) or herniated discs in the neck can irritate the nerve roots that feed into the median nerve, causing symptoms that mimic or worsen CTS. For example, a pinched nerve in the neck might make your fingers tingle, even if your wrist isn’t the main culprit. Dr. Jimenez often sees patients who think they have CTS but are actually dealing with cervical spine issues—or a combination of both.
Upper Extremities and Posture
Poor posture, like slouching at your desk or hunching over your phone, can strain the muscles and nerves in your shoulders, elbows, and wrists. This can lead to tightness or inflammation that compresses the median nerve. Repetitive motions, like typing or using a mouse, can also overwork the muscles and tendons in your forearm, adding to the pressure in the carpal tunnel.
Dr. Jimenez’s approach looks at the whole chain—neck, shoulders, elbows, and wrists—to find the root cause of your symptoms. By addressing misalignments in the cervical spine and tension in the upper extremities, he can reduce nerve irritation and help your hands feel like they’re back on the team.
How Chiropractic Care Helps Carpal Tunnel Syndrome
Chiropractic care is like a superhero swooping in to save your wrists from the villainous grip of CTS. Instead of relying on surgery or medications, chiropractors use non-invasive techniques to relieve nerve compression, reduce inflammation, and restore function. Here’s how chiropractic care, particularly from Dr. Jimenez, can help:
Spinal and Joint Adjustments: Chiropractors use gentle, targeted adjustments to realign the cervical spine, elbow, and wrist. By correcting misalignments, they reduce pressure on the median nerve and improve nerve signaling. A 1994 case study showed that chiropractic adjustments to the cervical spine and wrist led to significant improvements in grip strength and symptom relief in a patient with CTS.
Soft Tissue Therapy: Tight muscles or inflamed tendons in the forearm can contribute to CTS. Dr. Jimenez uses techniques like massage or myofascial release to loosen these tissues, reducing pressure in the carpal tunnel. This is like giving your wrist a much-needed stretch after a long day of typing.
Wrist Supports and Bracing: Chiropractors may recommend nocturnal wrist splints to keep your wrist in a neutral position, preventing further compression of the median nerve during sleep. Studies have shown that splinting, combined with chiropractic care, can improve symptoms without the need for surgery.
Ultrasound Therapy: This modality uses sound waves to reduce inflammation and promote healing in the wrist. A 1998 study found ultrasound therapy effective for CTS, and Dr. Jimenez incorporates it into his treatment plans when appropriate.
Exercise and Rehabilitation: Dr. Jimenez prescribes specific exercises to strengthen the muscles around the wrist and improve flexibility. Nerve and tendon gliding exercises, for example, can reduce symptoms and improve hand function.
Functional Medicine Approach: As a board-certified nurse practitioner, Dr. Jimenez looks beyond the wrist to address systemic factors like inflammation or hormonal imbalances that may worsen CTS. Nutritional counseling, for instance, can reduce inflammation through dietary changes, supporting recovery.
Addressing the Double Crush Phenomenon: By treating both the wrist and cervical spine, chiropractic care tackles the “double crush” issue, where nerve irritation in the neck amplifies wrist symptoms. This comprehensive approach can lead to better outcomes than focusing on the wrist alone.
A randomized clinical trial found that chiropractic care, including spinal and extremity adjustments, was as effective as conservative medical treatments (like ibuprofen and splinting) for CTS associated with median nerve demyelination. Dr. Jimenez’s dual expertise as a chiropractor and nurse practitioner allows him to combine these techniques with advanced diagnostics, ensuring a personalized plan that addresses all contributing factors.
Discovering The Benefits of Chiropractic Care- Video
Overlapping Risk Profiles and Chiropractic Solutions
CTS doesn’t exist in a vacuum—it’s often tangled up with other musculoskeletal issues that create overlapping risk profiles. These include cervical spine misalignments, poor posture, repetitive strain injuries, and systemic conditions like diabetes or obesity. Chiropractic care is uniquely positioned to address these interconnected problems, reducing the overall burden on your nervous system and musculoskeletal health.
Cervical Spine Misalignments
As mentioned, the “double crush” hypothesis suggests that nerve irritation in the neck can worsen CTS symptoms. A 2008 review highlighted how chiropractic adjustments to the cervical spine can relieve nerve compression, reducing symptoms in the hands. Dr. Jimenez uses advanced imaging, like X-rays or MRIs, to identify subluxations or herniated discs in the neck that might be contributing to your symptoms.
