Various (Related?) Hand and Joint Issues

by Matt


I'm a 26 yr old male. When I was 16, moving chairs, I started getting burning in my wrist one day. Speaking with a doctor friend, he suggested it was tendinitis. Since then, it progressed, causing more severe burning in my wrists and forearms (various places over 10 years).

Though my pain is bilateral, and largely intermittent (normally worst in spring), a nerve conduction study showed slight impingement in my right wrist only... leading to a suggestion of surgery several years ago. Thus far, I have been able to manage with a healthy diet high in vegetables, high hydration, and trying to maintain proper exercise.

Over the years, I've seen many chiropractors, several doctors, and this year, a physical therapist, who has been the most helpful. Diagnosis has ranged from a compressed C6 causing imbalanced hips to locked neck to carpel tunnel syndrome (I lack tingling in thumb to middle, most often pain is in my palm or arm just above my wrist where all the tendons pop out.

The PT suggested muscular imbalance and has had me doing various shoulder stabilization exercises, which have seemed to be quite helpful. Though I've been maintaining the exercises, I'm beginning to regain burning pain in both palms, and various finger aches, which I can't quite source the pain for, and pain at the bases of my thumbs. All pain has been historically bilateral. Often my TMJ issues act up at the same time. I am somewhat suspecting TOS, but have had such varied symptoms over the years with many things having short term help, before the pain returns. Do you have any suggestions?


Gosh Matt, I'm afraid I don't have many suggestions. It certainly isn't carpal tunnel syndrome.

What's your instinctive sense? Is this radiating from your neck area, or is it a local problem in the hands and wrists. The fact that it is bilateraly suggests in the neck or carpal tunnel, though that is usually unilateral.

Do you X-rays of your neck show cervical ribs?

I'm assuming there is no wasting of the muscles in your hands, no weakness, loss of reflex or change in the sensation in your hands and arms.

Movements of your neck do not provoke it?

My suggestion is an MRI of your cervical spine. It's a long shot, but that's where I'd go.

Keep us up to date, and I'm sorry I don't have more to contribute.

Comments for Various (Related?) Hand and Joint Issues

Average Rating starstarstarstar

Click here to add your own comments

Sep 13, 2019
by: Matthew

Thanks for your help! I have been wondering about it being caused by cervical ribs for awhile, but have not yet had an MRI. So far relaxing, straightening my upper back (it wasn't bad, people have commented on my straight posture for years), staying warm and hydrated seen to be keeping the symptoms at bay for the present.

Click here to add your own comments

Join in and write your own page! It's easy to do. How? Simply click here to return to Chiropractic help Questions (Neck pain).

Did you find this page useful? Then perhaps forward it to a suffering friend. Better still, Tweet or Face Book it.

Interesting challenges of the day

1. Mr S is a 76 year old man with neck pain of some 9 months duration. Luckily, most of the discomfort is upper cervical which is only rarely arthritic; his lower cervical spine is a degenerative mess that I have left alone. After seven treatments his pain and stiffness is 50 percent better, and he is happy in the circumstances. He can sleep through the night now and that makes a huge difference.

2. Mr P is 32 year old man with very severe lower back pain radiating to the big toe which is 30 percent numb. He had an episode three weeks ago, took anti-inflammatories and was soon better as is typical of the medial disc herniation. But before it healed, after a trivia it came roaring back, much worse. The characteristic crossed sign was evident; sitting in a chair, straightening the right leg provoked severe left back pain and tingling in the leg. He is doing well.

3. Severe lower back pain is scary; just ask Mrs P. Just watching her get out of the car I she was in trouble; she had a slipped disc at L4 making her lean towards the opposite side; luckily she had no pain in the leg. Despite family pressure that this was far too severe for a chiropractor, she persevered. Within five days she was standing upright, and after two weeks almost pain-free. 

Despite a hectic job, she wisely took my advice and stayed home for what I call exercising bed rest.

4. Mr S has had lower back, groin and back of thigh and calf pain for fourth months.

He has a pincer deformity in the hip causing the stabs in the groin, and a degenerative facet causing the sciatica. Both are responding well to chiropractic and he is well pleased; sixty-five percent better after three treatments.

5. Mr T is a wise man; he has taken a warning TIA seriously and has lost 15 pounds, and has at least as much again to lose. A change to a low starch diet and half hour daily stroll has made the difference; but the walking is making his foot and back miserable. The expensive orthotic is hopeless; luckily his hips and back are fine, but he needs a simple heel lift; he has a short leg.

6. I too have had serious lower back issues, luckily fixed by my own chiropractor; so I too have to do my exercises, take care when lifting supers full of honey, gardening and using the chainsaw. Regaining the function of your spine is just as important as the pain.

7. My own granddaughter, only 7 is hypermobile giving her pelvic, knee and ankle issues. X-rays show a mildly dysplastic hip. Years ago we would have called it growing pains. She too regularly needs chiropractic care and luckily responds well. Increased range of motion is more difficult than too stiff in my opinion. Our care is for kids too.

8. This 65-year old lady is a serious gardener; every day she is bending, lifting and digging for 2 to 3 hours a day. It regularly catches her in the sacroiliac joint, so she has a treatment once a month that sorts it out. She does her lower back exercises faithfully.

9. This 88-year old lady is an inspiration; every day she is busy in the community. With a nasty scoliosis she manages very well with a chiropractic adjustment every six weeks and exercises faithfully done. 

10. Mr X is a 71-year old retired man who wants to continue with maintenance care every six to eight weeks; he had suffered from two years of lower back pain when he first came a few months ago. He has no discomfort now after 8 chiropractic treatments, but is aware that danger lurks.

11. Mrs C has been having severe headaches, and taking a lot of analgesics. It is a non-complicated upper cervical facet syndrome, and she is doing well.

12. Mr D is a 38-year old year man with chronic shoulder pain after a rotator cuff tear playing cricket. It responded well to treatment, but he knows he must do his exercises every day; for two years he could not sleep on that shoulder.

13. Mr D, a 71-year old man, has a severe ache in the shoulder and midback since working above his head. Trapped nerve tests are negative but he has advanced degenerative joints of Luschka; after just two treatments he is 50 percent better. Can we reach 90?

And so the day goes; chiropractors should not be treating the elderly most medical sites state but that is so much bunkum.

Do you have a problem that is not getting better?

Are you looking for a different slant on your pain?

Do you want to pose a question?

Interesting questions from visitors

CLS writes:

Greetings, Dr B.
You helped me quite some time back with a soothing and professional response which turned out to be exactly correct. I now consult a local chiropractor. You write a superb newsletter, too.

Your own unresolved problem. Pose a question

Knowing that up to 70 percent of the time the correct diagnosis is made with no examination, no special tests, no xrays, but just from the history, there is a fair chance I can add some insight to your unresolved problem. But at least 30% of the time, I may be quite wrong. Give plenty of detail if you want a sensible reply.

You visited this chiropractic help site no doubt because you have a problem that is not resolving and want to know more about what a DC does.

The quickest and most interesting way is to read one of my eBooks of anecdotes. Described by a reader as gems, both funny and healthful from the life and work of a chiropractor, you will love them. Priced right at $2.99, though Kindle fiddles the amount without telling me.