Tag Archives: carpal tunnel

Hand Pain For No Reason?

Hand Pain Treatment in SF

Hand Pain Treatment in San Francisco

We have been treating hand pain in San Francisco for over 22 years.

Every week, many people come to our clinic with hand pain that has no apparent cause. Some say they woke up with it…others say it just came on while they were performing normal work or household duties. For some, the hand pain comes and goes and may be getting progressively worse.

The obvious place to look is the hands themselves. Are they being overworked? This day and age most of us spend a good amount of time sitting at a desk in front of a computer doing repetitive motions with the arms and hands. This alone without adequate breaks or proper ergonomics and posture can lead to hand pain, numbness, tingling, burning and weakness.

There is a not so obvious place to look as well that could well be the primary contributor to your arm or hand pain. The neck or cervical spine. This is where all the nerves that innervate or control the arm and hands (upper extremities) originate  and they are very vulnerable to pressure or interference as they exit the spine.

Some of the conditions in the neck that can pinch the nerves and cause hand pain and related disorders are as follows:

  • Herniated or bulging discs in the neck
  • Facet Syndrome
  • Degenerative Disc Disease
  • Vertebral Subluxation
  • Bone spurs
  • Spinal Stenosis

Here are some of the potential symptoms from these conditions:

  • Neck and shoulder pain
  • Arm pain
  • Elbow Pain
  • Hand Pain
  • Numbness and Tingling
  • Weakness of Grip
  • Night Pain

These are also the symptoms of Carpal Tunnel Syndrome (CTS). In fact, many patients are misdiagnosed with CTS when the problem is actually in the neck. It’s easy to do since the symptoms are the same. This is why it’s so important to See a doctor who spends the majority of their day managing cases of hand pain and related disorders and knows how to treat them naturally. There are many chiropractors that specialize in this like we do.

The last thing you ant is unnecessary drugs or surgeries.

Patients come to our San Francisco Chiropractic and medical center because they know we are hand pain and carpal tunnel experts. We have medical doctors, chiropractors, physical therapists, trainers, massage therapists, and nurses, that routinely treat hand pain, naturally.

We have two clinics in downtown San Francisco to serve you.

So…if you are suffering with hand pain, numbness, tingling, burning, aching, neck or shoulder pain or night pain, you may want to give us a call.

To schedule an appointment with a hand pain doctor on 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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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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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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Post Surgical Nutritional Management of CTS

 


Carpal tunnel symptoms relief san francisco
Obviously, the goal of all health
care providers, including chiropractic management of Carpal Tunnel Syndrome
(CTS), is to AVOID surgical intervention, but this is not always possible. Last
month, we looked at herbal approaches to reduce inflammation with the focused
goal of preventing surgical need. But, as chiropractors, we also care for
patients post CTS surgery, and one of our treatment approaches beyond manual
therapies includes nutritional management.
 

As we all know, during the surgical
process, tissue damage occurs due to incisions, removal of injured tissue, and
other factors. Depending on the “success” of the surgical procedure, damage to
the nerves causing numbness, weakness, and/or other nerve related symptoms can
occur.

Often, nerves will regenerate during the healing process but not always
100%. This may be due to factors such as the amount of tissue damaged during
the surgery, the length of time CTS had been present pre-surgery, how well the
patient follows post-surgical instructions, as well as the general health and
overall condition of the patient. A healthy diet along with certain specific
vitamins can play a positive role in tissue healing and nerve regeneration.
Here are some examples:

 

1.    Folate or
vitamin B9
has been reported to
have beneficial effects on the genes located within the nerve cells that help
to regulate the healing process. One study published in 2010 reported that
folate helped to promote nerve repair in the central nervous system (CNS) in
rats, which is unique as typically nerve damage in the CNS does not usually
regenerate. Anti-inflammatory benefits have also been reported with vitamins
B6, B9, and B12.

2.    Cobalamin
or Vitamin B12
has also been
reported to facilitate nerve regeneration after injury. This, along with the
anti-inflammatory benefits, supports the use of B12 in the post-surgical CTS
patient.

