Carpal Tunnel Syndrome Causes and Treatment Options 

 May 28, 2012

By  Dr. Tripp Stover, D.C.

Mechanicsville Virginia Chiropractor – Carpal Tunnel Syndrome (CTS) affects about one in a thousand people (mostly women) each year, and is caused by the median nerve being compressed as it runs through the carpal tunnel, a ligament that is located in the wrist. The tendons that control finger movement all run through the carpal tunnel, so when they become inflamed and swollen the amount of space is reduced, putting increased pressure on the median nerve.

In many cases, the cause of carpal tunnel syndrome is not clear. There are some theories as to why women tend to suffer from CTS more than men. One is that they have smaller wrist bones, and thus a smaller space through which the tendons can pass. Another is that, as it is more common during pregnancy and around menopause, hormonal shifts may be a causative factor.

Some people may have a genetic predisposition for CTS. Approximately one out of four people has a close family member who has also has the disorder. Trauma or an injury to the wrist may trigger CTS, such as a sprained or broken wrist. The vibration of power tools or heavy machinery, for instance a rotary sander, can sometimes trigger CTS.

Those who have jobs involving repetitive movements of the arm are more likely to contract carpal tunnel syndrome, such as workers on an assembly line, carpenters, violinists, etc. Interestingly, though long-term computer use was previously thought to contribute to CTS, there is now conflicting information about the relationship between keyboarding and CTS. Some studies, such as one from 2007 published in the journal Arthritis and Rheumatism, have found that those who use a keyboard intensively at work actually have a significantly lower risk of developing CTS.

Some leisure activities can contribute to the risk of CTS as well, including knitting, golfing and anything else that requires you to grip items in your hands for long periods of time.

Among the most commonly recommended treatments for carpal tunnel syndrome are using a wrist splint, resting the wrist, taking pain relievers and physical therapy. If begun within three months of the first signs of CTS, a wrist splint can be a very effective treatment. This can be worn either all day or only overnight, and takes the pressure off your wrist, allowing it to rest and giving your tendons a chance to recover. Chiropractors can physically manipulate the wrist to relieve pain and teach you specific rehab exercises to do at home to help strengthen the wrist and hand.

Often the root cause is a subluxation in the upper cervical spine.  In my experience many people have been told they have carpal tunnel syndrome when there is any type of hand or wrist pain.  It is important to know the classic symptoms are numbness and pain in the thumb, the forefinger, and the middle finger.  Being awakened at night by the dead numbness and pain is very common though not absolutely necessary.  Personally I am more confident I can help with chiropractic adjustments if the pain is found in all fingers and the palm as well as pain that goes up into the forearm.  True or “pure” carpal tunnel syndrome can still be helped by chiropractic care with additional extra-spinal therapy, like low level laser therapy and whole food vitamins or supplements.

You may read about surgical options for treating carpal tunnel syndrome, but these should be considered or as a last resort after non-invasive therapies have failed. Treatment of CTS has been evolving rapidly across the last few years so it is important to visit a provider that keeps current on CTS treatment research and treats carpal tunnel patients on a regular basis.

Please give us a call if you have any questions or you would like to make an appointment.  804-559-1100

Stover Chiropractic, P.C.

Real. Simple. Healthcare.


Dr. Tripp Stover, D.C.

Dr. Stover grew up in Richmond. He has been married to his wife Andrea since 2000 and they make their home in Mechanicsville with their children, Avery and Garnett.

Dr. Tripp Stover, D.C.

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