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.
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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Many people think of chiropractic as a treatment for neck and back problems, but in truth it is a whole body wellness practice and the neck and back are just one aspect. One application that is garnering a great deal of attention is the treatment of carpal tunnel syndrome (CTS). Chiropractic is an effective, non-invasive treatment for CTS, relieving the pain and promoting healing without the use of medications. There are three ways the chiropractic has been proven to be effective in the treatment of CTS.
Carpal Tunnel Syndrome
Carpal tunnel syndrome is a repetitive stress injury, a condition that affects the hands and wrists. The most common symptoms include tingling, numbness, and weakness in the middle finger, index finger, and thumb as well as pain in the wrist or hand that gets worse at night.
It is typically found in hairdressers, typists, mechanics, cashiers, and other people who perform repetitive hand motions for long periods of time and it is estimated that about 3 percent of adults in the United States will deal with CTS at some time in their lives.
About 50 percent of workplace injuries in the United States are attributed to CTS. There was a time when it was believed to affect women more than men, but research has shown that a person�s occupation plays a large part in how it is contracted and gender only plays a small role � if any at all.
The carpal tunnel is a band of fibrous tissue that lies on the front side of the wrist. It holds the blood vessels, nerves, and tendons that are necessary for the hand to move and work as it should. When that carpal tunnel becomes inflamed, damaged, or pressure on that area compresses the arteries and nerves, CTS develops. It usually starts slowly and the symptoms gradually worsen as the condition progresses.
How Chiropractic Helps CTS/Carpal Tunnel Syndrome
There are three primary ways that chiropractors treat CTS. These three common treatments have been shown to be very effective in treating the pain and the condition as a whole.
Adjustments of the upper spine, arm, and wrist � When the spine is not in alignment, it could exacerbate carpal tunnel syndrome. A chiropractor will use spinal manipulation to realign the spine to its correct position. These manipulations, or adjustments, are often performed by hand, but at times he or she may use special devices or a special table made specifically for chiropractic treatments. In addition to the spine, the chiropractor may make adjustments to other areas of the body such as the arm and wrist.
Ultrasound therapy � This is another type of therapy employed by chiropractors. It uses low energy sound or high energy sound � both outside the range of a human�s ability to hear. The device that is used emits these sound waves that are extremely focused and penetrate the body�s tissue at a very deep level. These sound waves can be very effective in reducing inflammation, alleviating pain, and relaxing muscles. It may be used as a stand-alone treatment or with chiropractic treatments.
Wrist Supports � The purpose of wrist supports is to keep the wrist properly aligned with the rest of the arm to reduce pressure and compression. It is often used as a preventative measure against carpal tunnel. The chiropractor may choose this option if the patient does repetitive work that may cause the condition. This is often combined with regular chiropractic treatments such as spinal alignment and is used to prevent conditions such as CTS from developing.
When treating carpal tunnel, the chiropractor may also suggest specific exercises as well as a dietary program to promote overall wellness. This is intended to keep the patient from experiencing carpal tunnel as well as other conditions.
Carpal Tunnel Pain: Ottis Hamlet depends largely on the use of his hands to carry out his important craftsmanship in the city of San Antonio, TX. However, Mr. Hamlet developed painful symptoms in both of his arms as a result of carpal tunnel syndrome, which tremendously affected his ability to engage in his job. Fortunately, Ottis Hamlet met Dr. Alex Jimenez during a visit to El Paso, TX and he received chiropractic treatment for his carpal tunnel syndrome, avoiding the need for surgery.
Carpal tunnel syndrome is a medical condition caused by the compression of the median nerve which travels through the wrist and into the carpal tunnel. Common symptoms include pain, tingling sensations and numbness, in the thumb, index finger, middle finger, and the thumb side of the ring fingers. Symptoms normally start gradually and during the evening. Symptoms can extend throughout the arm and weakened grip strength may also occur. Carpal tunnel syndrome can be diagnosed based on symptoms.
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Carpal tunnel syndrome (CTS) is a serious, painful nerve injury that affects many people in the United States. CTS occurs when the median nerve, which runs down a person’s forearm to his or her hand, gets compressed in the eight bones in the wrist called the carpal tunnel. This injury is frequently caused over time by repetitive motion such as assembly line work, and is the most expensive work-related injury. Symptoms of CTS include pain and numbness of the hand and wrist. While there are a variety of treatment options available to those who are afflicted with carpal tunnel syndrome up to and including surgery, chiropractic care has become a popular and effective option.
