Carpel Tunnel Treatment

Many people experience pain, tingling, or numbness in their  hand or fingers.  This may signal carpal tunnel syndrome. Sometimes the symptoms can be so severe it wakes you up at night.  The symptoms can also sometimes be in your neck, shoulder, upper arm or elbow.

What causes the pain?  First, a little background on the physical mechanics of the wrist. The carpel (wrist) bones form a tunnel-like structure – the carpel tunnel – thru which pass nine tendons and one nerve – the median nerve.  CTS (carpel tunnel syndrome) occurs when the median nerve is irritated. People who do repetitive tasks – housewives, secretaries, meat cutters, assembly line workers, carpenters, musicians, and computer users are susceptible to CTS.

The medical approach to treat CTS is to relieve the pain by wrist immobilization, ice or drugs (diuretics or anti- inflammatory).  If the symptoms persist, corticosteroids may be injected into the crease in the hand near the wrist which may provide relief but has a high relapse rate (and many side effects). Surgery may be resorted to with hand surgeons performing over 1000,000 operations a year for CTS. Recovery from such surgery may take from 6 months to 10 years.  And there is no guarantee this will fix your problem.

However, there are options.  A chiropractor can examine you to ensure that your spinal column is free from nerve pressure between the arms and wrists and nerves in your neck.  The relationship between spinal health and CTS has been documented. I treat patients with CTS by doing the following:  Chiropractic adjustments to relieve irritation of the nerves to your arms and hands, myofascial therapy to break up scar tissue in the forearm that has caused the muscle to be weaker, and acupuncture for pain relief.   There are options besides surgery for CTS!

What Is Nerve Entrapment and How Can It Be Treated?

Have you ever felt an uncomfortable tingling sensation in your arm after performing the same motion for an extended period of time? Maybe it was after spending a day typing at your computer or raking leaves. This sensation may be caused by nerve entrapment syndrome, a common condition that is sometimes referred to as either a “trapped nerve” or a “pinched nerve”. Nerve entrapment can be uncomfortable, but there are treatments that can relieve the pain and help get you back to feeling normal.

Your body is equipped with nerves that carry information back and forth between your brain and your limbs, organs, and other body parts. Nerve entrapment happens when a bone, muscle, ligament, tendon, or other tissue presses against one of these nerves. This compression is most likely to occur in response to consistent, repetitive movement. Poor posture, obesity, and previous injury to the affected area are also risk factors.

Symptoms of Nerve Entrapment

The most common symptom of nerve entrapment is discomfort and numbness. You may feel as though a part of your body has “fallen asleep,” or you may find that your grip has weakened. While you may still be able to function normally with these symptoms, you should seek medical attention if the discomfort does not go away on its own after a few days. Sustained compression may lead to chronic pain and permanent nerve damage, making timely intervention crucial to a full recovery.

When you visit your doctor, he or she might use a number of tests to diagnose your condition. After asking you a series of questions about your symptoms and conducting a physical examination, your doctor may order a nerve conduction study. This test uses electrodes to measure electrical impulses in your nerve signals. You might also undergo electromyography (EMG) to evaluate your muscle activity or magnetic resonance imaging (MRI) to determine the root cause of your compression.

Treatment for Nerve Entrapment

Chiropractors are experts in diagnosing and treating problems related to the musculoskeletal and nervous systems, and there are several types of treatment that have been used successfully to relieve nerve entrapment syndrome:

  • Manual therapies, including chiropractic and soft-tissue mobilization.
  • Acupuncture.
  • Low-level laser therapy (LLLT).
  • Transcutaneous electrical nerve stimulation (TENS).

Depending on your specific situation, your chiropractic physician may teach you exercises that will help to stretch and strengthen the muscles around your nerve. He or she may also recommend specific ways to help reduce inflammation around the compressed nerve.

To the extent that nerve entrapment is fundamentally a structural or mechanical issue, the symptoms can often be relieved with rest. Your doctor might instruct you to discontinue the activities that resulted in compression, at least for some period of time. He or she might also encourage you to wear a splint or brace to keep the problematic area still. If so, don’t be surprised if you are advised to wear your brace overnight, since many people move around while they sleep in ways that can irritate the compressed nerve.

If you or someone you care about is experiencing symptoms of nerve entrapment, we encourage you to call or visit our office today!  We can help!