Carpal Tunnel Syndrome is a condition where the median nerve which travels
through the wrist is being compressed, causing pain and numbness in the hand.
The median nerve, or carpal tunnel, contains a bundle of tendons that control
finger movement. Carpal Tunnel Syndrome stems from prolonged repetitive use of
this nerve.
The compression present in carpal tunnel syndrome (or 'pinched nerve') does not
always occur at the wrist. A pair of nerve roots emerges from the spinal cord at
each vertebral level of the spine and the median nerve is formed by several
nerve roots emerging from the lower neck. From there, the median nerve travels
down the arm to the wrist and hand and can become entrapped anywhere along its
path.
There are many identifiable symptoms of Carpal Tunnel Syndrome. These include
painful tingling in the hands, weakness in fingers, feelings of swelling in
fingers with no apparent swelling, and shooting pain through the arm. This pain
is most often at its worst in the evening, and particularly affects the thumb
and first two fingers.
Carpal Tunnel can originate from a number of activities, the most common of
which being repetitive keyboard typing. Carpal Tunnel Syndrome develops most
commonly in people aged 40-60, particularly women. Certain lifestyle factors can
also influence Carpal Tunnel Syndrome, such as cigarette smoking and high
caffeine and alcohol use.
It is important to remember that not all wrist pain is attributable to Carpal
Tunnel Syndrome. Symptoms of Carpal Tunnel Syndrome such as shooting pain,
weakness and tingling may also be the result of subluxations in the neck, nerve
entrapment in the elbow or a previous autoimmune injury. Thorough examination by
a chiropractor can determine whether your wrist pain is due to Carpal Tunnel
Syndrome or another musculoskeletal condition.
There are many helpful Carpal Tunnel Syndrome remedies. While some medical
professionals suggest surgery to remove the pressure on the nerves, more
conservative and less invasive and painful options are available. Treatment by
the Chiropractors at Back to Basics may involve joint manipulation or
mobilisation, massage, stretching, trigger point therapy, splinting,
rehabilitative exercises, ice and heat.
Splinting of the wrists is common for Carpal Tunnel Syndrome, to stabilise the
wrist and prevent further damage from excessive movement. While this can provide
relief to symptoms, it can occasionally result in the wrist muscles becoming
weak and lazy. A chiropractor can monitor the progress of any splinting, and
recommend alternative treatments if splinting is not the preferred option.
Behaviour modification may be necessary, and advice can be given by your
chiropractor as to how to implement changes in your work and daily life. Paying
attention to proper ergonomic principles and posture can also help overcome
Carpal Tunnel Syndrome.
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