Tag Archives: carpal tunnel syndrome

Carpal Tunnel Syndrome? Maybe, Maybe Not!

carpal tunnel san franciscoWe have been providing treatment for Carpal Tunnel Syndrome in Downtown San Francisco for over 23 years. 

Most of the patients we treat spend the majority of their day sitting in front of a computer doing repetitive motions Many go on to do more computer work at home. Some are even on the computer or smart phone as they commute to and from work. OUCH!

We are simply not designed to be sitting for long periods doing the same thing over and over.  In fact, we are designed to be doing just the opposite…running and hunting for food. Our bodies need constant motion in order to function properly.

When we sit all day the muscles in the neck and back are in a constant state of tension. Plus, our posture tends to take on hunched-over position we are in. This can cause pressure on the nerves in the neck that travel down the arms and control the hands. Pressure on the nerves can cause the same symptoms you experience when you have carpal tunnel syndrome (CTS).

The classic signs and symptoms of CTS are as follows:

  • Hand pain
  • Numbness and Tingling in the hand
  • Night pain
  • Neck pain
  • Pain that radiates from the hand to the elbow or neck
  • Weakness of grip

Again, pressure on the nerves in the neck cause the same symptoms This is why so many carpal tunnel surgeries fail. It was not the true problem. The nerve involved in true CTS is the Median Nerve. It is actually formed by branches of the cervical nerves (neck). This is why the symptoms are the same. True CTS is when there is compression of the median nerve in the wrist. This is a far less likely scenario than compression on the nerves in the neck. It is also easier to treat the neck. Results can typically be seen right away.

Some of the conditions in the neck area that can pinch the nerves that innervate the arm and hand are as follows:

  • Bulging and herniated discs
  • Vertebral Subluxation
  • Degenerative Disc Disease
  • Facet Syndrome
  • Spinal Degeneration
  • Thoracic Outlet Syndrome
  • Cervical Rib

So there you go. Changes are if you have CTS Symptoms you don’t have true CTS. And one more thing…

Not all doctors know how to treat CTS and related disorders. Chiropractors are experts and some (like us) even specialize in treating neck, arm, and hand pain. The treatment is 100% natural s usually covered by insurance (we belong to most plans).

To find out more about CTS check out the other blog posts on this blog.

To make an appointment for carpal tunnel treatment in San Francisco please call 415-392-2225.  We validate parking at the Embarcadero Center. 

Eben Davis

I am a Chiropractor in the San Francisco Financial District specializing in chronic neck, arm and hand pain. I also treat herniated discs using spinal decompression, whiplash, sports injuries, headaches, and Fibromyalgia. My clinic is certified in the use of Deep Tissue Laser Therapy with the LiteCure LCT-1000 for conditions such as shoulder pain, TMJ and Plantar Fasciitis. I have been in practice for over 20 years.

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Carpal Tunnel SYMPTOMS vs. Carpal Tunnel Syndrome

carpal tunnel treatment san franciscoWe have been providing treatment for carpal tunnel syndrome and related disorders in San Francisco for over 23 years. 

Carpal Tunnel Syndrome (CTS) is when a nerve in the wrist (the median nerve) becomes compressed, usually due to repetitive motions over time, acute trauma (rare), or as part of other upper extremity musculoskeletal disease complexes.

Either the diameter of the carpal tunnel narrows or the contents of the carpal tunnel expand putting pressure on the median nerve (which originates in the neck).  The carpal tunnel is a small opening, about the size of the tip of your pinkey, that is created by the 8 carpal bones and the transverse ligament that holds them together. There is no extra space in the carpal tunnel.

Inside the carpal tunnel is the median nerve and some some blood vessels. The median nerve has protective sheaths around it that also secrete fluids which allow for the nerve to glide within the tunnel.

With overuse syndromes such as repetitive stress injuries (RSI) the fluid dries up and the nerve sheath and median nerve swell causing pain and dysfunction.  RSI can also cause the carpal bones to misalign which can irritate the median nerve as well. Trauma to the hand can also cause CTS. The signs and symptoms of carpal tunnel syndrome are as follows:

  • Hand Pain
  • Numbness and Tingling
  • Weak Grip
  • Night Pain
  • Burning
  • Neck, shoulder, elbow pain

So, true carpal tunnel syndrome is when there is compression of the median nerve in the carpal tunnel…either from the tunnel narrowing or the contents expanding. True CTS is rare. The majority of the time CTS symptoms are NOT the result of true CTS…they are the result of problems (nerve pressure) in the neck. 

