CARPAL TUNNEL CASE FILE

(Keywords: CARPAL TUNNEL CASE FILE, chiropractic, carpal tunnel syndrome, thoracic outlet syndrome)CARPAL TUNNEL CASE FILE - pain and tingling in the thumb, index and middle fingers. And sometimes part of the ring finger. If the pain and tingling pattern is different, for example in the thumb and index finger only, THEN IT'S NOT CARPAL TUNNEL SYNDROME! CARPAL TUNNEL SYNDROME ... how it typically presents and is treated with Chiropractic.

THIS IS NOT CARPAL TUNNEL SYNDROME
Often the spoke in the wheel: PRONATOR TERES

FROM THE COALFACE

Never treat a case file as gospel. They are interesting and useful but without any scientific validation. You could make up a case file for a Flat Earth Society!
Mr S is a 62 year old butcher. He uses his hands continuously, and the work is often repetitive and difficult. He has no neck pain. Fifteen years ago, tingling began in the left hand, for which he was operated. Successfully, but he was quite disabled for some months. Five months ago tingling began in his right hand and forearm. The pain began to wake him in the early hours. Eventually, not wanting to go through with another operation, he consulted me. Interestingly, he had pain in the forearm where the Median nerve passes through a tunnel between the two heads of a Pronator teres muscle, and a fixation of the first rib in his lower neck. This is what we call a classic "double crush" syndrome. Despite the fact that there is no strong research confirming that Chiropractic can help a Carpal Tunnel Case File, I told him confidently that I could help him. After three weeks of treatment (twice a week), he says the pain and tingling in his hand is 70% less and no longer wakes him in the early hours. We are now into the rehab phase to prevent a reoccurence of his Carpal Tunnel Syndrome (CTS). Update: He is now 80-85% better. Now it's maintenance of the condition. He needs to do his rehab exercises faithfully, and come for the occasional, but regular treatment. Perhaps every 6-10 weeks. I doubt it will get 100% better.
For a different perspective of hand pain from a holistic doc...
Medicine also recognises that pain and tingling in the hand can come from the neck...
HAND PAIN ...
CARPAL TUNNEL SYNDROME SURGERY

See all the swelling in the fingers. Chiropractors are not anti-surgery but we do think you should try the conservative treatment first.
Mr S is very happy that he doesn't have to go through this again. "Cured"? Probably not. He will have to come in for treatment occasionally. His next consultation is in six weeks time.
THORACIC OUTLET SYNDROME
Many arm conditions like Carpal Tunnel syndrome have a chronic underlying entrapment of the nerve and artery as they emerge from the chest, the so-called Thoracic Outlet syndrome. Typically the arm aches especially when raised, and may feel weak and go numb...
THORACIC OUTLET SYNDROME ...

An aside
My friendly butcher and I have had some interesting discussions over "hyaline cartilage", the very hard, slippery substance that lines the bones in a joint. He assures me that it is, in young animals, indeed extra-super-smooth. We need it so that your knee for example can bend smoothly whilst you walk. In fact he brought me several samples from a pig, and you can see them at
HYALINE CARTILAGE ...
Preventing decay (arthritis) of the hyaline cartilage in your body is at the heart of chiropractic. How do we do that? Read all about it at our Hyaline Cartilage page.
USEFUL LINKS
From Carpal tunnel case file to Carpal Tunnel Syndrome ...chiropractic treatment.
Return from CARPAL TUNNEL CASE FILE to other CHIROPRACTIC CONDITIONS regular seen in our clinics …
Go from our CTS CASEFILE to CHIROPRACTIC HELP home page …
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