Carpal Tunnel Syndrome

       

    If you understand the CAUSE of the pain and numbness of Carpal Tunnel Syndrome,
    it becomes quite a bit easier to resolve the condition.  Chiropractic is about correcting
    the joints to restore function of the nervous system.  This is often the best solution.

    So, what's really going on?...

    The Tunnel

    The carpal tunnel is a passage in the wrist for muscles tendons and the median
    nerve.  The arch is formed by a row of bones.  The passageway is bordered on the
    palm side by a ligament band.




























    You can test yourself to see if you have Carpal Tunnel Syndrome with these tests:

    Phalen's Maneuver

    Place the back's of your hands firmly against one another,
    and hold this position for one minute.  If within a minute, you
    experience numbness, tingling, pain or a combination, you
    likely have a compressed nerve.


    Tinel's Maneuver

    Use your finger to repeatedly tap the center of your wrist
    crease, where the carpal tunnel and the median nerve are.
    If the tapping causes numbness, tingling or pain, then you
    may have carpal tunnel syndrome. Chiropractic care may
    be a good solution for your problem.


    Other Arm and Leg Parts

    Other extremities, like shoulders, and ankles work in the same way that the wrist and hand do.  They have nerves
    that come down from the spine to make them move and to feel pain or to dysfunction and feel numb.  These
    nerves can be compressed by muscles or be disrupted by spinal joint dysfunction.  Chiropractic is often a good
    option for these other body parts as well.  

    Frequently Asked Questions:
  • Does Repetitive Motion cause Carpal Tunnel Syndrome?
    Partly.  The formula is:  Repetitive Motion + Force + Awkward Posture(of the involved body part)
    = Repetitive Motion Injury.  

    So, if you use a jackhammer every day, that is MUCH Repetition + MUCH Force + some Awkward
    Posture.  Those people are VERY likely to get Carpal Tunnel Syndrome.

    If you hammer nails every day, that is some Repetition + moderate Force +  ~good Posture.  Those
    people may get Carpal Tunnel Syndrome.

    If you type on a computer every day, that is MUCH Repetition + LOW Force +  good Posture.  
    Those people rarely get Carpal Tunnel Syndrome.  BUT, they do get similar symptoms.  Often these
    people are dealing with what is called Trigger Point, a build up of toxicity in muscles.  These trigger
    points refer pain or tingling that feels very much like Carpal Tunnel Syndrome.  Appropriate
    chiropractic treatment with muscle work is very effective for this.

  • Does cracking your knuckles cause damage?
    Studies have actually been done on this.  This habit does not seem to damage the joints, BUT the
    fact that you FEEL the need to do it frequently often suggests an underlying condition that needs to
    be treated.  Once or twice per day as part of normal stretching is normal and OK, more than this is a
    sing that you need to address the underlying issue.

  • Is a wrist brace good to wear?
    Anything that relieves your symptoms without drugs or surgery is a good option.  Use this as an
    opportunity to look for the CAUSE of your condition.  Remember, it is usually NOT do to REPETITIVE
    motion (See the question about "Repetitive Motion").  Just like you can stop the water from exiting a
    hose by stepping on it ANYwhere along the hose, you can interfere with the nerve ANYwhere along
    the nerve.  This causes symptoms at the end of the nerve (the wrist and hand).


  • I was told I need surgery
    That MAY be true.  Before surgery, though, it is important to ask these questions:

  • Is there something I can do without drugs or surgery to improve or eliminate my symptoms?
  • Why do I have this problem in the first place?  (And will this treatment help prevent it from
    recurring?)

    Know your options and don't do anything that cannot be reversed until you have tried more
    conservative options.


    Carpal Tunnel Success Story

    This was the first time I had ever seen a chiropractor.  But before coming to see Dr Hobbs, I saw
    an orthopedic surgeon.  I figured that was the right person to see for that condition.  He was the
    EXPERT.  

    How it started:   I'm sure what caused it, but the numbness and pain came on fairly rapidly.  I
    would wake with numbness in my hands and swollen.  It was terrible.  It started in the end of
    July, and I had surgery on my right hand in September.  

    But the surgery (at least to me) was worse than the condition.  My face perspired more since the
    surgery and my head/mind was foggy.  I was also fatigued and sick since the day after the
    surgery.   -- and that was about a month afterward!  The doctor wanted to do surgery on my left
    hand also, because the nerve conduction tests showed that it had similar nerve damage to the
    right hand.  

    I really didn't want another surgery, but I didn't want the pain, numbness and waking at night
    either.

    So, finally my brother-in-law, Mike, convinced me to see Dr Hobbs.  I was feeling sick and
    depressed because on of the codeine I had to take for the pain.  I was miserable.  I would try
    anything.

    I asked the orthopedic surgeon what he thought about my trying chiropractic.  He said
    "Chiropractors need to do more research before they can treat people."  I decided to go anyway.

    Dr Hobbs performed and very thorough exam.  He found that my neck and shoulder we part of
    the problem.  Now I understand why; the nerves to the hand come from the neck, go down
    through the shoulder and forearm to the hand.  Dr Hobbs treated all of those and gave me
    specific home therapies to do.  

    I came for each scheduled visit and did my home therapy VERY well.  

    I am SOOOO much better!  No more waking up at night.  I even have more energy and my mind is
    clearer.  I had bad insomnia before, but no I sleep like a baby.  I am glad I listened to my brother-
    in-law, Mike.  Now I tell people all about Dr Hobbs and my improvement.  


    J. Y. -- Visalia
The Spine, Shoulder, and Forearm

Long before the median nerve gets to the 'carpal tunnel', it must safely pass out of
the
spinal column at the neck, through the scalene muscles of the neck, through
the complex network of
muscles in the shoulder, under the pronator teres muscle
of the front of the elbox/forearm
, and THEN through the carpal tunnel.  

Vertebral
subluxations in the upper spine can compromise the workings of any
structure between it and the tip of your littlest finger. This is often called the
double crush syndrome.

The Brain

We have learned from new brain imaging, and research, and treatment of people
with Chronic Regional Pain Syndrome (CRPS), Phantom Limb Pain and even stroke
paralysis, that the brain changes to become more efficient at perceiving pain or
even at maintaining weakness.  

IMPORTANTLY, we also know that it can be reversed to reduce or sometimes to
even eliminate the pain or weakness.  There are VERY few doctors in the world
who are aware of this research
(started by Mosley) or have the knowledge to do
the treatment.  2 Organizations have members who are aware of this treatment:

Carpal Tunnel
Syndrome
Central Valley Chiropractic
1912 S. Court St., Ste B  Visalia, CA  93277   
(559) 635-8266 or
email us