Posts Tagged ‘carpal tunnel treatment’
Can Chiropractic Assist in Relieving Carpal Tunnel Pain?
Introduction
Carpal Tunnel Syndrome is the most well-known nerve entrapment disorder. As the term “nerve entrapment” implies, these disorders present when a nerve is trapped or compressed between body tissues creating inflammation and impairment of the nerve.
Anatomy
The carpal tunnel is situated in the underside of the wrist and is a passageway in which the median nerve travels through on its way to innervate the hand and fingers. Along with the median nerve, the carpal tunnel contains the nine tendons of the forearm muscles that are responsible for bending and flexing of the fingers and thumb. Also within the tunnel are arteries and lymphatic vessels that provide circulation to the hand. Wrist bones form the bottom and sides of the tunnel, while the top is shaped by the transverse carpal ligament, a strong band of connective tissue. The carpal tunnel is a densely-packed space about the size of an index finger. The flexor tendons, arteries and median nerve are designed to glide easily past each other during wrist and finger movement.
If the size of the tendon enlarges due to irritation or overuse, or if the carpal tunnel size decreases because of an improper use of the carpal bones, the median nerve can become squeezed or entrapped by the carpal tunnel. The initiatory symptoms of carpal tunnel syndrome usually include pain, numbness, paraesthesia (pins and needles) and tingling in the fingers and hands especially the thumb and adjacent two fingers. These symptoms are especially noticeable in the night and often wake people from their sleep as the individual has to sit up in bed and shake-out and/or rub the hands in order decrease these unpleasant feelings. In addition, activity can cause the hands to feel clumsy or weak, and fatigue easily. Eventually, grasping small objects using the thumb and fingers can be seriously affected and, without treatment, can result in complete debilitation of the hand.
The following are generic causes and corresponding conditions:
- repetitive and forceful grasping with the hands
- prolonged computer usage especially with poor wrist position
- activities that require repetitive bending of the wrist
- broken or dislocated bones in the wrist which produce swelling
- arthritis, especially the rheumatoid type
- thyroid gland imbalance
- sugar diabetes
- hormonal changes associated with menopause or pregnancy
Though any of the causes and conditions listed can be partly responsible for Carpal Tunnel Syndrome, often the actual root cannot be found. Nevertheless, those who work with equipment that vibrates and/or perform their jobs in extreme temperatures often develop carpal tunnel symptoms. Even household activities as simple as repetitive wringing clothes by hand can help cause this syndrome. By far the most significant reason for the increase of people suffering with CTS is the continuous rise in the use of computers. The repetitive motions of typing on the keyboard and moving the mouse over extended periods of time is a primary indicator for many people with CTS.
Treatment
Proper diagnosis and management of this condition is essential in order to curtail the disabling symptoms associated with the advancement of CTS. I as, a Chiropractor has many years of experience in this area. Chiropractors are well-trained in treating CTS. Treatment by chiropractor can include ultrasound or low level laser to help reduce inflammation, electro therapy to strengthen weak muscles of the forearm, soft tissue massage to stretch contracted tissues and, of course, adjustments of the dysfunctional joints of the wrist. You might be advised to wear a splint or support, particularly at night, to help retain the wrist in a neutral position to decompress the carpal tunnel. Your Chiropractor will also give you specific exercises to stretch and/or strengthen muscles of the forearm and hand.