The median nerve originates in the neck. It is actually created by branches of nerve roots that exit  the lower part of the neck (C5-8). Each of these nerves passes through bones. If there is any kind of nerve pressure on these nerve roots it can cause the same exact symptoms in the hand that you would get if you had true CTS.

This is why it’s so important to visit a doctor that routinely treats patients with carpal tunnel SYMPTOMS. Carpal Tunnel Syndrome is one of the most misdiagnosed conditions there is. It is not uncommon for an emergency room doctor or primary physician or nurse to make a CTS diagnosis for hand pain. The typical course of treatment is a wrist splint and Motrin. Meanwhile, the true cause in the neck is left untreated.

Some of the conditions in the neck that can cause carpal tunnel SYMPTOMS in the upper extremity are as follows:

  1. Bulging or Herniated Cervical Disc
  2. Vertebral Subluxation
  3. Thoracic Outlet Syndrome
  4. Facet Syndrome
  5. Degenerative Disc Disease
  6. Spinal Stenosis

There are other upper extremity disorders that can mimic CTS. The point here is you need to know what they are and how to check for them. And even more importantly…how to treat them before they get worse.

A chiropractor that specializes in carpal tunnel syndrome and related disorders is your best bet. We may take x-rays or order a nerve conduction test or MRI.  The treatments we use to treat these types of problems are spinal and extremity adjustments (gentle), massage, laser, exercise, ice/heat, physical therapy, ART, Graston, traction.

All cases present differently and are treated as such. Often times a patient that presents with carpal tunnel SYMPTOMS can be fixed in a fe days. Other times, with more chronic cases it takes months. And everything in between.

Whatever you do make sure you see an expert. My advice is to see a chiropractor. Call around. Search the internet and find out if the doctor is experienced in carpal tunnel treatment and call and speak to them.

And even if you do have true carpal tunnel syndrome, a trained chiropractor is your best treatment choice.  You can save yourself a lot of time and grief by doing some homework.

If you live or work in San Francisco you can see us. We also have medical doctors and physical therapists in the event you need them.

To make an appointment with a carpal tunnel doctor in San Francisco please call 415-392-2225. We validate parking at the Embarcadero Center.  

Eben Davis

I am a Chiropractor in the San Francisco Financial District specializing in chronic neck, arm and hand pain. I also treat herniated discs using spinal decompression, whiplash, sports injuries, headaches, and Fibromyalgia. My clinic is certified in the use of Deep Tissue Laser Therapy with the LiteCure LCT-1000 for conditions such as shoulder pain, TMJ and Plantar Fasciitis. I have been in practice for over 20 years.

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What is Carpal Tunnel Syndrome?


carpal tunnel treatment san franciscoWe have been providing treatment for Carpal Tunnel Syndrome and related disorders in San Francisco for over 22 years now. 

Here is an excerpt from an article on the great chiropractic consumer website Chiro-trust.org entitled Carpal Tunnel Syndrome-What Is It?:

Carpal Tunnel Syndrome (CTS) basically occurs when pressure is applied to the median nerve as it travels through the wrist on the palm side resulting in numbness, tingling, pain, and later, weakness of the grip and pinch functions. But, the median nerve can be pinched at many other locations as it courses down from the neck to the hand, which is why we examine and treat the CTS patient from the neck down! The median nerve has been described as the “eye of the hand,” as it is one of the three major nerves formed from the brachial plexus– that “highway” of nerves made up of the C5-T2 roots leaving the neck, merging together to eventually form the three main nerves of the arm. Because the median nerve function regulates pinch and grip strength, buttoning a shirt, writing a note, driving a car, and even sleeping are ALL affected by a median nerve pinch.

So, since the median nerve originates in the neck, and carpal tunnel symptoms are mostly in the hand, the neck-hand connection is often overlooked by doctors and therapist that do not routinely treat CTS.

Our carpal tunnel doctors in San Francisco have been treating CTS since before the dotcom boom-bust. In fact, we have successfully treated over 20,000 cases of carpal tunnel symptoms and upper extremity disorders. The secret is to ALWAYS examine and treat from the neck to the fingertips…on both sides. At our clinic we also check the entire spine and feet. A pedal imbalance such as a pronation or short leg can cause cervical muscle spams and interfere with nerve transmission to the hands. Interesting Huh?