Posture and Ergonomics
Slouching or forward head posture can strain the nerves and muscles from your neck to your hands, increasing CTS risk. Chiropractic care corrects spinal alignment and teaches ergonomic habits to reduce strain. For example, Dr. Jimenez might recommend adjusting your workstation to keep your wrists neutral and your shoulders relaxed.
Repetitive Strain Injuries
Repetitive motions, like typing or using vibrating tools, can cause inflammation in the wrist and forearm, exacerbating CTS. Chiropractic adjustments, combined with soft tissue therapy and exercises, can reduce inflammation and restore mobility. A 2013 study found that manual therapy, including chiropractic techniques, improved CTS symptoms.
Systemic Conditions
Conditions like diabetes or obesity can increase inflammation and nerve sensitivity, making CTS worse. Dr. Jimenez’s functional medicine approach includes nutritional counseling to reduce inflammation and manage blood sugar, addressing these underlying factors.
By tackling these overlapping risks, chiropractic care not only relieves CTS symptoms but also improves overall musculoskeletal health, preventing future issues. Dr. Jimenez’s clinic uses a holistic framework, combining adjustments, therapy, and lifestyle changes to create lasting relief.
Dr. Alexander Jimenez: A Leader in Personal Injury Care in El Paso
In El Paso, Texas, Dr. Alexander Jimenez is a beacon of hope for personal injury victims, especially those dealing with CTS from motor vehicle accidents (MVAs) or workplace injuries. With over 25 years of experience as a chiropractor and board-certified nurse practitioner, Dr. Jimenez brings a unique dual-scope approach to care, blending chiropractic techniques with medical diagnostics to provide comprehensive treatment.
Advanced Imaging and Diagnostics
Dr. Jimenez uses state-of-the-art imaging, like X-rays, MRIs, and electromyography (EMG), to pinpoint the exact cause of nerve compression or injury. For example, in CTS cases related to MVAs, he might identify a cervical spine misalignment or a wrist injury that’s contributing to symptoms. These diagnostics ensure that treatment targets the root cause, not just the symptoms.
Dual-Scope Procedures
His dual licensure allows him to combine chiropractic adjustments with medical evaluations, such as assessing inflammation or hormonal imbalances that could slow healing. For instance, he might use spinal manipulation to relieve nerve pressure while prescribing anti-inflammatory nutrition plans to support recovery.
Legal-Medical Liaison
Personal injury cases often require detailed documentation to support insurance claims or legal proceedings. Dr. Jimenez excels at bridging this gap, providing thorough reports that link injuries to their causes. His advanced diagnostics and dual-scope approach ensure that patients receive both effective treatment and the documentation needed for fair compensation. Whether it’s a whiplash-related CTS case or a workplace injury, Dr. Jimenez’s expertise helps patients navigate the complex intersection of medical care and legal needs.
Patient Success Stories
Patients rave about Dr. Jimenez’s compassionate, personalized care. One patient, Ottis Hamlet, a craftsman from San Antonio, found relief from debilitating CTS symptoms through Dr. Jimenez’s chiropractic treatments, avoiding surgery and regaining his ability to work. Testimonials highlight how Dr. Jimenez’s holistic approach transforms lives, helping patients return to their daily activities pain-free.
Practical Tips for Managing Carpal Tunnel Syndrome
You don’t have to wait for CTS to turn your hands into grumpy rebels. Here are some small changes, inspired by Dr. Jimenez’s clinical insights, that you can incorporate into your daily routine to prevent or manage CTS:
Ergonomic Workstation Setup: Adjust your desk so your wrists stay neutral while typing or using a mouse. Use a padded wrist rest and keep your keyboard at elbow height. Dr. Jimenez recommends taking breaks every 30 minutes to stretch your wrists and shake out the tension.
Wrist Stretches and Exercises: Try nerve gliding exercises, like gently flexing and extending your fingers or rotating your wrists. These can reduce tension in the carpal tunnel and improve flexibility. Dr. Jimenez often prescribes these as part of a rehab plan.
Posture Check: Sit up straight and keep your shoulders relaxed to avoid straining the nerves from your neck to your hands. Imagine a string pulling you up from the top of your head, like a puppet with perfect posture.
