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Discussion on Carpal Tunnel Syndrome

Why the standard definition for Carpal Tunnel is Misleading?

Here is an example of a Standard Definition of Carpal tunnel:

“At the base of the palm is a tight canal or “tunnel” through which tendons and nerves must pass on their way from the forearm to the hand and fingers. The nerve that passes through this narrow tunnel to reach the hand is called the Median Nerve. This narrow passage between the forearm and hand is what we call “The Carpal Tunnel”.”

However, this description misses over 18 other common nerve entrapment sites that can result in carpal tunnel-like symptoms. The most common site of nerve entrapment is actually further up the arm, in a muscle called the Pronator Terres.

Errors in diagnosis and treatment techniques often contribute to the chronic and severe nature of what is commonly referred to as Carpel Tunnel Syndrome. Statistics show that bracing (often prescribed by doctors) causes Carpal Tunnel Syndrome to worsen.

What can we do to help Carpal Tunnel Syndrome (CTS)?

We have treated CTS with a variety of chiropractic and soft tissue techniques. A study by the anim_wristNational Institute of Health showed significant improvement in CTS using Active Release Technique after only 6 treatments in the course of 2 weeks.  Of course, as with all research, additional studies are recommended.

What is interesting is that study was done in 2006 and referenced papers in the 1990’s, yet after over 20 years of practice, I have yet to get a single CTS patient referred from a medical doctor.

This is interesting because according to Journal of American Medical Association (JAMA), every year more than 500,000 people in the U.S. undergo surgeries for carpal tunnel syndrome. Surgery for CTS is among the most common hand surgeries.