Bottom Line:  Carpal Tunnel Symptoms are nothing to mess around with. You use your hands for everything. Patients with chronic hand pain are often depressed and have other problems such as sleeping disorders and lowered immune function. It’s a chain reaction that can overwhelm your life.

The good news is that a chiropractor that specializes in CTS can help…and results are usually seen right away.

To find out if you are a candidate for carpal tunnel treatment in San Francisco please call 415-392-2225.

Eben Davis

I am a Chiropractor in the San Francisco Financial District specializing in chronic neck, arm and hand pain. I also treat herniated discs using spinal decompression, whiplash, sports injuries, headaches, and Fibromyalgia. My clinic is certified in the use of Deep Tissue Laser Therapy with the LiteCure LCT-1000 for conditions such as shoulder pain, TMJ and Plantar Fasciitis. I have been in practice for over 20 years.

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Is it Carpal Tunnel Syndrome or Pinched Nerve in Neck?

carpal tunnel doctors san francisco

Is it Carpal Tunnel Syndrome or the Neck?

We have been providing treatment for carpal tunnel syndrome in San Francisco for over 22 years.

One of the more common presentations of symptoms that we see at our chiropractic clinic in downtown San Francisco is computer related hand pain, numbness, tingling, burning, aching and weakness (some or all of these together). Sometimes there is associated neck shoulder, or arm pain.

So the question becomes…what is the underlying cause of the symptoms?

Sure, these are the classic symptoms of carpal tunnel syndrome (CTS), but the likelihood there is true CTS is rare. What’s more likely is that the cause of the CTS symptoms is a pinched nerve in the neck. After-all…the nerves that exit from in between the bones in the neck, travel into the upper extremities and innervate and control the arms and hands.

When there is pressure on these nerves in the neck it can cause the same signs and symptoms of true carpal tunnel syndrome.

Pinched nerves in the neck are mostly the result of bulging or herniated cervical discs, subluxated vertebrae, or degenerative disc disease…all of which respond favorably to chiropractic adjustments. In the event we need a little help, we have deep tissue laser or nonsurgical spinal decompression.

We do chiropractic adjustments to the neck, shoulders, elbows, wrists and fingers on both sides. We do massage and exercise as well. We are also concerned with proper ergonomics, sleeping positions and nutrition. It is this comprehensive approach that has allowed us to successfully treat thousands of patients with CTS symptoms over the years.

So…if you are experiencing the signs and symptoms of carpal tunnel syndrome and would like to find out if you are a candidate for care…please call 415-392-2225 and make an appointment with one of our San Francisco Carpal Tunnel Experts. Chances are, you will be glad you did :-)

Eben Davis

I am a Chiropractor in the San Francisco Financial District specializing in chronic neck, arm and hand pain. I also treat herniated discs using spinal decompression, whiplash, sports injuries, headaches, and Fibromyalgia. My clinic is certified in the use of Deep Tissue Laser Therapy with the LiteCure LCT-1000 for conditions such as shoulder pain, TMJ and Plantar Fasciitis. I have been in practice for over 20 years.

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Carpal Tunnel Syndrome: Self Diagnosis


Natural carpal tunnel treatment in downtown  san francisco
We have been providing natural treatment for Carpal Tunnel Syndrome (CTS) and Symptoms in the San Francisco Financial District for over 20 years now.

Carpal
Tunnel Syndrome (CTS) is technically a “pinched nerve” in the wrist (carpal
tunnel) that results in numbness, tingling and later, weakness in the
distribution of the median nerve (thumb, index, 3rd, and half of the 4th
finger). There is a limited amount of space within the carpal tunnel. In
addition to the median nerve, there are 9 tendons and their sheaths, a network
of blood vessels, the joint capsules, the bony “roof” and ligamentous “floor.”
Any condition that distorts the shape of the tunnel  (inflammatory conditions like rheumatoid
arthritis, ganglion cysts, bony spurs, or conditions that result in swelling
like overuse, pregnancy, taking birth control pills, hypothyroid, obesity,
and/or conditions that create neuropathy like a pinched nerve in the neck,
shoulder or elbow, diabetes and post-chemotherapy) can result in median nerve
irritation. The carpal tunnel naturally changes its shape when we flex and
extend the wrist, so occupations that require wrist bending (especially if it’s
prolonged and a fast pace is required) such as carpentry (especially the use of
vibrating tools), waitressing, assembly line work, typists, and even sleeping
at night with the wrist bent can result in CTS.

