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Ventura Chiropractor

Carpal Tunnel Syndrome falls into the category of neurological conditions called nerve entrapment disorders and is easily the most well-known of these disorders. As the term “nerve entrapment” implies, these disorders show up when a nerve is trapped or compressed between body tissues creating inflammation and impairment of the nerve.

Anatomy

The carpal tunnel is positioned 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 is comprised of the nine tendons of the forearm muscles that are responsible for bending and flexing of the fingers and thumb. There are also arteries and lymphatic vessels that provide circulation to the hand located within the tunnel. The bottom and sides of this tunnel are formed by wrist bones and the top of the tunnel is covered by a strong band of connective tissue called the transverse carpal ligament. The diameter of the carpal tunnel is about the same as the index finger making the carpal tunnel a jam-packed space. The flexor tendons, arteries and median nerve are intended to glide easily 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 decreases because of  a misalignment of the carpal bones, the median nerve can become constricted or entrapped by the carpal tunnel. The early symptoms of carpal tunnel syndrome as a general rule include pain, numbness, paraesthesia (pins and needles) and tingling in the fingers and hands especially 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 inept, weak and fatigue easily with activity. Eventually, holding small objects using the thumb and fingers can be gravely affected and, without treatment, can result in complete debilitation of the hand.

The following are generic causes and corresponding conditions:

• 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 predispose one 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

Proper diagnosis and management of this condition is essential in order to curtail the disabling symptoms associated with the advancement of CTS. Your Ventura Chiropractor has many years of experience in this area. 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, especially 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.

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