The Diagnosis And Treatment Of Carpal Tunnel Syndrome

Dr. Brent Wells
February 11, 2013 — 1,168 views  
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Carpal Tunnel Syndrome (CTS) symptoms occur in the wrist and hand. The condition affects the functioning of the hand and fingers. Often the symptoms appear to be CTS, when it is really a neck problem. Conversely, it is commonly misdiagnosed as a neck problem, when in fact it is CTS.

CTS is caused by the compression of the median nerve in the wrist resulting in severe numbness of the hand. The passageway between the transverse carpal ligament and the carpal (wrist) bones form the carpal tunnel. This tunnel is used as a route for the median nerve and nine flexor tendons of the thumb and fingers. When one of the nine flexor tendons becomes inflamed or swells, it results in the compression of the median nerve that is also present in the narrow tunnel or canal. This compression leads to the wrist pain and the condition is called CTS.

Pain in CTS is primarily numbness that is so intense that it wakes one from sleep. Long-standing CTS leads to permanent nerve damage with constant numbness, and atrophy of some of the muscles. Physical Therapy and chiropractic care allows you to return to your normal functions and activities. By determining the causes that brought on the CTS, it is possible prevent nerve damage and loss of muscle strength in your fingers and hand and thereby provide a better form of carpal tunnel therapy than surgical treatments. The treatment for CTS should be based on the seriousness of the condition and should help in eliminating symptoms permanently.

There are several ways to treat CTS:

• Lifestyle changes: Treatment first involves adjusting the way the person performs a repetitive motion. Carpal tunnel therapy should include instructions to change the frequency with which the person performs the motion and increase the amount of rest time between movements.

• Immobilization: Carpal tunnel treatment also includes immobilizing the wrist in a splint to minimize or prevent pressure on the nerves. Splints that support the wrist in a comfortable neutral position can be of great value if worn at night to relieve painful numbness or tingling. This can provide restful sleep and allow the median nerve to endure daytime activities.

• Alaska Chiropractic Adjustments of the Wrist: The carpal bones at times may become restricted and thus start to irritate the ligaments and nerve, initiating CTS. Regular carpal adjustments assuring proper movement of the carpal bones minimize irritation to the tissues and nerve.

• Medication: Patients may be given short courses of anti-inflammatory drugs or injections of cortisone (steroids) in their wrist to reduce swelling. Injections are most successful when people have mild to moderate CTS as a result of an acute (sharp or severe) flare-up.

• Surgery: If conservative treatments do not help in pain management Anchorage, then surgery is the next treatment option. During surgery, your surgeon will open the carpal tunnel and cut the ligament, relieving the pressure on the median nerve. Carpal tunnel surgery is quite effective at relieving painful symptoms when the condition is caused by only nerve constriction.

If diagnosed in the early stages, CTS is reversible. The choice of a particular therapy depends on the intensity of the condition and the level of compression of the nerve. If you are looking for non-invasive modes of treatment for your CTS discomfort, visit:

Dr. Brent Wells

Better Health Alaska

Dr Brent Wells is an renowned chiropractic doctor in Anchorage, Alaska. He has cured many patients with various disabilities concerning back pains, neck pains, spinal problems and more. He obtained his doctorate from Western States Chiropractic College from Portland, Oregon.