Carpal Tunnel Syndrome (CTS)

Carpal tunnel syndrome consists of irritation and nerve compression at the wrist . The most common symptoms are sensations of pain , numbness and / or sensitivity to the palmar surface of the thumb, forefinger and middle finger . The lateral side of the ring finger can also be involved. The person suffering from STC may experience a loss of strength and grip on the hand. Symptoms occur sporadically and are more important at night or during manual activities.

Causes of STC

The wrist is a complex mechanism consisting of carp bones (8 in number), tendons and ligaments. The median nerve joins the hand through an osteofibrous tunnel created by the transverse carpal ligament and carpal bones. The STC is the result of compression of the median nerve in this narrow canal . The causes of compressions are variable. Note, however, that inadequate postures of computer work that promote extensive extension or flexion are often responsible for the development of symptoms.

Main causes of compression:

  • Subluxation (poor movement or alignment) of carp bones
  • Direct pressure by prolonged postures in flexion or extension
  • Fracture poorly repaired
  • Presence of ganglion
  • Side Effects of Water Retention, Pregnancy, Diabetes and Rheumatoid Arthritis

Long-term consequences

Untreated STC will cause an increase in local symptoms . In addition, the pain may radiate to the elbow and shoulder, which requires further investigation to properly target the source of the problem.

The chiropractic approach

The chiropractor is skilled at accurately diagnosing the type of problem you have. The chiropractic approach will aim to stimulate the nervous system by promoting a clearance of space inside the carpal tunnel . Indeed, the chiropractor will make sure to restore the biomechanics of the wrist bones, as well as adjacent joints such as the elbow, the shoulder and the cervical spine. By these adjustments, it is possible to prevent compression of the median nerve throughout its course of the neck by hand. Through muscle and ligament work, the chiropractor will also promote soft tissue relaxation of the wrist to release the nerve from the compression creating irritation.

Prevent instead of heal

The chiropractic approach insists on the prevention of the appearance of pathologies. Some factors may favor the appearance of STC. It is therefore important to control these variables in order to decrease and control the probabilities of developing the biomechanical problems associated with STC.

  • Make sure you have good posture and an ergonomic work desk
  • Perform stretching exercises at work and during physical activity
  • Avoid repetitive activities
  • Drink plenty of water and avoid over-consumption of salt

Source: ACQ – Association of Chiropractors of Quebec – ACQ

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