Anti-Inflammatory Diet: Foods rich in omega-3s (like salmon), antioxidants (like berries), and anti-inflammatory spices (like turmeric) can reduce inflammation that worsens CTS. Dr. Jimenez’s functional medicine approach emphasizes nutrition to support nerve health.
Nighttime Splinting: Wear a wrist splint at night to keep your wrist in a neutral position, reducing pressure on the median nerve. It’s like giving your wrist a cozy blanket to rest in.
Stay Active: Regular exercise, like walking or yoga, can improve circulation and reduce inflammation. Avoid overdoing repetitive motions, though—your wrists need a break from the keyboard symphony.
Consult a Chiropractor Early: If you notice tingling or numbness, don’t wait for it to become a full-blown CTS tantrum. Dr. Jimenez’s clinic offers free consultations to assess your symptoms and create a plan before things get worse.
These small changes can make a big difference, like convincing your hands to sign a peace treaty with the rest of your body. Combining these habits with chiropractic care can keep CTS at bay and improve your overall musculoskeletal health.
Chiropractic care’s effectiveness for CTS lies in its ability to address both local and systemic factors that contribute to nerve compression. Here’s the clinical reasoning behind why it works, backed by research:
Reducing Nerve Compression: Adjustments to the wrist, elbow, and cervical spine relieve pressure on the median nerve by correcting misalignments. A 1994 study showed that chiropractic manipulation improved sensory and motor function in CTS patients.
Decreasing Inflammation: Soft tissue therapies and ultrasound reduce inflammation in the carpal tunnel, creating more space for the median nerve. A 1998 study supported ultrasound’s role in CTS treatment.
Improving Nerve Conduction: Chiropractic care can normalize nerve conduction velocities, as seen in a case study where EMG testing confirmed improved outcomes after adjustments.
Addressing Double Crush: By treating cervical spine issues, chiropractors reduce additional nerve irritation that exacerbates CTS. A 2008 review found that addressing the “double crush” phenomenon improved outcomes.
Holistic Management: Dr. Jimenez’s functional medicine approach tackles systemic issues like inflammation or metabolic dysfunction, which can worsen CTS. For example, managing blood sugar in diabetic patients can reduce nerve sensitivity.
Recent studies further support chiropractic care for CTS. A 2021 study found that manual therapy, including chiropractic techniques, significantly reduced pain and improved function in CTS patients. Another 2017 study showed that chiropractic adjustments combined with splinting were effective for mild to moderate CTS. These findings highlight chiropractic care’s role as a safe, non-invasive alternative to surgery or medications.
Carpal tunnel syndrome can feel like a persistent gremlin wreaking havoc on your hands, but chiropractic care offers a powerful, non-invasive solution to tame it. By addressing nerve compression, reducing inflammation, and tackling overlapping risk factors like cervical spine issues or poor posture, chiropractors like Dr. Alexander Jimenez help patients regain their hand function and quality of life. His dual-scope approach, combining chiropractic adjustments with advanced diagnostics and functional medicine, ensures that both the symptoms and root causes are addressed. For personal injury victims in El Paso, Dr. Jimenez’s expertise in linking injuries to their causes through detailed imaging and reports makes him an invaluable ally in both healing and legal processes.
Disclaimer: This blog post is for informational purposes only and is not a substitute for professional medical advice. Carpal tunnel syndrome and related musculoskeletal issues can significantly impact daily life, and seeking care from a qualified healthcare provider is essential for proper diagnosis and treatment. Always consult a licensed professional, such as Dr. Alexander Jimenez, before starting any new treatment plan. Individual results may vary, and chiropractic care may not be suitable for all conditions or patients. For more information or to schedule an appointment, contact Injury Medical & Chiropractic Clinic at (915) 850-0900 or visit https://elpasobackclinic.com/.
Today, we are constantly tapping, scrolling, clicking, using our hands, fingers, and thumbs on smartphones, tablets, computers, etc. Constant repetitive use has increased the development of carpal tunnel syndrome. If tingling, numbness, soreness, or electrical sensations have begun to develop in the hands, especially the index finger, thumb, or palm, carpal tunnel prevention measures can help before it becomes severe.
