Carpal Tunnel Syndrome: Gadgets and Alternatives
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Houston Area Chiropractor Comments: I’ve noticed many patients use gadgets to treat carpal tunnel syndrome. But is this a good choice or another fad? Sometimes our health advice comes from friends, family, and customers at the local health food store. I am sure you were given a persuasive story before buying. Late night TV infomercials are used too often for medical advice. If your carpal tunnel symptoms show up at night, you may have fallen prey to these sales pitches. There are lots of snake-oil salesmen to take advantage of this often debilitating and frustrating condition which affects millions every year.
Copper bracelets and magnets seem to be particularly in style today. But do these and similar gadgets even work?
There are a couple of studies looking at herbs and magnets. According to the research there is very little evidence that these devices do anything at all. There are no studies on copper-so I guess the jury is still out on that question. However, they don’t pass the smell test in my opinion. These gadgets are probably safe, except for making your skin turn a little green from a copper bracelet.
What about yoga? Surprisingly, one clinical trial of 51 patients over eight weeks showed that doing yoga improved carpal tunnel symptoms better than using a wrist splint.
As far as chiropractic care, there is some evidence that mobilization movements can help ease symptoms. In the short term, chiropractic care is at least as effective at reducing pain when compared to taking powerful pain-killing drugs.
The first step is to make sure you are properly diagnosed. There are too many patients who get incorrect diagnoses or have resigned themselves to taking pills for indefinite periods of time.
One important consideration is whether your hand symptoms are from a neck injury. Injury to nerves in the neck and wrist can lead to what is known as double-crush syndrome. The wrist and the neck, needs to be examined to get a thorough diagnosis. There are also rare causes of carpal tunnel syndrome, such as diabetes, which have to be considered.
Dr. Ward Beecher practices at Beecher Chiropractic Clinic at 1001 Pineloch, Ste 700 Houston, TX 77062. You can schedule an appointment at BeecherChiropractic.com or by calling (281) 286-1300. If you have any questions regarding this blog, please comment below!
Dr Beecher’s June 15 Weekly Chiropractic Newsletter
WEEKLY HEALTH NEWS UPDATE
Week of Monday, June 15th, 2015
To download a copy of this newsletter, click here. If you would like to know more about the best chiropractor in the Houston Bay Area, please give us a call!
Mental Attitude: Do You Think Your Child Is the Right Weight for His or Her Age? Most parents of overweight children misperceive their children as being “the right weight” for their age. According to a study involving nearly 7,000 overweight boys and girls, nearly 96% of mothers thought their overweight sons were the right weight for their age and almost 90% of mothers considered their overweight daughters to be the appropriate weight for their age group. The authors believe that ineffective communication between the medical community and parents accounts for a significant part of the ongoing problems with weight misperception in society. Senior author Dr. Jian Zhang adds, “We need effective strategies to encourage clinician discussions with parents about appropriate [the] weight for their child. This will be critical for childhood weight management and obesity prevention.” NYU Langone Medical Center, May 2015
Health Alert: Global Oncology Costs Increasing. While early diagnosis and more effective cancer therapies have increased the survival rates of many cancers, costs related to cancer treatment have also risen. A new report reveals that average cancer treatment costs-per-month in the United States have increased 39% over the past ten years, and global spending on cancer medicines surpassed $100 billion dollars in 2014, nearly $25 billion dollars higher than was observed as recently as 2009! IMS Institute for Healthcare Informatics, May 2015
Diet: Secrets to Choosing Healthier Foods. An analysis of 112 studies found that people choose healthier foods when restaurants, grocery stores, school cafeterias, and/or their spouse make foods like fruits and vegetables more visible, convenient, and attractive. Psychology and Marketing, April 2015
