Carpal Tunnel Syndrome

Carpal Tunnel Syndrome is a painful progressive condition caused by compression of a key nerve in the wrist. It occurs when the median nerve, which runs from the forearm into the hand, becomes pressed or squeezed at the wrist. Symptoms usually start gradually, with pain, weakness, or numbness in the hand and wrist, radiating up the arm.

Carpal Tunnel

As symptoms worsen, people might feel tingling during the day, and decreased grip strength may make it difficult to form a fist, grasp small objects, or perform other manual tasks. The risk of developing Carpal Tunnel Syndrome is especially common in those performing repetitive tasks such as those working at a computer or assembly line work. It is also often associated with chronic inflammation, the cause of which needs to be identified if you are to have any long term improvement.

This is often how CTS is described. But compression in the wrist is just one possible cause of CTS. There are other sites from the wrist to the neck which can damage or irritate the nerves responsible for the symptoms often felt by those who suffer with CTS.

One common but often overlooked condition associated with Carpal Tunnel Syndrome is “Double Crush Syndrome” . This occurs when there are other areas in conjunction with the carpal tunnel where nerve compression is ocurring. This secondary compressive site can be anywhere along the nerve path from the neck, shoulder, forearm into the wrist.

The reasoning behind this “Double Crush Syndrome” is that once the nerve is damaged at the wrist it becomes more susceptible to injury elsewhere. Often times, the initial injury does not occur at the wrist but higher up at the neck. It is important that the nerve be examined along its entire path in order to properly determine the correct treatment plan. Addressing the damage at the wrist only (ie: carpal tunnel surgery) can be short sited and lead to poor long term outcomes.

Our clinical success comes from first determining exactly where the nerve is being pinched from wrist to neck. We also other areas of potential involvment including the cerebellum or parietal lobe of the brain. Peripheral nerve damage does affect the origin of the nerve in the brain too. If this is the case, we are well equipped to address this component of your condition.

Once we have an understanding of where the damage is occurring we look to find the potential cause which may include may factors. For this reason evaluation of patient history, neurology and blood chemistry are important for determining the cause and developing an appropriate treatment plan.

By incorporating a unique series of treatments we can more thoroughly and quickly address your condition returning you back to normal daily activities. Treatments might include: spinal decompression, computer wrist traction, oxygen therapy, shoulder, elbow and/or wrist adjustments, infrared therapy, massage/muscle release techniques, ultrasound, nutritional support, life style and work modifications.

If you would like a greater understanding of how we might help you, call our office at 610-558-8920 for “2 Free Carpal Tunnel Syndrome Discovery Visits”.

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