Pinched Nerve
Carpal tunnel syndrome is the medical terminology for a pinched nerve. It is the median nerve that passes through the narrow carpal tunnel passageway of ligaments and bones at the base of the hand. This tunnel houses the median nerve and the tendons that allow the fingers to bend. The median nerve generates physical sensation in the index, middle, ring finger, and palm near the thumb. Compression of the nerve or inflammation can cause tingling, numbness, and pain in any and/or all of the hand areas. It can also cause the fingers to bend awkwardly; however, this symptom develops over time. There are so many different causes of carpal tunnel syndrome that it is almost impossible to avoid with the constant overuse/repetition of the hands.
Work – tasks, typing, mouse use, writing, scanning, etc.
School
Injury
Doctors recommended approach for carpal tunnel prevention is to take action at the first sign/symptom. The most effective preventative measures include:
Using a computer mouse – moving, clicking, using the scrolling wheel, etc.
Writing
Cooking – chopping, slicing, mixing, squeezing, etc.
Drawing
Make sure to take frequent breaks from the motion.
Carpal tunnel is more likely to develop if the nerves and muscles are overused for a long time without stopping. When focused on a task, we often don’t realize how the repetitive motions cause strain until a sting or pinch makes us stop. Taking a hand break is essential to give the muscles, tendons, ligaments, and nerves time to relax and stay loose. The break only has to be a few minutes to be effective.
Repetitive Movements and Proper Hand Form/Posture
Repetitive hand or wrist motions in everyday activities sometimes cannot be helped. It is recommended to try to switch hands when performing the task, space it out over the day, take frequent breaks, stretch, and gently shake out the hands throughout the day. Make sure any pressure on the hands or wrists is as light as possible and evenly distributed. Keep the wrists straight or slightly bent and use light tools if possible. Proper posture is crucial for carpal tunnel prevention. Many individuals don’t realize the back, neck, and wrists are intricately connected. Poor posture like hunching over the computer, shoulders rolled forward, and forward neck posture can cause the nerves and muscles of the arm to become compressed, causing tingling, numbing, pain symptoms because they’re not properly aligned. The compression can run down the arms and affect the wrists and hands as well.
Carpal Tunnel Prevention Supportive Accessories
It is also recommended to consider integrating supportive accessories, like ergonomic keyboards, mice, wrist splints, keypad cushions, etc. These tools can support the body and keep the wrists and hands healthy, comfortable, and pain-free. Wrist splints can help by keeping the wrist in a straight, neutral position without thinking about it. This reduces stress on the area and absorbs the pressure of everyday tasks on the carpal tunnel and median nerve. Individuals can also wear the splint at night to support and train the wrist to stay straight throughout the day. Taking action before the symptoms become severe is highly recommended. Talk to a chiropractor or physical therapist for exercises, stretches, and general tips to help with carpal tunnel prevention.
Body Composition
A Snack and A Meal
Without proper planning, the calories an individual consumes from snacks can add up. A recent survey found that snacking contributes 586 calories for men and 421 calories for women per day. Weight loss, weight gain, and weight maintenance come down to calories in vs. calories out.
Eating snacks that are too high in calories or snacking too much can disrupt and derail health goals.
It’s essential to know what a snack consists of, what to look for on a label, and how to plan.
Snacks come in a range of calories, depending on individual goals.
For many, 100-200 calories are recommended for snacks.
Individuals that need increased calories may require a higher calorie snack.
The number of snacks eaten per day depends on individual needs and goals.
It’s best to plan and factor snacks into the overall meal plan to avoid overeating.
LeBlanc, Kim Edward, and Wayne Cestia. “Carpal tunnel syndrome.” American family physician vol. 83,8 (2011): 952-8.
Page, Matthew J et al. “Splinting for carpal tunnel syndrome.” The Cochrane database of systematic reviews vol. 2012,7 CD010003. 11 Jul. 2012, doi:10.1002/14651858.CD010003
Shiri, Rahman, and Kobra Falah-Hassani. “Computer use and carpal tunnel syndrome: A meta-analysis.” Journal of the neurological sciences vol. 349,1-2 (2015): 15-9. doi:10.1016/j.jns.2014.12.037
One area to consider is driving. When it comes to carpal tunnel syndrome pain most individuals think about keyboard typing, as the source of arm, wrist, and hand pain. This is true, but carpal tunnel can develop from:
Any repetitive motion
Gripping
Bending at the wrist
Vibrations going through the wrist
Long-distance truckers, those who drive for business or regular long pleasure trips on winding mountain roads can take a toll on the muscles, tendons, ligaments of the arms and hands. Combining a regular job, stacking, scanning, lifting, and typing away most of the day, then long commutes, and weekends driving around, an individual can begin to present with arm, hand, and finger pain.