3.       Vitamin D may also play a significant role in nerve
regeneration after surgery. In one study, vitamin D2 was found to have a
positive effect on nerve regeneration. Another study reported that D3 and
calcium together has strong anti-inflammatory benefits.

4.      Vitamin
B6
: There is evidence that
supports the use of B6 both before and after surgery. Some feel B6 acts
directly on nerve repair and others report a diuretic (fluid reducing) benefit.
One cause and/or complication of CTS is fluid retention, which commonly occurs
in conditions such as pregnancy, the use of birth control pills, obesity,
diabetes, and others. Thus, keeping fluids in our tissues under control can
certainly help CTS patients. Most studies agree that less than 200mg of B6 per
day is safe. The dosage should be carefully monitored as numbness/tingling (a
common CTS symptom) can be a sign of B6 toxicity.

5.       Vitamin C has long been reported to facilitate in the wound
healing process. It also is an effective anti-inflammatory agent, a common
problem in the cause of CTS as well as a negative post-surgical side effect. A
dose of 1000-3000mg/day spread out throughout the day is beneficial to the
post-surgical healing process.

6.      Vitamin E: As far back as 1967, Vitamin E been reported to
reduce inflammation. More recent studies report that when used in combination
with vitamin C, the two together works even better in reducing inflammation
than either one alone. Also, this combination was found to improve the body’s
ability to use insulin, which may also facilitate healing in the post-surgical
CTS patient.

            There are many others we didn’t get
to (such as B1, 3, 5; zinc, Bromelain, and Quercetin). Bottom line: Eat healthy, exercise, don’t smoke, and fortify
your diet with these nutrients!

            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 carpal tunnel treatment 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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Interesting “Carpal Tunnel Syndrome” Facts


Carpal tunnel symptoms san franciscoCarpal
Tunnel Syndrome (CTS) results in numbness, tingling, and sometimes weak grip
strength due pinching of the median nerve as it travels through the carpal
tunnel at the wrist. There are many conditions that are similar to CTS, many of
which we have discussed in the past. The following is a list of “13 fun facts”
aimed at helping to properly identify CTS, knowing what to do about it, and at
helping to make an informed decision as to whom to seek help for it.

 CTS is most
common in women, age >50, who work in a repetitive, rapid moving manually
demanding occupation (typing/computer work, line assembly work, waiting tables,
and more).

  1. CTS is
    complicated by the presence of obesity, diabetes, hypothyroid, pregnancy,
    taking birth control pills, and other conditions that cause inflammation
    (rheumatoid arthritis and others).
  2. CTS may develop
    on the dominant side, the non-dominant side or both– each case is individual.
  3. CTS symptoms may
    FIRST present as morning or night time numbness that can wake the sufferer up
    once or many times during the night.
  4. CTS sufferers
    USUALLY wait for weeks, months or even years before seeking help for it, which
    is a risk factor for a delayed recovery – GET HELP ASAP!!!
  5. CTS can often be
    managed without surgery– especially IF you have it treated sooner rather than
    later.
  6. CTS surgery may
    be necessary if non-surgical care fails. This may be due to the nerve being
    damaged beyond a certain point (an EMG/NCV or, electromyography/nerve
    conduction velocity helps determine this along with an accurate history and
    examination).
  7. CTS non-surgical
    care includes: chiropractic manipulation of the wrist, elbow, shoulder and/or
    neck– depending on the case. All health care providers usually include a night
    wrist splint, anti-inflammatory measures, ergonomic modifications of work
    stations, and stretching exercises.
  8. CTS non-surgical
    success favors chiropractic because of the inclusion of the manual therapies.
    When only exercise, night splinting, and NSAIDS are used, the success rate
    drops off dramatically.
  9. Reduced thyroid
    function makes CTS worse because of the unique type of swelling associated with
    hypothyroidism called “myxedema.” Because of the confined space available in
    the carpal tunnel, a small amount of swelling can result in nerve compression
    and the classic numbness/tingling symptoms in the middle three fingers on the
    palm-side of the hand.
  10. CTS is worse at
    night because it is impossible to control the position of the wrist while we
    sleep. As a result, we tend to curl the wrist and hand under our chin, and when
    the wrist bends forwards or backwards, the pressure inside the carpal tunnel
    increases significantly due to the change in tunnel size. This is why wearing a
    wrist splint at night REALLY HELPS as it keeps the wrist from bending, keeping
    the tunnel as wide as possible, thus lowering the pressure within it.
  11. CTS patients
    respond well in some cases to vitamin B6. This is due to the healing effects of
    B6 (peridoxine) on neuropathy and/or it’s anti-inflammatory qualities. Other
    anti-inflammatory nutrients include ginger, turmeric, boswellia, bioflavinoids,
    white willow bark, quercetin, and others.
  12. CTS patients do
    not always improve after surgery. This can be due to the fact that the median
    nerve is frequently “pinched” in more than one area such as the neck, thoracic
    outlet (shoulder), pronator tunnel (elbow) as well as at the wrist. When more
    than one compression is present, this is referred to as “double” or “multiple
    crush syndrome.”

