The goal of any treatment approach
for Carpal Tunnel Syndrome (CTS) is to return the patient to normal. That means
addressing all OTHER health related conditions that can cause CTS such as
diabetes, hypothyroidism, birth control pill use, pregnancy, rheumatoid
arthritis (and many of the other related arthritic-like disorders), as well as
double or multiple crush (pinched nerve) syndromes. That’s right! CTS can be
caused by MANY other conditions besides simply overusing the arms and hands.
When overuse PLUS any of the above mentioned conditions “gang-up” on you,
managing BOTH is necessary.
One "universal" goal in
CTS treatment is to reduce inflammation. This can be accomplished by several
approaches: 1) STOP, reduce, and/or
modify the causing activity. Examples include repetitive use of a hammer,
screw driver, stapler, assembly line work, typing/computer work, driving with a
firm grip on the steering wheel, bicycle riding, and MANY more! The key to
successful management of CTS is to slow down, stop/rest, and for long-term
success, change how the task is performed (modify the work station). 2) Wearing a cock-up wrist splint. This
is usually restricted to night time use since we cannot control our wrist
position while sleeping and the pressure inside the carpal tunnel “normally”
doubles at the extremes of the wrist forwards or backwards. Thus, keeping the
wrist straight at night significantly reduces or eliminates the
numbness/tingling that can cause multiple sleep interruptions. It can also be
worn during the day IF it doesn’t interfere with the person’s activity. If
the activity requires frequent bending of the wrist, you'll end up fighting
against the wrist splint and that can actually worsen your CTS! 3) Ice cupping or massage. Freeze water
in a Styrofoam or paper Dixie cup (like home-made popsicles) and peel away the
top third to expose the ice. Rub it over the palm side of the wrist until you
feel numbness. At first, it will feel Cold,
followed by Burning, Aching, and finally Numbness (hence the acronym, “C-BAN”). The length of time to achieve
numbness is usually three to five minutes, but make sure you quit at the point
of numbness as the next stage is frostbite!
4) Anti-inflammatory nutrients. An anti-inflammatory diet is one that is
rich in fruits, vegetables, lean meats, omega-3 fatty acids, and avoids
glutens, omega-6 fatty acids (fast foods, etc.), and refined carbohydrates
(sweets, sodas, etc.). Also, there are many REALLY GOOD nutritional supplements
that can effectively reduce inflammation without the typical side-effects that
affect the stomach, liver, or kidneys which are common to NSAID drugs like
aspirin, ibuprofen, or Aleve. Also, NSAIDs can inhibit an important chemical (a
prostaglandin) that is needed for healing, and therefore, it can actually slow
down the healing process (so try the nutritional approaches first)! Nutritional
options include proteolytic enzymes, Bromelain, papain, bioflavonoid, Vitamin
C, Vitamin D, Vitamin E, Coenzyme Q10, and many more.
Treatment options beyond those
mentioned above are typically surgical, IF you decide to go to a surgeon.
However, chiropractic care includes identifying and treating the source(s) of
nerve irritation, as it is often more than just nerve pinching at the carpal
tunnel. Other common locations of median nerve entrapment includes the pronator
teres muscle in the forearm just past the elbow on the palm side, less often at
the shoulder, and again quite frequently in the neck where the nerve exits the
spine. If these areas of nerve pinching are not released, recovery is less
likely (with or without surgery)! Bottom line, you can always have surgery but
you can’t “un-do it.” Try chiropractic first as it’s the least invasive, least
costly, and often the quickest way to find relieve from CTS!
We realize you have a choice in who
you consider for your health care provision and we sincerely appreciate your
trust in choosing our service for those needs.
If you, a friend or family member require care for CTS, we would be honored
to render our services.
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