Signs and Symptoms
Carpal tunnel can sneak up when least expected. Most individuals begin to feel a burning, tingling, or numbness in the thumb and first two fingers, and for some, the palm, as well. Discomfort or pain usually presents at night and in the morning. If the condition becomes worse, individuals often feel the need to shake out the hand or wrists, trying to bring relief from the pain and tightness. It can affect one hand or both hands. The pain can continue to increase and climb up the arm. Then normal tasks like pumping gas or writing with a pen become unbearable.
Carpal Tunnel Syndrome
The median nerve controls the sensations to the palm, the thumb, and the four fingers of the hand. The nerve runs through a small passageway in the wrist called the carpal tunnel. Swelling or thickening of the tendons narrow the tight space and irritate the nerve.
Diagnosis
There are different ways to diagnose the condition. To avoid damaging the median nerve, it is important to get a diagnosis as early as possible.
They might perform a nerve conduction study, where small electrodes are placed on the wrists and fingers, then small amounts of electrical current are run through the electrodes.
The speed at which the nerves transmit the electric conduction is measured.
Treatment
The most common treatment is complete rest of the affected hand/s and wrist/s for fourteen to twenty-one days. Other treatments include:
Apply pain ointment/cream before driving and keep on hand
Chiropractic Help
A chiropractor is a highly trained specialist in the entire body’s musculoskeletal system. Chiropractic treatment can help avoid developing chronic pain and surgery in the future. Correcting subluxations and restoring optimal blood and nerve energy flow in the arms, hands, and rest of the body is the objective. Chiropractic investigates and treats the compression of nerves anywhere in the body, including the forearm and wrist. Realigning the spine, shoulder, elbow, and wrist, blood circulation and nerve impulses will flow freely once again. A chiropractor could also recommend:
The treatment plan will depend on each individual’s unique case and circumstances. At Injury Medical Chiropractic and Functional Medicine Clinic, we care about each individual’s situation and are committed to doing whatever it takes to alleviate the pain and get the individual back to optimal health.
Body Composition
Soluble and Insoluble Fiber
All plant-based foods are generally a combination of soluble and insoluble fibers. Soluble fiber dissolves in water and turns into a gel substance when it passes through the gastrointestinal tract. Foods high in soluble fiber include:
Apples
Beans
Blueberries
Lentils
Nuts
Oat products
Insoluble fiber does not dissolve in water. The term roughage generally refers to this type. Roughage speeds up transition time in the digestive system. This is the basis for eating more insoluble fiber, to prevent constipation by helping food move through the system. Foods high in insoluble fiber include:
Brown rice
Carrots
Cucumbers
Tomatoes
Wheat
Whole wheat bread
Whole-grain couscous
Dr. Alex Jimenez�s Blog Post Disclaimer
The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.*
Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
References
Savage, Robert. �Re: Carpal Tunnel syndrome and work.��Journal of hand surgery (Edinburgh, Scotland)�vol. 30,3 (2005): 331; author reply 331. doi:10.1016/j.jhsb.2005.02.007
Haas, DC et al. �Carpal tunnel syndrome following automobile collisions.� Archives of physical medicine and rehabilitation�vol. 62,5 (1981): 204-6.
Chiropractic works great for neck and back problems, but it is highly effective for the entire body. Carpal tunnel syndrome or CTS is becoming a widespread health issue with so many working on computers, devices, phones, etc. Chiropractic is perfect for treating CTS. It relieves pain, loosens/stretches the ligaments, and promotes healing without meds. �
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Carpal Tunnel
Carpal tunnel is diagnosed as a repetitive stress injury. This is a condition that affects the hands and wrists. The most common symptoms include:
Tingling
Numbness
Weakness in the middle, index, and thumb
Pain in the wrist/hand
Gets worse at night
It is found in:
Hairdressers
Office workers – typing, writing, filing, etc.
