» Carpal Tunnel Syndrome

What is the Carpal Tunnel?

Carpus is the medical term referring to the wrist. The "carpal tunnel" is the passage for the major nerve in the wrist (the median nerve) and for the tendons in the wrist. It is formed by the retinaculum ligament of the wrist and the carpal bones. The median nerve passes through the carpal tunnel to innervate the hand and fingers.

What can cause Carpal Tunnel Syndrome?

In carpal tunnel syndrome, the median nerve is compressed as it passes through the canal made by the wrist bones and the ligament of the wrist. The nerve may be compressed or trapped in its path due to joint changes in rheumatoid arthritis or other systemic diseases. In most cases, however, inflammation of the tendons and tissues of the wrist which causes the syndrome is not associated with systemic illness. It is often caused by repetitive motion of the wrist and hand. There are times when a cause is not known.

How can I tell if I have Carpal Tunnel Syndrome?

The majority of patients affected by this syndrome are middle-aged women. The usual symptoms are pricking numbness and pain which is most prominent in the first three fingers, the thumb, and the palm. This pain comes on especially during the night and is relieved by shaking the hand. Aching may accompany the numbness and extend up the arm. In late cases, there may be wasting of the hand and finger muscles innervated by the median nerve.

What can I do to ease the pain temporarily?

Place the hand in the neutral non-flexed position and avoid bending the wrist.

If you have pain that may be associated with this syndrome, apply an ice pack or cold compress to the wrist to help reduce any inflammation and thereby decrease the pain. Use the compress for 20 to 30 minute periods with at least a 30 minute interval between each application.

If you have chronic pain (longer than 8 weeks), apply moist heat to the wrist. Use the heat for 20 minute periods with at least a 30 minute interval between each application.

What can the Doctor of Chiropractic do to help?

Doctors of Chiropractic are educated and trained in the detection and care of musculoskeletal problems, particularly the joints of the spinal column and extremities (shoulder, arm, wrist, etc.). Your chiropractor can provide you with a complete examination and recommendations for care appropriate to your case.

He will seek to differentiate local problems from spinal referred pain. Since the median nerve originates in the neck, the Doctor of Chiropractic will examine the neck area.

In addition, some musculoskeletal problems affect the nerves and blood vessels in the arm and may mimic carpal tunnel. The Doctor of Chiropractic may perform some orthopedic tests in an effort to detect interference with blood flow through the arm or changes in sensation if distant problems cannot be found. He or she will examine the local wrist area for deformities, swelling, fixation or movement dysfunction of the carpal bones in the wrist.

X-ray images of the wrist and possibly some laboratory tests may be ordered to examine for one of several different varieties of arthritis. You will be asked to flex the wrist and extend the fingers. If you have carpal tunnel syndrome wrist flexing will cause numbness, tingling, and pain in the fingers.

If a movement dysfunction is detected in the wrist, your chiropractor may adjust the carpal bones to relieve pressure on the median nerve. If the problem is found to originate in the neck (cervical), shoulder area or a combination of both, the doctor of chiropractic may adjust the neck and shoulder areas as well.

However, if your condition should require examination by another health care specialist, your chiropractor will refer you.

Dr. Erdman has a brand new therapy, called decompression therapy, for treatment of carpal tunnel pain. This therapy has been shown to relieve the pain and numbness in many cases. Call us today to see if decompression of the wrist can benefit you.

Source: International Chiropractors Association