Posted tagged ‘carpal tunnel’

Not Just Back Doctors: Chiropractors and Carpal Tunnel Syndrome

May 1, 2019

While doctors of chiropractic have a well-deserved reputation for helping patients overcome back problems, they are actually experts in diagnosing and treating a wide range of health conditions that affect the musculoskeletal and nervous systems. Many of these conditions involve the extremities—arms, legs, hands and feet—rather than the back, neck or hips. Carpal Tunnel Syndrome (CTS) is one example.

What causes CTS?
CTS affects about one in a thousand people each year, mostly women. It is essentially a mechanical problem caused by the median nerve being compressed as it runs through the carpal tunnel, a passageway made up of tendons, ligaments and bones that runs from the wrist to the hand.
In many cases, the precise cause of carpal tunnel syndrome isn’t clear. An injury to the wrist (sprains, strains or broken bones, for instance) may sometimes trigger CTS. So might strong vibrations from power tools or heavy machinery. Repetitive movements that place stress on this area of the body can also play a role. The tendons that control finger movement all run through the carpal tunnel, so when they become inflamed and swollen the amount of space is reduced, putting increased pressure on the median nerve.

carpal_tunnel

Who’s most at risk?
Women. As mentioned earlier, women are at greater risk of CTS than men. There are a number of theories as to why women tend to suffer from CTS more frequently than men. One is that they have smaller wrist bones, and thus a smaller space through which tendons can pass. Another is that hormonal shifts may play a role, particularly during pregnancy and around menopause.

People with a genetic predisposition. Some people may have a genetic predisposition for CTS. Approximately one out of four people has a close family member who has also has the disorder.

Workers who perform repetitive, forceful movements that place localized stress on the wrist. Those who have jobs that involve repetitive movements of the arm are more likely to develop carpal tunnel syndrome. Assembly line workers, carpenters and violinists would all be in relatively high-risk occupations. But what about heavy computer users? Interestingly, although long-term computer use was previously thought to contribute to CTS, there is now conflicting information about the relationship between keyboarding and CTS. Some studies, such as one from 2007 published in the journal Arthritis and Rheumatism, have found that those who use a keyboard intensively at work actually have a significantly lower risk of developing CTS. It’s worth mentioning that some leisure activities can also contribute to the risk of CTS. Knitting, golfing and anything else that requires you to grip items in your hands for long periods of time could raise your risk.

Why chiropractic care?
CTS treatment has been evolving rapidly across the last few years, so it’s important to visit a healthcare provider who keeps current on the latest research and works with carpal tunnel patients on a regular basis. Among the most commonly recommended treatments for carpal tunnel syndrome are using a wrist splint, resting the wrist and taking pain relievers. Surgery is usually viewed as a last resort that should be considered only after more conservative treatment options have been exhausted.

Recent research has focused on the role of manual therapies—particularly specialized manipulation and mobilization techniques—as well as exercise in relieving pain and restoring range of motion. Chiropractic treatment for CTS (specifically soft tissue mobilization) has been shown to be both safe and effective compared to conventional non-surgical medical treatment, helping to improve nerve conduction latencies, wrist strength and mobility.

Chiropractors (and physical therapists) may also prescribe at-home strengthening and stretching exercises to help relieve pain and improve function in the affected hand and wrist. These approaches offer natural alternatives to sufferers who can’t tolerate common over-the-counter anti-inflammatories or painkillers, or who simply wish to avoid medication altogether.

When it comes to carpal tunnel syndrome, early diagnosis and treatment are the keys to success. The sooner this condition is addressed, the more non-invasive therapeutic choices exist for the patient. So if you suspect that you or someone you care about is suffering from CTS, please call or visit our office today. We’re here to help!

Contact Dr. Nicholas Carlisle – Atlanta Chiropractor at (404) 316-1190 (Buckhead) or (678) 771-3060 (Jonesboro) for your appointment.

http://www.drcarlisledc.com

http://chiropractors.healthprofs.com/cam/536552

http://www.youtube.com/user/NCarlisleDC

What Is Nerve Entrapment and How Can It Be Treated?

January 21, 2015

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.

carpal_tunnel

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.

meralgia_tunnel

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!

Contact Dr. Nicholas Carlisle – Atlanta Chiropractor at (404) 316-1190 (Buckhead) or (404) 781-2800 (Southwest Atlanta) for your appointment.

http://www.drcarlisledc.com

http://chiropractors.healthprofs.com/cam/536552

http://www.youtube.com/user/NCarlisleDC

Chiropractic for Carpal Tunnel Syndrome

May 23, 2013

wrist-mobility-200-300

Carpal Tunnel Syndrome (CTS), named from the carpal bones in the wrist that form a tunnel around the nerve leading to the hand, is an injury usually caused by repetitive and forceful movements that result in swelling around the tendons and pinching of the median nerve, causing painful tingling, lack of muscle strength and control in the hand, and pain shooting from the hand up to the shoulder. CTS is a risk to most workers, such as those who work on the computer and also store and assembly line workers, who receive micro-traumas to their hands and wrists on a daily basis due to awkward positioning, forceful and repetitive movements, and stressful activity.

The usual treatment for Carpal Tunnel Syndrome can extend to heavy medication and surgery, however there are alternative methods of treatment that can alleviate the symptoms and effects arising from CTS. Chiropractic treatment for CTS has been studied against conventional non-surgical medical treatment and was found to be effective. This offers an alternative to sufferers who are intolerant to ibuprofen, or those who simply wish to avoid treating with medication. 

The median nerve in the wrist, which when trapped causes Carpal Tunnel Syndrome, connects to the spinal cord through the openings in the bones in the areas around the lower neck. If these bones in the spinal cord lose their ordinary position or motion, this can cause problems in the wrists or fingers. Through chiropractic treatment, these bones can be reset to the correct position and can help to treat CTS.

If Carpal Tunnel Syndrome is detected early, then surgery can be avoided, and chiropractic treatment is the leading method of non-surgical treatment. Chiropractic treatment usually involves various methods, with a combination of rest, ice, ultrasound, and electrical stimulation, including:

  • By chiropractic manipulation therapy of the elbow and upper spine, where the joint’s soft tissue undergoes manipulation;
  • Nutritional supplements in the diet such as B6, a vitamin that has had long-term promotion in its treatment of CTS;
  • Electro-acupuncture treatment; bracing, a technique that has had extensive success, by limiting extension and flexion in the hand, and with compression on the median nerve may encourage recovery and ease the swelling in the tendons;
  • Exercises for the wrist and hand designed to encourage recovery;
  • Reassessing the ergonomics of the work place to minimize stress the best way as possible.

Recent studies concluded that using manual therapy intervention such as soft tissue mobilization (STM) has been found to help improve the signs and symptoms of CTS, with improvements to nerve conduction latencies, wrist strength and motion.

Carpal Tunnel Syndrome can become a serious health problem, and if left too long may require surgery. If it’s caught early, then chiropractic treatment is an effective, drug-free method to ease the symptoms and pains caused by CTS, and provide long-term relief from CTS. 

Every body is different. If you have questions whether chiropractic is an appropriate choice for your specific situation, please ask. Call Dr. Carlisle or visit http://www.DrCarlisleDC.com

We are here to help!

 


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