Exercise: New Treadmills May Be Better at Duplicating Outdoor Running. Researchers have developed a new treadmill that automatically changes speed to match the pace of the runner. The machine uses sonar to tell where the runner is on the treadmill and then speeds up if the runner is moving towards the front of the running belt or slows down if the runner is moving toward the back of the running belt. Dr. Steven T. Devor, an associate professor of kinesiology at Ohio State University writes, “If you’re running outside and you want to speed up or slow down, there is no button to push. It is the same with this new automated treadmill.” Medicine & Science in Sports and Exercise, April 2015
Chiropractic: Heavy Smartphone Use Can Lead to Hand and Wrist Problems! If you are a heavy smartphone user and experience wrist pain, you may want to reduce your reliance on handheld devices. Researchers examined the wrists and hand complaints of 102 adults and found that those who spent the most time interacting with their devices had enlarged median nerves in their dominant hand, reduced pinch strength, and reduced hand function when compared with low/non-smartphone users. Muscle & Nerve, April 2015
Wellness/Prevention: Heart Attacks Could Be Diagnosed with a Thermometer-Like Device. Scientists have developed a simple, thermometer-like device that may help healthcare providers diagnose heart attacks with minimal materials and cost. The technology works by detecting a protein called troponin, which rises when blood is cut off from the heart and the muscle is damaged. Current methods to detect this protein are expensive and often not practical for point-of-care in low and middle- income countries where up to 75% of cardiovascular disease-related deaths occur. Analytical Chemistry, April 2015
Quote: “Shoot for the moon. Even if you miss, you’ll land among the stars.” ~ Norman Vincent Peale
This Weekly Health News Update is compliments of Dr. Ward Beecher and Beecher Chiropractic Clinic. If you have any questions or comments, please contact us at 281-286-1300 or BeecherChiropractic.com .
What is Carpal Tunnel?
Houston Area Chiropractor Comments: Carpal tunnel syndrome occurs when the nerve (median), which runs from the forearm into the hand, becomes compressed between the displaced bones of the wrist (called subluxation). Nerve signals originate in the brain and follow tracts down the spinal cord through openings between the neck bones (vertebrae). The nerves then travel down the arm and into the hand. At the wrist a semicircular tunnel allows the nerves to travel through the highly mobile wrist area. The tunnel is a narrow and rigid passageway of ligaments and bones at the wrist and contains the median nerve and tendons. The tunnel deforms when there is sprain or damage to the ligaments allowing the bones to move away from their normal positions.
There are also other causes for compression, such as inflammation. Sometimes the nerve is more susceptible to compression at the wrist if it is also pinched or irritated at the neck level. When the nerve is compressed or irritated at both the wrist and neck area it is called a double crush injury or syndrome.
Sometimes, thickening from irritated tendons or other swelling narrows the tunnel and causes the median nerve to be pinched. This is why sometimes anti-inflammatory drugs such as aspirin or ibuprofen will decrease the pain in some patients. But they really are a no-end kind of treatment that never gets at the cause of why there is inflammation in the first place. They also have significant side effects, especially in older patients where they can cause stomach or intestinal bleeding (ulcers).
The median nerve controls sensations to the palm side of the thumb and fingers except the little finger as well as impulses to some small muscles in the hand that allow the fingers and thumb to move. Pain, tingling and numbness in the hand can be caused by neck problems such as a herniated disk, sprains or subluxations, and arthritis.
When carpal tunnel syndrome strikes the result may be pain, weakness, or numbness in the hand and wrist. Sometimes the pain runs from the wrist and back up the forearm. Many patients will also say that they have other bothersome symptoms such as back and neck pain or stiffness.
Many patients believe that surgery will help their condition or have had it recommended to them. It is important to make sure that a comprehensive diagnosis is obtained prior to contemplating surgery. Surgery is a very drastic and last resort type of option so one should try conservative treatments first. If the problem is an irritated or compressed nerve in the neck, no amount of wrist surgery will help that type of problem.
A comprehensive and thorough examination is needed to determine the cause of your carpal tunnel syndrome symptoms.
Dr. Ward Beecher practices at Beecher Chiropractic Clinic at 1001 Pineloch, Ste 700 Houston, TX 77062. You can schedule an appointment at BeecherChiropractic.com. or by calling (281) 286-1300. If you have any questions regarding this blog, please comment below!
