This syndrome is caused by pressure placed on the median nerve that passes through the small bones of the wrist as it enters the hand. The reason for the pressure on the nerve can vary, but it is commonly due to repetitive strain. Repetitive strain disorders, or RSD, have become an increasing problem in today's society. With more people spending increasing hours at computer keyboards and "mousing," we have seen an increase in carpal tunnel syndrome and similar conditions. People suffering from carpal tunnel and related syndromes describe their symptoms as: pain, numbness, tingling, and sometimes loss of grip strength.
A thorough examination including orthopedic and neurologic testing and X-ray or MRI studies, if necessary, will help to determine your exact diagnosis and individualized treatment plan. The key to successful treatment is removing the inflammation surrounding the median nerve and correcting the underlying biomechanical causes including poor posture, poor ergonomic environment at work, and improper technique while exercising. Joint and soft tissue manipulation, physiotherapy, therapeutic exercise, and modifications of the home, work, and health club routines are very effective in resolving the condition and its related symptoms. Cold laser therapy, massage therapy & myofascial release techniques, and/or homeopathy may also be used in order to resolve the condition.
Also, the chiropractor may arrange for on-site evaluation of your workout routine and/or workplace to correct improper ergonomic conditions, which may be aggravating your condition. Surgery is rarely needed and should only be considered if conservative therapy fails. Repetitive cortisone injection should be avoided as it has been well documented to cause tendon disruption, and places you at risk of further injury for 2 to 6 weeks following injection. However, if after examination we conclude that your case cannot be helped with conservative care, a prompt referral will be made.
PROGRESSIVE HEALTH & WELLNESS BLOG: THE IMPORTANCE OF MICRO-BREAKS & ERGONOMICS : Over time, the human body has adapted very well to the task of hunting for and gathering food. It performs and feels its best when it is in motion during the day, and resting at night. Sitting all day, on the other hand, puts an enormous strain on the sspine and its supporting tendons, ligaments, muscles, and fascia. If you are sitting at a desk and/or computer for more than 1 hour on a regular basis, then you are what we call an “industrial athlete”. For you, proper micro-breaks and ergonomics (discussed in a separate blog) are essential to prevent neck pain, back pain, and headaches, as well as to allow your body to get the best results from your chiropractic care. Ideally, micro-breaks should be performed before you start to feel stiff or sore at your worksite. For most people, this means taking a 20-30 second micro-break every 20-30 minutes of prolonged sitting. Of course, longer breaks of 1-5 minutes should also be taken every 2-3 hours, or as needed. Any of the exercises that Drs. Ezgur or DiDomenico prescribe for you can be used as a micro-break. One of the most effective micro-break exercises is Brugger’s Relief Position, as taught in our offices. Read More |