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Dr. Mark J. Kirk &
Dr. James McNally
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Carpal Tunnel Syndrome


Carpal tunnel syndrome (CTS) isn't a disorder with a simple cause and a simple cure. Rather, CTS is a set of signs and symptoms relating to a wide-range of problems that involve pain, swelling and inflammation in the hand and forearm.

Those affected by CTS often complain of an aching pain in the upper arm or forearm, accompanied by tingling and numbness or weakness in the thumb, index, middle or ring fingers. Often, the symptoms get more severe at night, causing patients to wake from a deep sleep with a burning sensation in their hand. People with CTS also complain that everyday activities like holding a pen or picking things up become more and more difficult.

CTS develops when there's compression of the median nerve, which runs through a space in the wrist called the carpal tunnel. To understand how this happens, imagine wearing a bracelet that's too small for your arm. Such a bracelet would constrict the soft tissues around your wrist, impinging on the carpal tunnel and the median nerve within.

Something similar to a tight bracelet can develop when you perform prolonged activities that involve the hand and forearm, like typing or using hand tools. These activities involve extensive wrist flexion (bending the wrist upward when the palm is facing up, as if you were lifting a table) and wrist extension (bending the wrist upward when the palm is facing down, as if you were waving to someone), which can lead to inflammation in the tendons. Like the bracelet, this inflammation compresses the carpal tunnel.

Even if typing and using hand tools aren't in your day-to-day routine, such inflammation can still affect you. Traditionally, health-care providers considered CTS to be a work-related disorder, with typing and repetitive strain being the main culprits. They now know, however, that factors like pregnancy, obesity, rheumatoid arthritis and thyroid disease can also predispose people to swelling in the carpal tunnel, putting them at risk of getting CTS.

If you don't get care for the condition, it can worsen over time. Fortunately, chiropractic care can successfully manage CTS. Your chiropractor can relieve swelling and inflammation, rehabilitate the affected wrist and provide you with advice that can prevent the condition from recurring. Depending on the factors underlying the condition, you may also need to see a medical doctor, in which case your chiropractor can make an appropriate referral.