Lately, I have been asked 'How can Chiropractic help with Carpal Tunnel?"
Well, loads!
But first:
Is there really a tunnel?
Yes, the carpal tunnel is at the base of the palm formed by bones in the hand and wrist and is covered by a strong ligament. The nerve that runs through the carpal tunnel is the Median Nerve. The median nerve supplies sensation and movement to the thumb-side of the ring finger, and is most commonly affected in Carpal Tunnel Syndrome.
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| Image from carpal-tunnel-symptoms.com |
Carpal Tunnel Syndrome is a condition in which the median nerve becomes irritated and swells. The median nerve begins at the neck and runs through the arm and ends in your fingers. It is caused by pressure exerted on the nerves that control the wrist and the hand. As the nerve swells, it causes pressure further irritating the median nerve.
It is common in people who perform repetitive motions of the hand and wrist such as musicians, grocery store checkers, assembly line workers, meat packers, typist, accountants, writers, etc. When the wrist is poorly positioned, there isn’t enough space for the median nerve to travel to the hand. Most patients generally visit their doctor with these complaints, and the diagnosis is confirmed after physical examination and appropriate nerve testing.
SYMPTOMS:
¨ WEAKNESS IN ONE OR BOTH HANDS
¨ NUMBNESS OR TINGLING IN THE THUMB AND NEXT TWO OR THREE FINGERS OF ONE OR BOTH HANDS
¨ NUMBNESS OR TINGLING OF THE PALM OF THE HAND
¨ WRIST OR HAND PAIN IN ONE OR BOTH HANDS
¨ PAIN EXTENDING TO THE ELBOW
¨ IMPAIRED FINE FINGER MOVEMENTS (COORDINATION) IN ONE OR BOTH HANDS
¨ WEAK GRIP OR DIFFICULTY CARRYING BAGS (A COMMON COMPLAINT)
So, back to the question: What can I do (as a Chiropractor)?
Chiropractic care works on correcting symptoms and relieving pain associated with CTS without the use of drugs or surgery. Since the median nerve can actually be compressed anywhere along its long course from your neck to your fingers -- an examination of your hand, wrist, forearm, arm, and neck is needed to determine exactly where the nerve is being compressed. The chiropractor will also evaluate the base of the neck, shoulder and elbow, as a subluxation to these areas also contribute to the problems in the wrist. Chiropractic treatment in patients suffering from CTS helps restore full range of motion in the arms, improved finger sensation, nerve sensation, and provides relief from pain, numbness, and tingling sensation after a series of adjustments.
What are some things you can do to help?
Since many of the repititive jobs that are associated with CTS are also associated with poor posture (think about how the neck can cause pressure on the nerve, which is one of the reasons why Chiropractic is so effective) then there is quite a bit you can do!
- First is make sure to take small breaks every 30 to 45 minutes - go get a drink of water, stretch or use the restroom.
- Next, pay attention to ergonomics. Make sure your chair is the proper height for you (when you sit at your desk your elbows should be relaxed and at a 90 degree position). Also, make sure your monitor is at eye level so you are not hunching over OR constantly looking up.
- Finally, do your posture exercises that your Chiropractor has shown you to help combat poor posture and muscle fatigue.