We have been providing treatment for Carpal Tunnel Syndrome in San Francisco for over 20 years.
Syndrome (CTS) sufferers frequently report a cluster of symptoms, but almost
all have one symptom in common – numbness, usually in digits 2-4 on palm-side
of the hand. CTS is usually attributed to an over-use type of injury such as
repetitive work including (but not limited to): typing, assembly work,
packaging jobs, machine operators, and many more.
The patients we treat in the SF Financial District spend the majority of their day in front of a computer doing repetitive motions with their arms and hands. Then, they typically go home and spend more time on the computer. Heck, most do it in between work and home on laptops, tablets, or smart phones.
Last month, we discussed CTS
“Facts” and learned many important points about CTS. This month’s focus centers
around the common question, “….where is this numbness coming from?”
To answer this, let’s
review the anatomy: The carpal tunnel is made up of 8 small “carpal bones” that
form an arch or tunnel, and the base of the tunnel is formed from the
transverse carpal ligament. There are nine tendons that attach muscles in the
forearm to each finger and work when we grip or form a fist with our hand.
Wiggle your fingers and look at your wrist and forearm – do you see all the
activity or movement going on?
The tendons travel
through sheaths which help lubricate the sliding tendons. When we move our
fingers fast (such as typing, playing piano, performing assembly work, etc.),
friction and heat builds up, resulting in swelling. If adequate rest does not
occur, the increased pressure from the swollen tendons end up squeezing all the
contents within the tunnel, which includes the median nerve . It’s the median
nerve pinch that results in the numbness, tingling, and/or pain into the index,
third and forth fingers.
There are other
conditions that can either complicate or cause CTS. These include: hypothyroid
disease (due to myxedema), diabetes (due to neuropathy), inflammatory arthritis
(of which there are several kinds - rheumatoid is the most common), and
pinching of the nerve either in the neck, shoulder, elbow or forearm (called
double or multiple crush syndrome).
chiropractic helps so much is that we can alleviate the pressure on the nerve
from the neck down to the wrist and restore nerve function. This alleviates the
multiple sleep interruptions, weakness in the grip that is so common, as well
as helping to restore the nerve’s function. Many studies support the success of
chiropractic and CTS – try it first as surgery should be the last resort.
We realize you have a
choice in who you consider for your health care provision and we sincerely
appreciate your trust in choosing our service for those needs. If you, a friend or family member require
care for CTS, we would be honored to render our services.
To schedule an appointment for carpal tunnel treatment in San Francisco please call 415-392-2225