Here are four ways patients with carpal tunnel syndrome benefit from chiropractic care.
Chiropractic Care Is Documented To Work On Carpal Tunnel Syndrome.
While there are no guarantees that any one mode of treatment will work on every person, two studies have shown strong results that back the effectiveness of chiropractic treatment on CTS.
In both cases, the majority of participants showed significant improvement in several measures such as range of motion, finger sensation, and pain reduction. These studies provide evidence to people suffering from carpal tunnel syndrome. Patients can feel confident in improving their symptoms when choosing to pursue a chiropractor’s care.
Chiropractors Provide A Less Invasive Treatment Option.
Carpal tunnel syndrome, particularly cases that have gone undiagnosed or treated for an extended period of time, that ends up being too painful and advanced to be handled with medicine may face surgery. However, chiropractic care often helps minimize that option as a last resort. Regular visits to a chiropractor can show positive results in the controlling and healing of many of the CTS symptoms.
Chiropractic Care Offers An Alternative To Drugs To Manage Pain
As with surgery, daily doses of medicine may be a less than ideal plan when managing carpal tunnel syndrome. Certain patients may suffer from issues with the medicine, CTS medicines may conflict with other medication, or they may simply not want to take daily medications.
If medicinal treatment is not an attractive option, a chiropractor appointment is the next logical step. Chiropractic care often helps CTS by adjusting the patient’s elbow and spine.
Another common treatment is bracing. This technique limits the hand’s movements with the goal of allowing the wrist and tendons to heal and recover.
A chiropractor who is experienced with carpal tunnel syndrome is able to review each case individually and make solid treatment recommendations that can alleviate the patient’s dependence on managing the pain with drugs.
Allows Patients To Learn How To Manage Carpal Tunnel Syndrome.
Unfortunately, health problems that produce chronic pain can take a toll on the patient not only physically, but psychologically. Dealing with CTS can make a person feel powerless over their own body. Working with a chiropractor to relieve, control, and heal the symptoms of carpal tunnel syndrome empowers the patient to be able to feel ownership of managing and improving his or her health.
Workers who perform repetitive tasks daily as part of their job need to be especially aware of the symptoms of carpal tunnel syndrome. Feeling pain, numbness, tingling, or burning in their palms or fingers may be the first symptoms of CTS. The earlier it’s diagnosed, the more effective less-invasive treatment will be.
Of all the carpal tunnel syndrome treatment choices, chiropractic care offers the dual benefits of being a highly effective treatment while still employing tactics that are not as invasive as other options. If you or a loved one are suffering from this condition, give us a call. We�re here to help!
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Surgery is a common approach to treat carpal tunnel syndrome. But, physical therapy may work just as well, a new study indicates.
Researchers found that physical therapy improved hand and wrist function and reduced pain as effectively as a standard operation for the condition. Moreover, after one month, physical therapy patients reported better results than those who underwent surgery.
“We believe that physical therapy should be the first therapeutic option for almost all patients with this condition,” said lead study author Cesar Fernandez de las Penas. “If conservative treatment fails, then surgery would be the next option,” said de las Penas, a professor of physical therapy at King Juan Carlos University in Alcorcon, Spain.
Also, one extra benefit of therapy over surgery may be cost savings, he noted.
Treatments for Carpal Tunnel Syndrome
Carpal tunnel syndrome occurs when the median nerve, which runs from the forearm into the palm of the hand, becomes squeezed at the wrist. It often arises from repetitive motions required for work, such as computer use or assembly line work. Symptoms usually start gradually, with patients noticing numbness and weakness in the hand and wrist.
Surgery for the condition generally involves cutting a ligament around the wrist to reduce pressure on the median nerve, according to the U.S. National Institutes of Health.
Results of Physical Therapy vs Surgery
For this study, de las Penas and his colleagues followed 100 women from Madrid who had carpal tunnel syndrome. Half were treated with physical therapy and half underwent surgery.
For three weeks, the therapy patients received weekly half-hour manual therapy sessions — meaning therapists only used their hands. The therapists focused on the neck and the median nerve. They also applied manual physical therapy to the shoulder, elbow, forearm, wrist and fingers. On their own, patients performed neck-stretching exercises at home.
