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Do I Have Carpal Tunnel Syndrome?

Many people believe they have carpal tunnel syndrome (CTS). The majority have been told by their medical doctor that they have CTS. Others have mistakenly concluded that because they have some numbness and tingling in their wrist or hand, they must have this neurological disorder. Still others have ongoing forearm, wrist, or hand pain (possibly localized to the thumb and/or index finger), and are led by articles they've read on the Internet to diagnose themselves with CTS. Almost all of this is in error.1,2
Why are so many diagnoses of this condition mistaken? The primary culprit is lazy clinical decision-making, compounded by a failure to understand correctly the workings of the musculoskeletal system. Carpal tunnel syndrome is a specific diagnosis which involves mechanical pressure on the median nerve as it passes through a small tunnel in the wrist created by tiny adjoining bones. There's not much room in this carpal tunnel and its dimensions can be narrowed further by inflammatory conditions such as osteoarthritis or rheumatoid arthritis. Pregnancy can lead to CTS owing to increased fluid retention. Repetitive stress may lead to inflammation of tendons that cross the wrist. Such inflammation may lead to soft tissue swelling which compresses the carpal tunnel, causing CTS. Various other disorders should also be considered when CTS is suspected.
Importantly, CTS is not a catchall diagnosis to be used when a person has forearm, wrist, and/or hand pain. If a person really has CTS, he or she will have specific symptoms. The person will awaken at night owing to pain and/or numbness and tingling. Symptoms will be precisely located to the thumb and index finger (possibly involving the middle finger). Wrist pain may or may not be present. Also, the person will demonstrate a weakness of pinch grip involving the thumb and index finger. If these signs and symptoms are not present, the person does not have carpal tunnel syndrome. Usually, the diagnosis is clearcut and does not require special tests such as electromyography.
Remarkably, most physicians, regardless of specialty, are unaware of these important criteria. If the patient has pain and/or numbness in the hand, the patient has CTS. Case closed. This lack of sophistication leads to real harm done to the patient, such as unnecessary tests which waste time, cost a lot of money, and may result in damaging surgery which is not curative as it was directed at a problem that really wasn't there.
In marked contrast, chiropractors are highly trained in accurate analysis of musculoskeletal problems involving the shoulder, arm, and hand.3 When patients have symptoms mimicking those of carpal tunnel syndrome, chiropractors use their broad knowledge and experience to correctly evaluate the situation. For example, spinal dysfunction, muscle spasm, and trigger points can all cause symptoms which appear to be those of CTS. Chiropractors are able to see through this masquerade and effectively address the real underlying problems.
1Ibrahim I, et al: Carpal tunnel syndrome. Review of the recent literature. Open Orthop J 6:69-75, 2012
2Uchiyama S, et al: Current concepts of carpal tunnel syndrome: pathophysiology, treatment, and evaluation. J Orthop Sci 15(1):1-13, 2010
3Bialosky JE, et al: Heightened pain sensitivity in individuals with signs and symptoms of carpal tunnel syndrome and the relationship to clinical outcomes following a manual therapy intervention. Man Ther 16(6):602-608, 2011

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    I have been going to Discover Life Chiropractic for 5 years. I am an athlete who went in with low back pain and some knee issues. It did take time but to this day I do not have low back pain or knee pain as long as I am staying healthy with periodic adjustments. Dr. Dave knows his stuff and is attentive to concerns (if you are feeling something make sure you tell him). I feel so aligned and feel like I am functioning at a high level each day. If I can, I like to use Dr. Daves partnering doctor for extremity adjustments (feet, arms, legs) he is exceptional especially with those! Like with anything you have to be consistent, can't just go 3 times and expect to be healed. Hope this was helpful! Best, Alex

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    So... I have had back pain all my life and neck pain from a car accident causing severe and frequent migraines. Other chiropractors just did a "quick fix" that lasted a couple days at most. This chiropractor, David, has practically eliminated my neck pain and migraines and my back pain had decreased tons. Now usually when I have pain it is because I have bad posture or I need to stretch or build up muscle to keep my spine in place. I understand he can only do so much but to be pain free you have to put in work also. WITH ALL THAT SAID, the pain has gone down from constant to occasional and from severe pain to mostly mild and we are still working on it. Would recommend the chiropractic service there to anyone.

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    I have experienced fairly sever neck pain for the last few years. Have been to my doctor, had ultrasounds etc. Nothing was working. I started going to David at Discover life a few months ago as a last resort to deal with the pain and the difference is amazing even with just this short amount of time. He explains everything very clearly and even has me doing stretching and work while at home. His staff is great and always friendly when I come in. I would highly recommend Discover Life Chiropractic.

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