Carpal tunnel syndrome (CTS) is one of the most expensive work-related injuries. A carpal tunnel patient loses approximately $30,000 in time absent from work and medical bills over the course of their lifetime. CTS is prevalent in adults, and over 75% of all patients are women. The stronger hand is generally affected first and the pain can be quite severe. Carpal Tunnel Syndrome is very common in workers in sewing, cleaning, meatpacking, manufacturing and other similar industries. Despite the common perception, according to recent research, data entry workers, (up to 7 hours a day at a computer) are not more likely to develop CTS.

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So what exactly is Carpal Tunnel Syndrome?

CTS involves the median nerve, which runs from the neck to the hand. The pain occurs when this nerve gets compressed inside the carpal tunnel, which is a narrow tunnel in the wrist. The tunnel is made up of bones and soft tissues, such as tendons, ligaments, nerves and blood vessels. Compression in this area results in pain, weakness, and possibly even numbness in both the hand and wrist. Pain can also move up into the forearm.

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What are the symptoms of Carpal Tunnel Syndrome?

Feelings of itching, tingling, burning or numbness in the palm of the hand as well as the thumb, index, and middle fingers are most common. There are documented complaints from patients with CTS who say that their fingers feel swollen and useless, though there is little or no swelling. The symptoms often first appear while the patient is sleeping and worsen throughout the day. This causes weakened grip strength and will make it difficult to form a fist or hold small items.

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Why does Carpal Tunnel Syndrome develop?

Some of it has to do with size. Some people simply have smaller carpal tunnels than others. CTS can also develop due to an injury to the wrist. It can be related to any of the following:

• swelling
• hypothyroidism
• diabetes
• inflammatory arthritis
• over-activity of the pituitary gland and
• mechanical problems in the wrist joint.

Poor ergonomics in the work environment, repeated use of vibrating hand tools and fluid retention during pregnancy or menopause are also common causes.

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How is Carpal Tunnel Syndrome diagnosed?

CTS can and should be diagnosed and treated early. An advanced physical examination can help determine if your symptoms are related to this malady. A Doctor of Chiropractic, such as Dr. Visentin, can use specific tests to evaluate the symptoms of carpal tunnel syndrome.

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What is the treatment for Carpal Tunnel Syndrome?

Generally, the care includes:

• Resting the affected hand and wrist,
• Avoiding activities that may worsen symptoms,
• Immobilizing the wrist in a splint to avoid further damage from twisting or bending,
• Applying cool packs to help reduce swelling from inflammation, and
• Special adjustments to the wrist using a gentle instrument.

Studies have shown that vitamin B6 supplements can also help relieve CTS symptoms.

Chiropractic joint adjustments to the wrist and hand, as well as stretching and strengthening exercises or soft-tissue mobilization techniques are essential.

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How can Carpal Tunnel Syndrome be prevented?

The American Chiropractic Association (ACA) recommends the following:

• Perform on-the-job conditioning, such as stretching and light exercises.
• Take frequent rest breaks,
• Wear splints to help keep the wrists straight,
• Use fingerless gloves to help keep the hands warm and flexible,
• Use correct posture and wrist positions, and receive
• Regular chiropractic adjustments.

This brief article only scratches the surface of Carpal Tunnel Syndrome. If you think you may have CTS and live in the Denver, CO area, or if you have any questions about this topic, contact Dr. Visentin D.C. at (303) 394- CARE (2273)

Written For Dr. Visentin, D.C.

Care Chiropractic
Denver, CO
©2010