Mechanics
Cashiers
Those who perform repetitive hand motions throughout the day
It is estimated that around 3% of adults will deal with CTS at some time in their lives. Around 50 percent of workplace injuries are attributed to CTS. Research has shown that job occupation plays a large role in how it develops. �
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The carpal tunnel lies on the front side of the wrist. Here is where the blood vessels, nerves, and tendons necessary for the hand to move and work reside. The carpal tunnel can become inflamed, damaged, or strained with added pressure on the area compressing the arteries and nerves. This is when CTS develops. It starts slowly with symptoms gradually worsening as the condition progresses.
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How chiropractic helps
There are 3 primary ways that chiropractors treat carpal tunnel syndrome. Manual Adjustment of the:
Upper spine
Arm
Wrist
If the spine is out of alignment it could contribute and exacerbate the carpal tunnel. Chiropractic utilizes spinal manipulation to realign the spine to its correct position. These adjustments are performed by hand, but special devices, instruments, tools, rollers, etc, could be used during the treatments. A chiropractor will make adjustments to the arm and wrist, as well. �
� Ultrasound
Ultrasound uses low energy sound or high energy sound. The sound waves are highly focused and penetrate the body�s tissue at a very deep level. These waves are quite effective in reducing inflammation, alleviating pain, and relaxing the muscles. It could be used as a stand-alone treatment or along with chiropractic treatment. �
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Wrist Supports
Wrist supports are used to keep the wrist properly aligned with the rest of the arm to reduce pressure and compression. It can be used as a preventative measure against carpal tunnel. A chiropractor could go with this option if the individual does repetitive work that could contribute to the condition. �
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This is usually done in conjunction with regular chiropractic care. When treating carpal tunnel, a chiropractor could suggest certain therapeutic exercises and a dietary change to help promote optimal wellness. This is to help the individual get the most benefits from the treatment and to help prevent the condition from worsening, as well as, other conditions. �
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Posture
Proper posture is essential for optimal health, well being, can help avoid age-related conditions and allows the organs room to operate properly and efficiently. Posture can be affected in different ways. Sustaining an injury is one in which the body compensates by listing to one side or hunching over to relieve the pain.
Another reason is slouching. Those of us that just don�t stand and sit up straight through bad habits, lack of exercise, improper diet, medication, and the list goes on and on. Whatever the reason, poor posture will gradually lead to:
Back pain
Headaches
Increased risk of injury
Decreased flexibility
Decreased mobility
It can cause the body to age quicker. However, in most cases, even those with extremely poor posture can find help and return to a high quality of life. Chiropractic has shown to help many regain a straight, healthy posture.
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Postural Conditions
There are postural conditions that chiropractic is very helpful in alleviating, include:
Forward head posture – usually associated with mobile devices
Kyphosis
Scoliosis
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Treatment
A chiropractor will:
Discuss the problem/s you are experiencing
Listen to the complaints
Find out when the problem started
Go through events or work that could have contributed to the problem
Thoroughly evaluate the medical history
Observe the way you sit, walk, bend, and movearound
A chiropractor will request x-rays and assess the alignment of the spine. If necessary a neurological or orthopedic test could be done to ensure that there is no underlying condition or injury that is causing the problem.
They will ask you to stand straight and possibly take measurements to determine if there is any visible deviation from the optimum posture. They will then ask you to move and bend while they test the range of motion, mobility, flexibility along with muscle strength and length. �
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Posture Plan
Once the assessments are complete the chiropractor will discuss the best treatment option available. They will walk you through the adjustments that will be performed along with other therapies they might recommend. The best course of action to relieve any pain will be discussed, as well as get your spine into proper alignment improving posture. They will also talk to you about stretching exercises and things to do at home. They could also discuss:
Sleep positions
Diet
Work area adjustments
Exercise
Weight loss
Chiropractic focuses on whole-body treatment. This means addressing lifestyle changes and getting the individual into optimal shape. Basic chiropractic adjustments can help improve posture within a few sessions.
After the body is in alignment you will feel more energetic, healthier, and happier. The body is an intricate machine and when one part is out of order it begins to affect all the other parts. Chiropractic can improve overall health and wellness. We want to get your body functioning more effectively and efficiently and feeling better.
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Chiropractic Podcasting: Why Chiropractic Works
Dr. Alex Jimenez�s Blog Post Disclaimer
The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.*
Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
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