            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 carpal tunnel relief 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 Really Carpal Tunnel Syndrome?

Carpal tunnel treatment san franciscoWe have been providing treatment for carpal tunnel syndrome in San Francisco for 21 years now.

At one point during the “Dot-Com” go go years we were know as The Carpal Tunnel Injury Center. During this time we treated over 10,000 cases with “Carpal Tunnel SYMPTOMS”. The most common signs and symptoms of carpal tunnel syndrome (CTS) are as follows:

  • Arm, Wrist or Hand Pain
  • Numbness or Tingling in the Arm and Hands
  • Weakness of Grip
  • Night Pain
  • Swelling of the Hands and Fingers
  • Pain that radiates from the Hands into the Forearm
  • Elbow Pain
  • Loss of Sensation in the Fingertips

These are the classic signs and symptoms of CTS. True carpal tunnel syndrome is caused by pressure on the Median Nerve in the wrist. The Median Nerve which actually originates in the neck passes through the 8 carpal bones which form a tunnel in your wrist called the “carpal tunnel”. There are also some tendons and blood vessels in the tunnel.

The tendons in the carpal tunnel can get over-worked and become inflamed which puts pressure on the Median Nerve. The carpal bones themselves can lose their proper alignment from trauma or repetitive trauma and put pressure on the Median causing CTS.

Women have a smaller carpal tunnel and are more prone to CTS. Carpal Tunnel is common in pregnant women because they take on water to build and protect the baby and this can cause swelling of the tendons in the tunnel and CTS. Smokers have a much higher incidence of carpal tunnel syndrome. High fat and high salt diets can cause water retention and CTS symptoms. Certain medications can cause CTS symptoms as well. Patients with Diabetes and other diseases (obesity) are more prone to CTS.

Then, there are the occupational risks of jobs that require repetitive motions such as office workers on a computer, hair cutters, meat cutters, assembly line workers. We work primarily with SF Financial District office workers.

Hobby’s such as bowling, tennis, racquetball, knitting, golf, or anything that requires lots of hand motion will also predispose you to carpal tunnel syndrome.

But here’s the deal. In spite of everything I outlined above…only a small percentage of patients that present with carpal tunnel SYMPTOMS actually have carpal tunnel SYNDROME.

Huh!…What do you mean?

Well, here’s why…Pressure on the nerves in the neck that form the Median Nerve (see image above) causes the same symptoms as pressure on the Median Nerve in the carpal tunnel.

That’s right. Just like pressure on a garden hose near the faucet will cause the same symptoms as pressure on the hose near the sprinkler (a decrease in water flow).

Pressure on the median nerve at the source causes the same symtoms as presure on the median nerve in the carpal tunnel.

And you are way more likely to have pressure on the nerves in the neck…what chiropractors call a “Subluxation” or Pinched Nerve, than you are to have true CTS.

