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Carpal Tunnel Syndrome (CTS) and Chiropractic

July 20, 2010 by drburt

Carpal tunnel syndrome happens when there is a compression of the median nerve in the wrist formed by the carpal bones and the transverse carpal ligament – a strip of tendon that supports the wrist from the bottom. The Carpal Tunnel is a narrow passageway in the wrist where tendons and nerves pass through to control the hand. These nerves and tendons are covered with a sheath of fluid that protects it. When a person uses the hand repetitively, swelling can happen due to the irritation of the chamber. As it swells, there’s no more space to accommodate the swelling thus the nerve is being compressed which results in  numbness and tingling in the hands, primarily the thumb and thumb pad, index, middle, and inner half of the ring fingers.

When a person uses their hands on a repetitive motion, like for example when typing, there is a tendency that it can result in carpal tunnel syndrome. There’s no known real cause for the Carpal Tunnel Syndrome as it’s an idiopathic condition but those that are more prone to suffering from this syndrome are women and those with diabetes. Around 80% of cases of Carpal Tunnel Syndrome are women and studies are still being conducted to understand why majority of cases are females.

The symptoms of CTS are usually experienced at night and are most likely caused by the sleeping position of the patient. As the patient unknowingly bends the wrist during sleep, the pain would then flare up. In cases of patients suffering from pain at night due to carpal tunnel syndrome, the patient can use a brace or a splint to keep them from bending their wrist and compressing the nerves while sleeping.

Carpal tunnel syndrome can be treated through a chiropractic treatment. The patient must first undergo a series of examinations such as a physical examination and  x-ray to properly diagnose the patient’s case.  Since carpal tunnel syndrome is considered an RSI or a repetitive stress injury, the usual chiropractic treatment for this is by manipulation of the elbow and wrist and also with the manipulation of the patient’s cervical spine. Aside from this, the patient also has to rest the affected arm and to apply a cold compress to prevent further inflammation. A brace or a splint may also be advised for the patient to wear.

Spinal and arm manipulation is not the only chiropractic treatment available for treating carpal tunnel syndrome although it is the most common. An ultrasound therapy may also be conducted. In this type of therapy, a device that emits either high or low energy sound is used to the affected area. These energy sounds produce sound waves that penetrate into the skin and tissue thus relaxing the muscles and reducing the pain and inflammation. Cold Laser by Erchonia PL 5000 is another effective modality that will help to expedite the healing process and control the pain.

Chiropractic treatment for carpal tunnel syndrome is non-invasive. There’s no need for medications or surgery if you choose this treatment. Based on studies, the chiropractic treatment is also just as effective as the allopathic treatment for repetitive stress injury or RSI.

While I was doing research for this article I have come across a really interesting article on Eioba.com The title is: Kevin’s 52 Tips On Carpal Tunnel Syndrome and Wrist Pain. This article covers every angle on how to prevent CTS and RSI. It is a must list for everyone who has wrist pain. Thumbs up Kevin for this information. I am also providing a list of exercises intended to help prevent carpal tunnel syndrome. Remember doing a quick five minute exercise warm-up before starting work, just as runners stretch before a run, can help prevent work-related injuries.

In conclusion I would like you to watch this excellent 3D video by Christopher Travers. It will help one to better understand about the patho physiology of CTS.

Question: Waht kind fo treatment did you or someone you know have for CTS?

