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 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*
Keyboards and mice come in all sorts of colors and styles, which is great but for those that work on a computer for a job, using the right type is essential to prevent injury keeping the hands, wrists, and arms healthy and moving.
Overuse can cause painful musculoskeletal disorders like:
There are a variety of ergonomic designs for these devices. Keyboard designs include four separate key areas:
The alphanumeric area with letters, numbers, and control keys
An area with cursor keys
Numeric keypad
Function keys or the ‘F’ keys
Keyboard Key Combinations or The Mouse
Basic typing and many other actions can be performed on the keyboard using the:
Function keys
Cursor keys
Control keys
Keyboard macros
Pretty much all of these actions can be done with the mouse. Many users operate the computer with the mouse instead of using the key combinations.
To obtain correct posture when working align the center of your body with the center of the keyboard area used the most or during a task.
Keyboard Layout
The layout follows the original ASDF design from the first typewriter.
From the beginning of this design, there was a realization that angling and splitting the keys would reduce the bending of the hands. The first split keyboard typewriter was manufactured in 1886.
The idea of splitting and angling the keys was implemented into ergonomic keyboard designs with the alphanumeric keys being separated at an angle into two sloped sections. For a� non-touch typist, this can be difficult to use, as some keyboards only angle the keys without splitting into halves.
The split design reduces the sideways bending of the hand but also important is the reduction of vertical bending.
However, this can be overcome by taking some simple steps like:
Flattening the keyboard feet on the desk can keep the hands flat
Putting the keyboard on a vertical tilted tray can also help improve the hands’ posture
Keyboards are available in left and right-handed styles
Choosing a Mouse
The shape along with the location of the mouse in relation to the keyboard is important for maintaining a healthy hand posture. Here are some considerations when choosing a mouse. The mouse buttons should:
Have easy clickability
Is easy to move around/feels natural
The screen cursor should move accurately with your movements
There are mice with programmable buttons allowing you to control additional functions. Important things to check:
Make sure the size and shape of the mouse feels natural in your hand
Hold the mouse in a neutral position meaning your hand should not be bent up, down or sideways
Position and operate the mouse with your upper arm relaxed and close to your body, and don’t reach too far forward or too far out to the side
There are keyboards with a separate numeric pad that allows the mouse to be located closer to the keyboard. Some keyboards include a cursor positioning device like a trackball, touchpoint or touchpad. These types eliminate having to reach for a mouse. However, it is a good practice to mix it up using the keyboard for certain operations and the mouse for others. This allows different muscles and ligaments to work while the others take a break.
The Ideal Setup
All keyboards and mice are designed differently. The key is to find well-made products that are built with ergonomic injury prevention as the focus. You can use trackballs, touchpads, and pen mice instead of a regular mouse.
Find what works for you, is ergonomic, comfortable and easy to use and will keep your hands in a neutral posture. If you do a lot of typing and mouse movement, your hands are going to get tired even with top designed keyboards and mice. Take frequent short rest and stretch breaks to let your muscles recover. The stretching exercises should include the:
Wrist
Forearm muscles
Shoulders
Neck
Upper back muscles
Working like this will protect you against over-use injuries.
Carpal Tunnel Chiropractic Treatment
NCBI Resources
Chiropractic care is one of the most common forms of treatment for carpal tunnel syndrome. Foremost, a doctor of chiropractic will evaluate the extent of the condition as well as diagnose the individual to determine any underlying cause behind the condition. Through a series of chiropractic adjustments and manual manipulations, the hand, wrist, and arm are adjusted to reduce the pressure around the median nerve, and ultimately reducing the symptoms.
Carpal tunnel syndrome, or CTS, is a condition where the nerve that runs from the forearm into the hand gets compressed. Carpal tunnel can cause significant pain and result in numbness that makes using your hand practically impossible.
Carpal tunnel affects�approximately 3% of the population. Carpal tunnel sufferers, fortunately, there are effective treatments that do not require surgery. Chiropractic care can help relieve the pain of carpal tunnel, and can often improve mobility and range of motion in the process.
What is it?
The term �carpal tunnel� refers to an actual tunnel created by ligaments and bones in the wrist. Tendons and median nerves travel from the forearm through the carpal tunnel in the wrist and into the hand. When the median nerve becomes compressed inside the carpal tunnel�usually due to injury or inflammation�it can lead to the symptoms associated with CTS.
The Causes
The exact cause of CTS is not always easy to identify, but there are many factors that can play a role. A family history of CTS makes it more likely that you will develop the condition. Repetitive work, such as a job on an assembly line, is known to increase the risk of CTS. Wrist injuries can also cause carpal tunnel. There are other contributing factors that are not as obvious, such as pregnancy, menopause, and dialysis.
Symptoms
The first signs of carpal tunnel often include a feeling of pins and needles in the wrist, hands, and fingers. You may notice some numbness from time to time, especially after using the wrist in a way that causes compression�like performing a task over and over at work.
Over time, the symptoms can become more severe. Eventually, carpal tunnel can lead to a loss of coordination with the thumb, then other digits. Pain may not be significant at first, but tends to get worse and the condition progresses.
Chiropractic Can Help
Standard medical treatments for carpal tunnel include using anti-inflammatory drugs, refraining from using the wrist/hand, wearing a splint and eventually surgery. While these treatments can sometimes be effective, the risks associated with surgery are significant. Carpal tunnel surgery may or may not fix the problem, and as with any surgery, can sometimes cause more issues than it helps.
Learning to Protect Yourself
Chiropractic care offers a safe alternative to standard medical care, one that is non-invasive and minimizes the need for medications and their potential side effects. Chiropractic treatments for carpal tunnel can help to reduce inflammation and minimize pain. But chiropractic goes further than just treating the symptoms�it can also help you avoid aggravating the condition so that it can heal.
Chiropractors are trained in proper movement and ergonomics. Your chiropractor can help you understand what you are doing that is causing the carpal tunnel to begin with. He or she can also advise you on ways to adjust your movements to protect your wrists moving forward. You may be able to learn new ways of doing things that will allow you to achieve your goals without risking injury.
Getting Stronger
One of the fundamentals of chiropractic care is improving strength and mobility to aid in healing and protect from further injury. Your chiropractor can guide you through exercises to make you stronger. Once you know how to do the exercises, you can do them at home to continue to gain strength.
Schedule An Appointment
Carpal tunnel sufferers, don’t wait any longer and contact us to schedule an appointment. We will get you the relief you need!
Due to his significant craftsmanship in San Antonio, TX, Ottis Hamlet must largely rely on the use of his best tools: his hands. Unfortunately, Mr. Hamlet developed debilitating symptoms in both of his arms because of carpal tunnel syndrome, which dramatically impacted his capacity to participate in his occupation and therefore affecting his quality of life as a result. Ottis Hamlet was able to find relief for his hand and wrist pain with Dr. Alex Jimenez through a trip to El Paso, TX and he received chiropractic treatment for his carpal tunnel syndrome, preventing the need to undergo any surgical interventions.
Carpal Tunnel Chiropractic Treatment
Carpal tunnel syndrome is a medical condition resulting from the compression of the nerve that travels via the wrist and in the lymph nodes. Typical symptoms include pain, tingling sensations and numbness, at the thumb, index finger, middle finger, and the thumb side of this ring fingers. Symptoms normally begin gradually and may continue throughout the day. Symptoms may stretch throughout the arm and also diminished grip power may also happen. Carpal tunnel syndrome may be diagnosed according to its symptoms.
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