The reason for this is simple. As the nerves exit from the bones in the neck they are vulnerable to Subluxations. All the spills and falls we took as a child. Sitting at a desk at school for 12-18 years, sports injuries, car accidents, sitting at a desk all day at work…LIFE!

Yes, just being alive and having an active lifestyle predisposes us to Subluxations in the neck and carpal tunnel symptoms.

If your doctor does not know to look at the neck you may never get the right treatment. And, just because your doctor is able to identify the neck as the source of the problem does not necessarily mean they know how to treat it. This is why we get so many referrals from medical doctors and therapists…our chiropractors know how to treat subluxations and pinched nerves in the neck…and carpal tunnel syndrome.

We use chiropractic adjustments to the neck, arms, and hands, deep tissue laser, Graston and Active Release Techniques, Kinesiotape, Exercises and more. We have perfected our methods over the years and have taught it to other chiropractors as well.

So, if you think you may have carpal tunnel syndrome and would like to find out if we can help…please call 415-392-2225 to schedule an appointment with one of our San Francisco Carpal Tunnel Doctors.

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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Chiropractor San Francisco Review: Hand Pain

Carol MartinOur San Francisco Chiropractor "Patient of the Week" is Carol Martin. Carol came to our clinic searching for answers to her ongoing  wrist pain. Months ago she had broken her wrist and it never healed properly. 

Pain and swelling persisted even after the cast had been removed. Using a combination of chiropractic adjustments to the neck, arm, and wrist, icing, massage and laser therapy, we have significantly decreased her swelling and pain.

We are now helping her rehabilitate her wrist injury as she continues to improve and heal. As this new year has dawned upon us, we're excited for the progress that Carol has made and we are all looking forward to supporting her along the way.

We have been providing treatment for hand pain in San Francisco since 1992. After-all, the nerves the innervate and control the hand originate in the neck. Pressure on these nerves will cause pain and malfunction in the shoulders, arms and hands.

Many chiropractors such as ourselves specialize in the diagnosis and treatment of neck, arm, and hand pain. We can help conditions such as r tunnel syndrome, tendonitis, sprain and strains, repetitive stress injuries, and fractures that have not healed properly.

To schedule an appointment with one of our San Francisco Hand Pain Doctors call 415-392-2225. Mention this hand pain review for a complimentary consultation.

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 and the Role of the Neck

Hand pain doctors san francisco 94111We have been providing treatment for hand pain in San Francisco for over 20 years now. During this time we have learned much about the role of the neck when it comes to hand pain and carpal tunnel symptoms.

After-all, the nerves that innervate and control the shoulder, arm, wrist and hand, originate in the neck. The neck is the source of power, energy and life for the upper extremity.

If we were to cut-off the nerve supply from the neck to the hands, the hands would die. If there is diminished nerve supply the hands will malfunction and symptoms will manifest. In order for the hands to function at 100%, they need 100% nerve power. Some of the signs and symptoms of nerve pressure in the neck are as follows:

 

1. Neck Pain

2. Shoulder, Arm, and Elbow Pain

3. Wrist and Hand Pain

4. Numbness and Tingling in the Arms and Hands

5. Weakness of Grip

6. Night Pain

These are also the classic signs and symptoms of Carpal Tunnel Syndrome (CTS). Yes, the same symptoms result from nerve interference between the neck and had as true CTS, which is the result of pressure on the median nerve in the wrist. This is because the median nerve originates in the neck.

Interesting Huh? This is why it is SO important for a doctor to check you from the neck to the fingertips when you have hand pain or any of the other carpal tunnel SYMPTOMS.

There is a subset of chiropractors like us that specialise in the diagnosis and treatment of neck, arm and hand pain. Chiropractic upper extremity experts will incorporate tools such as deep tissue laser therapy, Graston Technique, ART, and upper extremity adjustments, in addition to cervical spine adjustments to remove nerve pressure from the neck to the hands.

Sometimes hand pain will resolve quickly…sometimes it takes a while. It just depends how long your condition has been there and the extent of the damage. One thing for sure…taking pain pills, anti-inflammatory medication such as cortisone injections, and wearing wrist splints, is not going to do much for you if the problem is nerve pressure in the neck from subluxations, bulging or herniated discs, disc degeneration, or muscle spasms.