            The diagnosis can be tricky because
of all the possible causes (of which, some are described above) and to make
matters even more challenging, there can be two, three, or more of the causes
all contributing to the problem at the same time! In the clinic, there are
certain positions to test how long (in seconds) it takes for the numbness,
tingling and/or pain to occur when we place the wrist in extreme flexion or
extension. We’ll compress the carpal tunnel (and nerve pathways at the elbow,
shoulder, and neck), as well as tap over the carpal tunnel with a reflex hammer
creating a “funny bone” sensation usually into the 2nd or 3rd finger. Blood
tests for rheumatoid (and other inflammatory) arthritis, diabetes and thyroid
dysfunction are very helpful when trying to differentiate between several
possible causes. An electrical conduction test called electromyogram (EMG) and
nerve conduction velocity (NCV) can also be very helpful in determining the
severity of CTS.

            So the question is, can you “self-diagnose”
CTS? The answer is: sometimes. However, with that said, if the symptoms are
“classic” (numbness/tingling in the thumb, fingers 2-4, which shaking and
flicking your fingers relieves at least partially; it’s waking you up at night
especially, if a night splint helps reduce the frequency of waking and
intensity of numbness), then you “probably” have CTS. Here are some common
questions included in a CTS questionnaire that we often use in the clinic to
assist with the diagnosis: SYMPTOM
SEVERITY
(score each on a 0-4 scale): 1) Pain severity at night? 2)
Nighttime frequency of waking with pain? 3) Amount of daytime hand/wrist pain?
4) Frequency of daytime hand/wrist pain? 5) Duration (in minutes) of daytime
pain/numbness? 6) Severity of numbness? 7) Severity of weakness? 8) Tingling
intensity? 9) Nighttime severity of numbness or tingling? 10) Nighttime
frequency of numbness or tingling? 11) Difficulty grasping / using small
objects like keys or pens? FUNCTION
SEVERITY
(0-4 scale): 1) Writing. 2) Buttoning clothes. 3) Holding a book
while reading. 4. Gripping of a telephone handle. 5) Opening jars. 6. Household
chores. 7. Carrying grocery bags. 8. Bathing and dressing. The maximum score
for SYMPTOM SEVERITY is 11×4 = 44
and for FUNCTION 8×4 = 32. To determine
the percentage, divide your score by 76 (the maximum possible) and multiply it
by 100. In general, scores >50% may be indicative of CTS. However, as
previously stated, a definitive diagnosis must include a detailed history,
examination, sometimes special tests. Therefore, it is important to see us! If
you have CTS, we will outline the type and length of care with you and MOST
IMPORTANT, we can usually manage CTS without the need for surgery!

            We realize you have a choice in who
you consider for your health care provision and we sincerely appreciate your
trust in choosing our service for those needs.
If you, a friend or family member require care for CTS, we would be
honored to render our services.

To schedule an appointment for natural carpal tunnel relief in San Francisco call 415-392-2225

Altadonna Communications ©

 

Eben Davis

I am a Chiropractor in the San Francisco Financial District specializing in chronic neck, arm and hand pain. I also treat herniated discs using spinal decompression, whiplash, sports injuries, headaches, and Fibromyalgia. My clinic is certified in the use of Deep Tissue Laser Therapy with the LiteCure LCT-1000 for conditions such as shoulder pain, TMJ and Plantar Fasciitis. I have been in practice for over 20 years.

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Hand Pain Causes


Hand pain treatment in SFWe have been providing natural solutions for hand pain in San Francisco since 1992.

The are many hand pain causes. Sure, if you use your hands too much it will make them sore. For instance, if out of the blue you assemble a 200 piece doll house for your daughter that requires lots of hand tools you will probably get sore hands. Or, if you use a new piece of exercise equipment, or start a new hobby or sport like tennis or golf you increase your chances of hand pain. This kind of pain is just the body telling you you did too much.

The kind of hand or wrist pain I am describing usually goes away quick and there are no repercussions. If you want to speed up your recovery you can use ice or some simple stretches…or just rest. Unless, you really overdo it and/or already had some hand problems bubbling under the surface.