Carpal Tunnel and its Diagnosis
Bay Area Chiropractor Comments: Pain in the wrist and hand can be a difficult thing to diagnose properly. The first problem that patients have is deciding what type of doctor to see. A chiropractor, internist, orthopedist, rheumatologist, or neurologist, will all agree to schedule you for an appointment, but who is best?
At your visit it’s important to have a thorough examination and to ask a lot of questions. I’d be skeptical if the doctor only examines the wrist and hand, and leaves out the elbow, shoulder and neck. The reason this is the case is that problems of the neck and other joints distal to the pain, can refer pain into the wrist and hand. Not all wrist pains are a problem with constriction at the carpal tunnel. Pain into the hand can come from compression of nerves in the neck. Your carpal tunnel pain needs to be separated from a problem in the neck, such as a radiculopathy or thoracic outlet syndrome.
Your doctor should ask are how long the problem has lasted, and if there has been any trauma. Trauma to the neck is especially important, and could be a sign that your wrist problem is really a neck injury.
For some patients, losing weight and doing specific exercises are enough to cure these types of pains. Some patients simply need to have their computer monitor adjusted, or are given stretching exercises to do between long periods at the computer keyboard. The stretching may be for the wrist, but should also address the entire arm and neck to be comprehensive. How we sit and whether there is forward head posture are also important considerations. The forward head posture can stretch your spinal cord and nerve roots making the nerves more susceptible to pressure when they eventually pass through the carpal tunnel.
In others, the problem of joint alignment needs to be properly addressed. Through specific chiropractic adjustments, the motion of the joints and their alignment can be restored. The misalignments may occur at the wrist or even the neck.
In my Clear Lake City office I treat many patients with carpal tunnel symptoms. Sometimes the problem is local to the wrist but most patients will require a more comprehensive approach. If you’d like care that emphasizes proper posture and alignment and avoids the problems of long- term medication use, then schedule an appointment today.
Dr. Ward Beecher practices at Beecher Chiropractic Clinic at 1001 Pineloch, Ste 700 Houston, TX 77062. You can schedule an appointment at BeecherChiropractic.com or by calling (281) 286-1300. If you have any questions regarding this blog, please comment below!
Prompt Treatment of Carpal Tunnel is Best!
Clear Lake City, TX Chiropractor’s Comments:
Many people suffer from CTS (Carpal Tunnel Syndrome) and unfortunately, often ignore the initial symptoms of numbness or tingling in the hand(s). These early symptoms are typically not too alarming and hence, they often do not raise the level of concern until more intense symptoms occur; such as waking up from sleep due to numbness, dropping items, difficulty buttoning clothing, needing to switch hands when driving, difficulty writing, typing, knitting, as well as work related pain. There may also be fear of job loss associated with CTS, especially in these hard economic times with frequent lay offs, prompting CTS sufferers to postpone initial care. Unfortunately, delaying treatment is associated with a longer recovery time when compared to prompt management which usually results in a quicker, less complicated and more satisfying recovery.
There are many causes and contributing factors of CTS. The most prevalent cause is mechanical irritation from simply moving the hands too fast for too long, without enough rest. Another risk factor is age (over 50 years old). In this era of an aging workforce, this may be a significant issue. Fast, repetitive movements of the arms and hands are often a direct cause and can be appreciated by watching someone knit rapidly and/or performing line work using fast, repetitive movements. If the hands/wrists have to bend in awkward positions to accomplish a work task, or if a tool that is frequently used places pressure in the palm of the hand, these can also contribute to the onset or perpetuation of CTS. Other conditions can also contribute to CTS including inflammatory arthritis like rheumatoid, diabetes, pregnancy, the use of birth control pills, obesity and hypothyroidism.