Physical pressure on nerves (to the hand) requires the removal of the pressure on the nerves or the carpal tunnel symptoms will persist.

If you need help finding a carpal tunnel doctor in your area you can send me an email at ebendavis@yahoo.com and I will try to find a doctor I have trained in your area.

To schedule an appointment with one of our San Francisco Carpal Tunnel Doctors please call 415-392-2225. Mention this blog post for a complimentary consultation.

Serving local 94111 since 1992

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: Prevention

Carpal tunnel treatments in san franciscoWe have been providing treatment for carpal tunnel syndrome in San Francisco for over 20 years now in the Financial District, where it’s not uncommon for those involved in finance, legal, social media, and technology, to spend 10-12 hours per day in front of a computer doing repetitive motions.

More needs to be learned about carpal tunnel syndrome prevention.

Carpal
Tunnel Syndrome
(CTS) is a very common problem that is often associated with work related activities. Our focus this month is on how to prevent CTS. Of
course, if you already have CTS, read this Health Update to learn preventative
measures that also work while you receive treatment for CTS.

            The concept is to think about
prevention as a matter of economics; as you lose time from work because of CTS,
if affects your bottom line, and I’m sure you have bills to pay and mouths to
feed (…or, at least one)! So please take the advice offered here seriously, as
we are genuine about our concern for your well-being and not losing work time
is a huge component of all of our “well-being!”

            If you’ve experienced sore wrists,
hands, sudden sharp jabs of pain up the forearm, noted numbness and/or burning
in your fingers (especially the index through 4th / ring finger), wake up at
night needing to shake and flick your fingers to “wake them up,” have weakness
in your grip strength, are slowing down at work (whether it’s typing/computer
work, assembly line work, cooking, waitressing, and so on), you NEED to do the
following NOW! The goal here is prevent work loss and surgery (as up to 6 weeks
lost work time will be required if surgery is needed).

  1. Anti-inflammatory
    measures: This starts with a healthy diet. STOP eating foods that inflame
    such as omega 6 rich foods (“GOOGLE” omega 6 and print out the list of
    food). Emphasize fruits, vegetables, lean meats, nuts and AVOID grains
    because of glutens, which many of us have a sensitivity against. Vitamins
    such as a multiple, magnesium, fish oil (omega 3’s), Vitamin D3, and CoQ10
    are GREAT! Freeze water in a small cup and rub it on the wrist/carpal tunnel
    until it gets numb (takes 3-5 minutes) and do that 2-3 times a day.
    Consider natural anti-inflammatories such as ginger, turmeric, cercumen,
    bioflavinoides and others.
  2. Stretch: Bear-claw,
    fist, “High-5” (opened hand with the fingers fanned out) reps, wrist
    extensions on the wall/table stretches (elbows straight).
  3. Rest: Cock-up splint,
    take mini-breaks, and get sound/restoring sleep. IT REALLY HELPS!
  4. Ergonomic
    modifications: Position your computer keyboard, mouse and monitor so that
    you are looking straight ahead at a slight downward angle and your elbows
    are at a 90° or slightly less of an angle when typing. Set an alarm on
    your computer to go off every 15 minutes as a reminder to “shake and
    flick” your hands, wiggle your fingers, do your stretches, and/or squeeze
    a soft ball. Write with a fat pen vs. a skinny one – this helps a lot!
  5. Weight management:
    Obesity is a common risk factor for developing CTS.
  6. Manage other health
    issues: Diabetes, thyroid disease, inflammatory arthritis, neck/shoulder
    or elbow problems can all contribute to or, even cause CTS.

            Think of the above measures as
minimums and obtain professional care to help you. You have choices between the
traditional medical model of cortisone shots, anti-inflammatory medication, and
surgery vs. chiropractic: manipulation and mobilization of the fingers, hand,
wrist, elbow, shoulder and neck as needed, splinting at night,
anti-inflammatory diet and nutrients, ergonomic modification and exercise
training, which ALL will help to treat as well as prevent future CTS problems,
EVEN IF you’ve had surgery already!

