I can't tell you how many times we have found that the primary cause of long standing CTS symptoms was actually the neck...not the hand. Yet the treatment was all directed at the hand. So make sure you go to a carpal tunnel expert. It can save you a lot of time and aggravation.
It's not uncommon for a chronic hand pain patient that has a long standing primary nerve crush site in the neck to start feeling better right away once we initiate treatment. Even with severe cases.
In fact...true carpal tunnel syndrome is rare...and it's one of the most mis-diagnosed conditions I have ever seen.
So...I guess the moral of the story is that if you have CTS symptoms and you are not responding to treatments...and your doctor has not considered pinched nerves in the neck...you should get a second opinion from an expert. If you live in San Francisco you can see us. Otherwise, do some research online or ask around to find a chiropractor, orthopedic doctor, osteopath, or physical therapist that treats CTS day in and day out. Because not all doctors do.