The management of CTS is case specific, and is dependant on which of the above mentioned causes or contributors are present. Management of any metabolic disorder such as diabetes or hypothyroid is important, especially compliance with taking appropriate medication, when indicated. The management of weight, hormone replacement therapy, and fluid retention all play a roll in CTS management. Ergonomic or job-related management strategies are very important and can include work station modifications so that unnecessary awkward arm/wrist/hand positions can be avoided. This may require moving the item being worked on to a less stressful position, using a different type of tool handle (screw driver, etc.), changing the height or reach distance at which the material is worked on, and taking “mini-breaks” every ½ to 1 hour when the lack of rest is a contributor. Frequently, the combination of pinching a phone between the head and shoulder, typing data into a computer where the monitor is positioned too high or off to one side, and excessive arm motions using a computer mouse can contribute to pinching the nerve in the neck and/or arm, resulting in CTS. Remedies for this situation include the use of a head set, repositioning the computer monitor so that it is in front of the worker, and using a trackball type of mouse to eliminate arm motion can be extremely helpful. Treatment strategies offered by chiropractors include the use of manual therapy to the wrist and the tight muscles in the front of the forearm, as well as other nerve constriction areas such as the elbow, shoulder, and neck, manipulation of the joints in hand, wrist, elbow, shoulder, and/or neck, depending on what is unique and needed for that patient, and the use of physiological therapeutics such as low level laser light therapy, electrical stimulation, and/or ultrasound have all been shown to offer beneficial effects. Nutritional recommendations include Vitamin B6 (150mg/day), magnesium, calcium, Co-Q10, omega 3 fatty acids and vitamin D3. Reducing glutens (wheat, oats, barley, and rye) is also very important due to the inflammatory response of these foods. Surgery is typically, the last treatment resort and is appropriate, “when all else fails.” We welcome you to our clinic and are proud to offer you a non-drug, non-surgical solution for CTS and its disabling symptoms.
Dr. Ward Beecher practices at Beecher Chiropractic Clinic at 1001 Pineloch, Ste 700 Houston, TX 77062. You can schedule an appointment at BeecherChiropractic.com or by calling (281) 286-1300. If you have any questions regarding this blog, please comment below!
Carpal Tunnel Syndrome – Chiropractic vs Medical Treatment
Clear Lake City Chiropractor Comments: In the two decades that I have been practicing chiropractic in the Bay Area part of Houston, TX, I have noted that there are many patients who suffer from Carpal Tunnel Syndrome (CTS). In fact, CTS is one of the most common work related injuries. In spite of multiple studies that show the benefits of chiropractic treatment with patients suffering from CTS, many medical doctors are unaware of the studies and still tell their patients that chiropractic treatment is either ineffective, or may actually harm them. This unsupported ill advice can easily result in the patient not even considering chiropractic care as a potential effective form of treatment. This can be especially damaging to a patient who cannot tolerate anti-inflammatory medications such as Ibuprofen, Aleve, or aspirin. In fact, side effects secondary to stomach pain (gastritis and/or ulcer) can be quite common, especially at the recommended dose of 2400 mg / day. Moreover, if poor tolerance to these medications exists and an unsatisfying response to conservative medical treatment occurs, the “next step” offered to the patient may be surgery. Surgery that may have been avoidable had chiropractic treatment been considered as a viable alternative.
There are several studies available that will enlighten those who simply are not aware of the effectiveness of chiropractic care in the treatment of CTS.
The type of treatment that one may receive when being treated in our office includes manipulation of the bony joints of the neck and upper extremity. The objective of this is to improve the mobility of the joints and loosen the muscles through which the nerves pass, particularly, the median nerve that runs through the carpal tunnel and innervates the 2nd to 4th fingers. There are several exercises of both stretching and strengthening types that strive for similar goals. Physical therapy modalities such as low-level laser therapy have reported beneficial results. Modalities such as ultrasound, interferential current (IFC), ice massage over the tunnel, and other therapies may also be utilize. There may be other treatment approaches that may suggested on an individual case basis.
Dr. Ward Beecher practices at Beecher Chiropractic Clinic at 1001 Pineloch, Ste 700 Houston, TX 77062. You can schedule an appointment at BeecherChiropractic.com or by calling (281) 286-1300. If you have any questions regarding this blog, please comment below!