For example…if by day, you are sitting in front of a computer doing repetitive movements with the arm and hands, you may be developing a repetitive stress injury and did not even know it. Then, you take up golf and your arms and hands begin to get really sore and don’t seem to recover. This is the type of scenario we see frequently at our Back, Neck, and Wrist pain Center in San Francisco.

Or, hand pain, wrist pain, forearm pain, numbness, tingling, or weakness of grip, just seems to develop out of the blue for no apparent reason. This is also common and can be very frustrating to patients as we use our hands for everything and for the most part take the use of them for granted.

The other thing is, the true source of your hand pain may not even be the hands or wrists (carpal tunnel syndrome)…it may be the neck. That’s right…the nerves that innervate and control the shoulder, arm, and hands originate in the neck. Pressure on these nerves in the neck from misaligned vertebrae (vertebral subluxations), bulging or herniated cervical discs, face syndrome’s, or degenerative disc disease can also cause pain, numbness, tingling, or weakness in the hands.

I know this sounds complicated but it really isn’t. Not for a chiropractor that specializes in hand pain and related disorders. Not sure if I would go to the emergency room for this, or even to my family doctor…because they just don’t have the experience to know what to do.

Wrist splints and Motrin is the usual treatment. Meanwhile, there is no examination of the neck to check for nerve pressure or interference. In fact, there are even some hand surgeons that don’t check the neck. I can’t tell you how many carpal tunnel surgeries I have seen in my 21 year career that were not necessary.

Anyway, if you have hand pain and it comes on gradually out of the blue, or you overdo it and the hand pain persists, you should probably see a chiropractor…not any chiropractor, but one that specializes in hand pain.

If you live or work near downtown San Francisco you can see us. If you don’t then email ebendavis@yahoo.com and ask me if I have a doctor I have trained to treat CTS in your area.

To schedule an appointment for hand pain treatment in San Francisco call 415-392-2225.

By Dr. Eben Davis

Eben Davis

I am a Chiropractor in the San Francisco Financial District specializing in chronic neck, arm and hand pain. I also treat herniated discs using spinal decompression, whiplash, sports injuries, headaches, and Fibromyalgia. My clinic is certified in the use of Deep Tissue Laser Therapy with the LiteCure LCT-1000 for conditions such as shoulder pain, TMJ and Plantar Fasciitis. I have been in practice for over 20 years.

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Carpal Tunnel Syndrome and Herbs

Carpal tunnel symptoms natural care san francisco
We have been providing natural carpal tunnel treatment in San Francisco for over 20 years now.

Carpal
Tunnel Syndrome (CTS) is a condition caused by the compression of the median
nerve as it travels through the carpal tunnel in the wrist. The “source” of
median nerve compression can be soft tissue swelling, such as tendonitis,
bursitis, synovitis, capsulitis, etc. Last month, we discussed nutritional
supplementation for CTS in general. This month, the focus is on specific herbs
that can help this potentially disabling condition.

1.       Chamomile functions as a natural “tranquilizer.” It’s used for
muscle pain (as a relaxant), but can also help other problems such as menstrual
disorders, headaches, and tension. Chamomile facilitates relaxation of tight
muscles and has an anti-inflammatory property that soothes cramps.

2.       Kava Root is an herbal plant that is well known for its muscle
relaxing benefits. It is particularly helpful with extreme muscle pain.

3.       Valerian is a very effective relaxant that dates back to the
medieval times for curing ailments associated with muscle spasms such as muscle
cramps and neck problems.

4.       Catnip is also a natural muscle relaxant, and is a member of
the mint family. It is used as a sedative and muscle relaxer. Headaches due to
tension have been treated using a poultice containing catnip. Catnip has also
been found to reduce swelling in joints and reduce soft tissue injuries such as
tendonitis, bursitis, and capsulitis.

5.     Cayenne
Pepper
is a popular herb used in
cooking and can be found in many recipes. Cayenne pepper has been found to
significantly relieve the pain of muscle cramping.

6.       Horseradish has been reported to relieve extreme muscular stress
involved in cramps and muscle pain. One approach is mixing a few drops of
horseradish oil in bath water to reduce soreness associated with muscle aches.