            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 carpal tunnel treatment in San Francisco call 415-392-2225. Mention this article for a complimentary consultation and tour.

Serving local 94111 for over 20 years

Related Carpal Tunnel Syndrom Articles:

Carpal Tunnel Syndrome and Yoga Stretches

Carpal Tunnel Syndrome Facts

 

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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Does Vitamin B6 Help Carpal Tunnel?

Carpal tunnel treatment san francisco
Carpal Tunnel Syndrome (CTS) is a common condition usually associated with repetitive strain from jobs that require a fast, constant movement of the arms and hands (such as working in front of a computer all day). Up to 9% of adult women develop CTS and the incidence increases after age 50. A common medical treatment approach has been a combination of drugs (including corticosteroids), diuretics, splinting at night, and modifying activities, often including a “light duty” status until the symptoms calm down. Prior to accepting surgery as, “…the only option left,” an “alternative treatment” approach of vitamin B6 (and of course, chiropractic adjustments and therapies) is chosen by many. Many treatment approaches have been previously discussed; however, today, we’ll take a closer look at the vitamin B6 /CTS connection.

            Research regarding the use of vitamin B6 or, pyridoxine, can be traced way back into the ‘70s and ‘80s when it was reported that B6 is involved in several metabolic pathways, including neural function (“neurotransmission”). This is how it helps CTS patients since CTS occurs as the consequence of a pinched (median) nerve at the wrist. Findings from the initial studies, though quite small in terms of the number of subjects, suggested B6 improved the symptoms of CTS (such as, numbness and tingling into the 2nd to 4th palm-side fingers) by raising the pain threshold (that is, the point when symptoms occurred). Another study reported improvements in pain scores and mild improvements in electromyography and nerve conduction velocity (EMG-NCV) studies. Another study reported that at least 7 patients in their study were B6 deficient when blood tested. Regarding the dose, one study reported that taking only 2mg of B6 was enough to improve the patient’s CTS symptoms, but 100mg was needed for the avoidance of surgery. In a large “retrospective literature review” of 994 CTS patient files, it was reported that when 494 patients were treated with 100mg twice a day, the rate of symptom alleviation was 68%, much higher than group that did not receive B6 (only 14.3%). Yet, controversy is still reported about the effectiveness of B6 and firm conclusions are lacking. Despite this uncertainty, 200 mg of vitamin B6 is frequently included as part of the non-surgical “package” (along with NSAIDs like ibuprofen, nighttime splints, and an ergonomic workstation evaluation).

            So, how much B6 is “enough?” The recommended daily intake is only 2 mg or less for all ages, genders and lifestyles with an upper limit set at 100 mg/day. The main toxicity issue is sensory neuropathy, which (oddly) is very similar to the symptoms caused by CTS! The good news is that CTS symptoms rapidly disappear at doses < 1000 mg/day and most studies indicate no toxic neuropathy by taking doses between 40 and 500 mg/day. Hence, it is recommended to never exceed 500mg/day and most recommendations are in the 100-200 mg/day range. If symptoms improve, a gradual reduction in the dose after about 3 months is advised. Closer monitoring of symptoms in those taking >200mg/day is recommended, especially since the symptoms of toxicity and CTS are so similar. Other B6 toxicity symptoms include depression, fatigue, impaired memory, irritability, headaches, altered walking, and bloating. So, keep your eyes open if doses >200mg/day are taken. Other micronutrients to consider that are anti-inflammatory in nature include omega 3 fatty acids, vitamin D, magnesium (often in combination with calcium), Co-Q10, proteolytic enzymes, and herbs such as ginger, tumeric, boswellia, white willow bark and more.

            We realize you have a choice in who you consider for your health care providor and we sincerely appreciate your trust in choosing our services for those needs.  If you, a friend or family member require care for CTS in San Francisco, 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 article for a complimentary consultation

Serving Zip Code 94111 and surrounding areas 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.

More Posts - Website

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