After one month, the therapy group reported greater daily function and greater “pinch strength” between the thumb and forefinger compared to the surgery patients. After three, six and 12 months, however, improvements were similar in both groups. All participants experienced similar reductions in pain.
Study co-author Joshua Cleland is a professor with the physical therapy program at Franklin Pierce University in Rindge, N.H. “Manual physical therapy may be just as beneficial in improving function and symptom severity as surgery despite the severity of their condition,” he said, noting that 38 percent of those in the therapy group had “severe” carpal tunnel syndrome.
“These manual physical therapy techniques are commonly used here in the United States as well and should become a standard of practice for physical therapists working with patients who have carpal tunnel syndrome,” Cleland said.
Dr. Daniel Polatsch is co-director of the New York Hand and Wrist Center at Lenox Hill Hospital in New York City. He treats several hundred cases of carpal tunnel syndrome each year, of which 15 to 20 percent require surgery. Treatment should be decided on a case-by-case basis, Polatsch said. Mild cases may be treated with conservative approaches that can include splinting, injections, therapy and activity modification, he added.
“Surgery is necessary when there is muscle weakness or atrophy from the nerve being compressed at the wrist,” he said.
Polatsch added that this type of surgery is generally safe and effective.
Still, operations can have complications, said Cleland. He cited a previous research finding that “approximately 25 percent of individuals undergoing surgery for carpal tunnel syndrome experience treatment failure with half of those requiring an additional surgical procedure.”
According to the researchers, almost half of all work-related injuries are linked to carpal tunnel syndrome. And, more than one-third who undergo surgery for the condition are not back at work eight weeks later.
Because this was a small study focusing only on women, the study authors said that future studies need to examine men.
The study results were published in the March issue of the Journal of Orthopaedic & Sports Physical Therapy.
SOURCES: Cesar Fernandez de las Penas, P.T., Ph.D., professor, physical therapy, King Juan Carlos University, Alcorcon, Spain; Joshua Cleland, P.T., Ph.D., professor, physical therapy program, Franklin Pierce University, Rindge, N.H.; Daniel Polatsch, M.D., co-director, New York Hand and Wrist Center, Lenox Hill Hospital, New York City; March 2017, Journal of Orthopaedic & Sports Physical Therapy
The scope of our information is limited to chiropractic and spinal injuries and conditions. To discuss options on the subject matter, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .
Additional Topics: Chiropractic and Carpal Tunnel Syndrome
Carpal tunnel syndrome, which occurs when the median nerve, found between the forearm and the palm of the hand, becomes compressed at the wrist, can be treated in a variety of ways, including physical therapy and even surgery. New research has also determined that chiropractic care can be effective towards treating carpal tunnel syndrome and its symptoms. Chiropractor utilize manual manipulations to relieve the painful symptoms.
Numbness in any portion of the hand or in specific fingers, followed by a tingling sensation and sharp pain traveling through the hands can occur as a result of various underlying conditions. Many people report symptoms suggesting the development of carpal tunnel syndrome but, although diagnosis might indicate the cause for the condition, sometimes a diagnosis could point to the incorrect root of the problem.
The median nerve and various other tendons travel from the forearm to the hand through a small indentation in the wrist known as the carpal tunnel. The role of the median nerve is to provide movement and feeling in the thumb and first three fingers, excluding the smallest finger in the hand. When an individual begins experiencing the associated symptoms of carpal tunnel syndrome, such as tingling, numbness, weakness, or pain in the fingers or hand, these could be the result to an impingement of the median nerve at the carpal tunnel, generally caused by irritation on the nerves of the wrist.
Thoracic Outlet Syndrome
Although many people could experience numbness in their fingers, the compression could be occurring at another region within the body. Regardless of the cause of your symptoms, if you�re experienced numbness in the hands and fingers, you should consider seeking chiropractic care.
Carpal tunnel syndrome is a condition caused by an impingement of the median nerve found at the wrist, usually causing symptoms of hand and finger numbness, tingling sensations, weakness, and pain. But, occasionally, the symptoms associated with carpal tunnel syndrome can be caused by complications to the spine, generally the cervical spine. For more information on the subject matter, please feel free to ask Dr. Jimenez or contact us at (915) 850-0900.
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How Chiropractic Helps CTS/Carpal Tunnel Syndrome