7.       Lavender flower oil is well known as a very effective muscle
relaxant that provides relief caused by muscular tension. Using a circular
motion while massaging the oil over the achy muscle can be particularly
soothing. In addition to the mind/body relaxation benefits, an increase in
circulation allows the tense muscles to relax and heal.

8.       Licorice has the ability to reduce inflammation associated
with muscle pain.

9.       Devil’s Claw is a very popular anti-inflammatory herb that dates
back to the 18th century for the treatment of arthritis and many other painful
conditions. It’s also used as an effective muscle relaxer.

10.   Peppermint oil has been used to treat conditions associated with
muscles aches. Pouring some drops of peppermint oil in a hot bucket of water to
soak a foot, ankle or lower leg (possibly combined with Epson salt) can be very
relieving.

11.   Other
natural muscle relaxants include

Cramp bark, Passiflora, Bergamot, Cardamom, Basil, Ginger root, and others.

            It is appropriate to COMBINE
these natural herbal approaches with other treatments that are known to work
well in the treatment of CTS. Chiropractic can provide: 1. Manipulation and
mobilization of the neck, shoulder, elbow forearm, wrist, hand, and fingers; 2.
Cock-up splints to be worn at night and at times during the day such as
driving; 3. Physical therapy modalities such as electric stim, ultrasound,
light or laser therapy, magnetic field; 4. Work station and other ergonomic
modification recommendations; 5. Exercise training, and more.

            We realize you have a choice in who
you consider for your health care provision and we sincerely appreciate your
trust in choosing our service for those needs.
If you, a friend or family member require care for CTS, we would be
honored to render our services.

To schedule an appointment with one of our carpal tunnel syndrome doctors in San Francisco please call 415-392-2225. Mention this blog for a complimentary consultation.

Serving downtown local 94111 and surrounding areas

Eben Davis

I am a Chiropractor in the San Francisco Financial District specializing in chronic neck, arm and hand pain. I also treat herniated discs using spinal decompression, whiplash, sports injuries, headaches, and Fibromyalgia. My clinic is certified in the use of Deep Tissue Laser Therapy with the LiteCure LCT-1000 for conditions such as shoulder pain, TMJ and Plantar Fasciitis. I have been in practice for over 20 years.

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Carpal Tunnel Syndrome – Nutrition Update

Carpal tunnel san francisco
Carpal
Tunnel Syndrome
(CTS) is a condition where the median nerve that arises in the
neck and travels through the shoulder, arm, and into the hand becomes
compressed. Compression of the median nerve results in tingling, numbness, pain
and/or weakness that affects the 2nd, 3rd, and thumb-side half of the 4th
fingers. It can wake sufferers up in the middle of the night, forcing them to
have to shake the hand and flick the fingers to “wake it up.” This can occur
multiples times a night, making for a long next day! We’ve discussed
chiropractic management strategies such as manipulation/mobilization of the
neck, shoulder, elbow, wrist and hand, the use of a cock-up splint (especially
at night and at times when driving), but more information regarding the use of
nutritional supplementation is lacking; hence the purpose of this Health
Update!

Let’s
look at what we are trying to accomplish by nutritional approaches for CTS:

  1. Anti-inflammation: Because of stomach, liver, and kidney side
    effects, NSAIDs such as ibuprofen, aspirin, and others may not be your
    best choice. Rather, consider Turmeric (300 mcg), Ginger (100 mg),
    Boswellia (100 mg), Rosemary (100 mg), Bioflavonoid (100 mg), Bromelain
    (50 mg), Vitamin C (1-3 grams/day), Vitamin E (400 IU/day), Vitamin D3
    (2000-5000 IU/day), Vitamin B-complex (especially B6, 9, and 12).
  2. Muscle relaxation: Calcium (1500mg/day), Magnesium (400 mg/day),
    Potassium, valerian root (vervain), B-Complex, L-Arginine, Rosemary,
    Catnip, Kava root, Chamomile, Cayenne Pepper, Horseradish, Lavender,
    Licorice, Devil’s Claw.
  3. Nerve repair: Folate (B9), B12 (cobalamin), Vitamin D3, B1 (Thiamin; minimum:
    1.2mg/day), B5 (Pantothenic acid), B3 (niacin; minimum 16 mg/day), B12.
  4. Managing systemic conditions:

a)       Diabetes
(dysinsulinism)
: Chromium
(picolinate or choloride), Alpha-Lipoic Acid, Omega-3 Fatty Acids (1000 mg of
EPA & DHA), Coenzyme Q10, Polyphenols (dark chocolate, green tea),
Botanicals (plant extracts such as garlic, prickly pear, aloe vera, fenugreek,
bitter melon and ginseng).

