Does 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 includes 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 an intensely-packed space about the size of an index finger. The flexor tendons, arteries and median nerve are designed to glide smoothly 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 shrinks due to a mechanical dysfunction of the carpal bones, the median nerve can become squeezed or entrapped by the carpal tunnel. At first, carpal tunnel symptoms often include, pain, numbness, pins and needles, and tinging in the fingers and hand, particularly 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. The hands can also feel awkward, weak and fatigue easily with activity. Over time, the ability to grip small objects using the thumb and fingers can be affected dangerously and if left untreated, can lead to total dysfunction of the hand.
Some common causes and associated conditions are:
- 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
Although any of the above can can be a contributing factor to Carpal Tunnel Syndrome, in many cases the cause is unknown. However, people who perform jobs that require use of vibration tools and machinery, and/or work in extreme temperatures are often subjected to this condition. In addition, repetitive housework as seemingly inconsequential as wringing clothes by hand, can bring on carpal tunnel symptoms. However, the continuing increase in computer use is the most compelling explanation for the number of individuals who are suffering with Carpal Tunnel Syndrome today. This is becoming a major concern in the developed world where people of all ages are spending much of their time typing on a keyboard & clicking on a mouse.
Treatment
Competent diagnosis and treatment is vital to relieving the painful and debilitating symptoms of CTS. Your Ventura Chiropractor is highly skilled in the diagnosis and managment of CTS. Chiropractors are equipped to deal with this problem and can offer many sufferers with relief. 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 aid in the decompression of the carpal tunnel. Your Ventura Chiropractor will also give you specific exercises to stretch and/or strengthen muscles of the forearm and hand.