Filed Under: Carpal Tunnel Syndrome - CTS Tagged With: anatomy, carpal, carpal bones, carpal tunnel, carpal tunnel syndrome, chiropractic, cts, flexor retinaculum of the hand, human anatomy, median nerve, medicine, musculoskeletal disorders, nerve, neurology, repetitive strain injury, syndrome, syndromes, wrist

Frozen Shoulder Syndrome and Chiropractic Rehabilitation in San Leandro, CA

June 7, 2010 by drburt

frozen shoulder

Frozen Shoulder Syndrome and Chiropractic Rehabilitation

Frozen shoulder (FS),medically referred to as adhesive capsulitis, is a disorder in which the the connective tissue surrounding the glenohumeral joint, becomes inflamed and stiff, and grows together with abnormal bands of tissue, called adhesions, greatly restricting motion and causing chronic pain. Some people experiencing this kind of problem don’t go for any forms of treatment in order to gain back the motion of their joints. The condition will get better eventually without treatment but it will take a very long time to do so. The pain and the reduced Range of Motion without any form of treatment means only one thing, you won’t be able to function to a full capacity. The more you try to move your joint, the more pain you will experience. Therefore, it is best to seek treatment for pain control. There several options for patients who have frozen shoulder pain:

1. Oral and Injectible Steroids

2.Hydrodilation and Hydroplasty

3. Chriopractic rehabilitation with Physical Therapy

4. Manipulation Under Anesthesia

Frozen shoulder(FS) is more common for people between the ages of 40 and 60. If you have diabetes, you are more prone to experiencing frozen shoulders as around 20% of diabetic patients also suffer from this condition at one point. Though, the actual causes of FS are still inconclusive but there are risk factors that may increase your chances of suffering from this condition. The conditon is twice more common in women than men. If you are between the ages of 40 and 60 and female who has diabetes, you have a higher risk of acquiring a frozen shoulder. Endocrine problems also increase your chance of experiencing a frozen shoulder. If you have Parkinson’s disease, you are also at a higher risk of suffering from a FS. Lastly, if you suffered from a shoulder injury or trauma and you immobilized your shoulder joints for a long period of time, you have the highest risk of developing a frozen shoulder.

According to health professionals who treat FS, the condition generally follows a course of three stages:

  • Stage one: a slow onset of pain, and the shoulder gradually loses the range of motion. This stage can last from six weeks to nine months.
  • Stage two: a slow improvement in pain relief, with stiffness remaining. This stage can last from four to nine months.
  • Stage three: a “thawing” as shoulder slowly regains motion and pain is relieved. This stage can last from five to 26 months.

There are two options for a treatment of FS: nonsurgical and surgical treatment. As a rule of thumb, the health care professional would advise the least invasive treatment first before they ask for a surgical intervention. For nonsurgical treatment there are chiropractic care and physical therapy, manipulation under anesthesia, as well as pain control using steroid medication.

Chiropractic care is a successful method in easing the frozen shoulder pain. Doctors of Chiropractic use TENS units, Ultraound, Erchonia Cold Laser PL 5000, stretching, educating patients about lifestyle change and diet.  The length of time spent on the chiropractic treatment depends on the severity of the condition. If the pain is more advance it can take months to rehabilitate the shoulder. Chiropractic can limit the devastating effects of all forms of physical disability such as FS. At this point research into its cause remains inconclusive.

As a general rule, prevention is better than cure. With chiropractic care, you can prevent FS even before it sets in. When you start feeling a slight pain in your shoulder area, you can try chiropractic care to avoid the stiffening of the joint that causes extreme pain and immobilization. If prevention is unsuccessful, treating the frozen shoulder with chiropractic care requires the use of modalities, chiropractic adjustmnts and deep tissue massage. This treatment is used to manage the pain, inflammation and increase range of Motion.

In the majority of cases, chiropractic involves few risks and has been proven beneficial in treating a FS syndrome. Reputable chiropractic professionals will assure their patients of the best program to follow in maintaining optimum physical movement and a quality life.

Filed Under: Shoulder Tagged With: adhesion, chiropractic, connective tissue, froze shoulder, frozen shoulder pain, frozen shoulder syndrome, musculoskeletal disorders, pain, physical therapy, shoulder, shoulder injuries, shoulder joints, shoulder problems

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15200 Hesperian Blvd #104

San Leandro, CA. 94578

(510) 481-2225

drburt@burtchiropractic.com

 

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