b)      Thyroid
dysfunction (hypothyroid)
: B-Complex
(100 mg of B1, 3, 5, & 6 3x/day; B2, 50 mg 2x/day; B12 1000-2000 mcg/day;
Selenium and iodine, Anti-oxidants (Selenium, Vit. C, Vit. E) Copper, thyroid
extract, organic iodine.

c)       Obesity
(BMI>30)
: Childhood
obesity: Vit. D (ages 1-13, 5 mcg/day), B12, Vit. C, Fiber, Calcium (an extra
300mg of Calcium= >2 lb. weight drop); other fat soluble vitamins (Vit. A,
E, and K), iron (iron is more commonly deficient in obese children and adults
and can lead to fatigue and poor mental health and memory function).

  1. Other considerations: General health: paleo diet, sleep quality, and
    exercise (see below).

You may notice that there is a lot
of overlap in many of these vitamin recommendations. If one were to give
nutritional recommendations for general health purposes, the anti-inflammatory
“big 5” might include 1. A good quality multi-vitamin mineral, 2. Magnesium
(often with calcium as a combined supplement), 3. Omega-3 fatty acids; 4.
Vitamin D; and 5. Coenzyme Q10. For CTS specifically, the addition of a B
complex seems consistently recommended above.
Controlling weight will reduce CTS risk and decrease the risk of acquiring
type II diabetes which increases CTS risk by itself. Perhaps an “ideal diet”
for everyone might include eating plenty of fruits, vegetables, lean meats, and
the elimination of gluten (grains) – referred to by some as the
“anti-inflammatory diet,” paleo diet, caveman diet, and Mediterranean diet. Fortifying
a great diet with vitamins is the “take-home” concept!

            We realize you have a choice in who
you consider for your health care provision and we sincerely appreciate your
trust in choosing our service for those needs.
If you, a friend or family member require care for Carpal Tunnel Syndrome, we would be
honored to render our services.

To schedule an appointment with a carpal tunnel doctor in San Francisco call 415-392-2225. Mention this blog for a complimentary carpal tunnel syndrome consultation.

Serving local 94111 for over 20 years

Eben Davis

I am a Chiropractor in the San Francisco Financial District specializing in chronic neck, arm and hand pain. I also treat herniated discs using spinal decompression, whiplash, sports injuries, headaches, and Fibromyalgia. My clinic is certified in the use of Deep Tissue Laser Therapy with the LiteCure LCT-1000 for conditions such as shoulder pain, TMJ and Plantar Fasciitis. I have been in practice for over 20 years.

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Back, Neck and Arm Pain Treatment in San Francisco

Chiropractor San Francisco Financial DistrictOur "Patient of the Week" is Jennifer Rocco. We first met Jennifer almost 20 years ago. She had developed back, neck, and arm pain from long hours of repetitive movements at work. Jennifer works for a gaming company and is involved in testing new products and research and development. This requires intense sessions of sitting with lots of hand and arm movement and limited rest.

Jennifer soon discovered that regular chiropractic adjustments combined with regualr exercise and proper nutrition could keep her healthy and better able her to meet the physical demands of her job. She had witnessed co-workers succumb to the demands of the job and develop serious repetitive stress injuries like carpal tunnel syndrome, tendonitis and chronic back and neck pain. She did not want that to happen to her.

Well…here we are almost 20 years later and she is still going strong. Jennifer comes in 2-3 times per month depending on her workload and is in excellent health. Sure, sometimes she overdoes it like all of us from time to time but she seems to have struck that balance between work and her healthy lifestyle that enables her to live mostly "Pain Free". And we are proud to say that regular chiropractic care is the centerpiece of her healthy master plan.

Patients like Jennifer are the reason we do what we do. We like to refer to our little chiropractic clinic at the Embarcadero Center as a "Corporate Pit Stop". The corporate jungle and the fast pace associated with it is the race track.  And your body is the race car. And just like the cars in the Indy 500 have to pull over from time to time and get a super fast oil, tire and parts change…as well as fuel up…so do you…and that's what we do.

Our Financial District Chiropractic Clinic is open 9-6 Monday to Friday and does not require appointments. When you need a quick tune up you can just pull off the race track and right into our "pit stop". We have no waiting so we get to work right away so you can get back on the fast track.

We offer chiropractic adjustments that include a stretch  exercise and warm-up massage. We also have "deep tissue laser therapy" and spinal decompression. There are not very many musculoskeletal problems that we cannot handle. We mostly treat neck, back, and wrist pain, shoulder and arm pain, foot pain, whiplash, carpal tunnel syndrome, and herniated and bulging discs.

So come on down. Mention this blog post for a complimentary consultation and tour.

Our San Francisco Chiropractors can be reached at 415-392-2225.

Serving local 94111 for over 20 years

Eben Davis

I am a Chiropractor in the San Francisco Financial District specializing in chronic neck, arm and hand pain. I also treat herniated discs using spinal decompression, whiplash, sports injuries, headaches, and Fibromyalgia. My clinic is certified in the use of Deep Tissue Laser Therapy with the LiteCure LCT-1000 for conditions such as shoulder pain, TMJ and Plantar Fasciitis. I have been in practice for over 20 years.

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What Does “Deep Tissue Laser Therapy” Do?

Deep Tissue Laser San FranciscoWe have been providing Class IV Deep Tissue Laser Therapy in San Francisco for about 5 years now. Prior to this we used various versions of the less powerful hot and cold lasers. The laser we use now is the LiteCure Deep Tissue Laser.

So what’s the difference between the older cold lasers and a Class IV Deep Tissue Laser? 

Well, the Class IV laser is much more powerful. It can get you where you want to go a lot quicker. The older lasers are like a single engine prop plane and the new Class IV Deep Tissue Lasers are like a Lear Jet. If you want to get from San Francisco to New York City in the shortest amount of time you take the Lear Jet.

What exactly does deep tissue laser therapy do anyway?

OK…lets go back in time to your Biology class in High School. Do you remember the word PHOTOSYNTHESIS? This is the word that describes the way living plants and organisms
respond to light. Photo means “light”. Well…living cells and tissues
respond to light the same way. Laser is to damaged tissue cells like
sunlight is to a plant in a dark room needing repair.

Basically…”Light is Life”.

Deep Tissue Laser Therapy is able to deliver “light energy” deep into the tissues of the body. And get this…The laser light goes where it is needed most. Damaged cells are magnets for laser light energy.

The laser light sets into motion a cascade of chemical reactions that speed up the healing process resulting in reduction of inflammation, swelling, loss of funtion and pain.

Some of the conditions that we have had great success with at our clinic are Carpal Tunnel Syndrome, Plantar Fasciitis, Shoulder and Elbow Pain, TMJ, Neck and Back Pain, and Whiplash Injury.

We typically incorporate chiropractic adjustments and other soft tissue therapies such as ART and Graston Technique into the mix. We also use Deep Tissue Laser as a stand alone treatment as well.

How many Deep Tissue Laser Therapy sessions does it take to heal an injury?

Depending on the nature and severity of the injury and the body part/s involved it can take anywhere from 5-20 sessions. This is determined at the time of the initial exam and intake.

How much does Deep Tissue Laser Therapy Costs?

It depends if it is a stand alone treatment and to what area of the body (larger areas require a longer treatment time) and how many treatment sites there are. In general, laser therapy is not expensive. We will make recommendations based on individual needs.

Is Deep Tissue Therapeutic Laser Therapy Painful?

No, not at all. What you feel is a gentle warmth…it is very safe and gentle.

How Do I Find Out If I am a Candidate for Deep Tissue Laser Therapy?

Our clinic provides Deep Tissue Laser Therapy in San Francisco at the Embarcadero Center in the Financial District. We would be glad to offer you a complimentary consultation to discuss your case in person and discuss your treatment options. Simply call 415-392-2225. We Validate Parking. 

Dr. Eben Davis

Eben Davis

I am a Chiropractor in the San Francisco Financial District specializing in chronic neck, arm and hand pain. I also treat herniated discs using spinal decompression, whiplash, sports injuries, headaches, and Fibromyalgia. My clinic is certified in the use of Deep Tissue Laser Therapy with the LiteCure LCT-1000 for conditions such as shoulder pain, TMJ and Plantar Fasciitis. I have been in practice for over 20 years.

More Posts - Website

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