Tag Archives: numbness

Hand Numbness and Tingling?

carpal tunnel treatment san franciscoWe have been providing treatment for the neck, shoulders and hands in downtown San Francisco for over 23 years now.

Most of the patients we treat in the SF Financial District spend the majority of their day sitting in front of a computer doing repetitive motions. This activity can put a lot of stress on the bones of the spine in the neck and well as the muscles, ligaments and tendons of the shoulders, arms and hands.

The nerves that control the arms and hands exit from in between the bones of the spine in the neck. These nerves can become compromised with abnormal wear and tear leading to numbness and tingling in the hands. The problem can be in the neck, shoulders, elbows, or wrists.  All must be checked.

In most cases there is joint dysfunction and muscle imbalances, and even nerve pressure in multiple locations. The good news is that these sorts of problems tend to respond favorably to chiropractic and favorable outcomes are the norm.

The standard treatment for hand pain and numbness at our clinic is chiropractic adjustments to the neck, shoulder, elbow, wrists and fingers, massage or ART, low tech exercises in office and at home, deep tissue laser if needed, and ice or heat. Most cases respond in short order. Chronic long standing cases can take longer to treat.

We also have a team of medical doctors and physical therapists that specialize in sports medicine at our primary clinic, Chiro-Medical Group, Inc. which is a few blocks away from our Embarcadero Center walk-in clinic.

To find out if you are a candidate for hand pain 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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Whiplash and how it damages the neck

Whiplash relief san franciscoWe have been providing treatment for whiplash in San Francisco since 1992.

To better
understand Whiplash, let’s take a look at the anatomy and what is actually
injured in a whiplash injury.  Our spine
is basically a long chain made up of blocks that are larger at the bottom and
smaller at the top. This means the low back vertebra are huge compared to the
neck vertebrae. The vertebrae fit together in a way that “locks” them together
by the small joints in the back called “facets” and in the front by the disks.
These joints function as shock absorbers between the blocks or “vertebral
bodies.” Also in the front, there is a tough piece of tissue called the
“anterior longitudinal ligament” that provides a barrier so that when the neck
is bent backwards (into “extension”), it becomes tight and stops that movement
so it doesn’t over-extend, which could fracture the small facet joints in the
back.

            There are ligaments, or tissues that
hold bone to bone, in the back of the spine that connect between the “spinous
processes,” or bony “bumps” in the middle of the back. These ligaments check or
stop excessive forward motion of the neck during whiplash. Joint capsules
surround joints, which we all have seen when we separate a chicken leg from the
thigh. Remember how smooth and shiny the end of the chicken leg is? That smooth
surface at the end of long bones is call “hyaline cartilage”, and it allows for
slippery gliding between the ends of our bones when we move any joint,
including our fingers, wrists, shoulders, hip as well as the facet joints of the
spine. Joint movement is facilitated by the presence of an oily substance
called “synovial fluid” which acts like a lubricant for the joint allowing for
pain-free movement.

            A “sprain” occurs when we damage a
joint capsule or a ligament, or when the muscle or its attachment (tendon) is
injured. These are graded as mild, moderate or severe, or grades 1, 2,or 3,
with grade 3 being the worst at 75% or greater tearing, and healing takes
progressively longer with each grade.

            During a whiplash injury, the
classic rear-end collision results in over stretching of the ligaments in the
neck, and tearing can occur (sprain, grades 1, 2 or 3). If one of the nerves
gets pinched, then numbness, pain, and/or weakness can occur, radiating down
the arm to a specific location. When this occurs, the long-term prognosis is
worse. Concussion can also occur if the brain is slammed against the inside of
the skull. Chiropractic adjustments, when administered early, yield the best
results for treating whiplash, according to many studies.

            We realize you have a choice in where you choose your
health-care services.  If you, a friend or
family member requires care for whiplash, we sincerely appreciate the trust and
confidence shown by choosing our services and look forward in serving you and
your family presently and, in the future.

To schedule an appointment with one of our whiplash doctors in San Francisco 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 and Hand Numbness

Doctor for CTS in San FranciscoWe have been providing treatment for Carpal Tunnel Syndrome in San Francisco for over 20 years.

Carpal Tunnel
Syndrome (CTS) sufferers frequently report a cluster of symptoms, but almost
all have one symptom in common – numbness, usually in digits 2-4 on palm-side
of the hand. CTS is usually attributed to an over-use type of injury such as
repetitive work including (but not limited to): typing, assembly work,
packaging jobs, machine operators, and many more.

The patients we treat in the SF Financial District spend the majority of their day in front of a computer doing repetitive motions with their arms and hands. Then, they typically go home and spend more time on the computer. Heck, most do it in between work and home on laptops, tablets, or smart phones.

Last month, we discussed CTS
“Facts” and learned many important points about CTS. This month’s focus centers
around the common question, “….where is this numbness coming from?”

Carpal tunnel pain doctor SF
To answer this, let’s
review the anatomy: The carpal tunnel is made up of 8 small “carpal bones” that
form an arch or tunnel, and the base of the tunnel is formed from the
transverse carpal ligament. There are nine tendons that attach muscles in the
forearm to each finger and work when we grip or form a fist with our hand.
Wiggle your fingers and look at your wrist and forearm – do you see all the
activity or movement going on?

The tendons travel
through sheaths which help lubricate the sliding tendons. When we move our
fingers fast (such as typing, playing piano, performing assembly work, etc.),
friction and heat builds up, resulting in swelling. If adequate rest does not
occur, the increased pressure from the swollen tendons end up squeezing all the
contents within the tunnel, which includes the median nerve. It’s the median
nerve pinch that results in the numbness, tingling, and/or pain into the index,
third and forth fingers.

There are other
conditions that can either complicate or cause CTS. These include: hypothyroid
disease (due to myxedema), diabetes (due to neuropathy), inflammatory arthritis
(of which there are several kinds – rheumatoid is the most common), and
pinching of the nerve either in the neck, shoulder, elbow or forearm (called
double or multiple crush syndrome).

The reason
chiropractic helps so much is that we can alleviate the pressure on the nerve
from the neck down to the wrist and restore nerve function. This alleviates the
multiple sleep interruptions, weakness in the grip that is so common, as well
as helping to restore the nerve’s function. Many studies support the success of
chiropractic and CTS – try it first as surgery should be the last resort.

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 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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Whiplash, Cervical Disc Herniations, and Spinal Decompression

San Francisco Chiropractor and Disc Herniation Doctor Comments:

Md_news_photos_010 Most of the time cervical disc herniations develop gradually over time. But when you are in an auto accident and suffer a whiplash injury, it can happen all at once. In fact, even minor car accidents can cause disc herniations.

I have been helping cervical whiplash patients for 16+ years in downtown San Francisco. Most of the time chiropractic care helps patients return to almost normal.

But sometimes things don’t get better…or maybe only a little bit better.

Some of the symptoms of cervical whiplash are neck pain, shoulder pain, arm and hand pain…and headaches. Whiplash can also cause numbness and tingling in the extremities and weakness of grip.

If not treated properly, whiplash can lead to conditions such as degenerative disc disease and stenosis.

If you have ever suffered with whiplash, like I have…you know how bad it can be.

If a whiplash patient fails to respond at Executive Express Chiropractic, we consider sending out for a cervical MRI. Often times there is a disc herniation. Sure, we don’t know for sure that the auto accident caused the disc herniation…but we know it didn’t help, and the accident probably made it worse if the herniation was already there.

Either way the herniation needs to be treated…and the chiropractic is not helping…so now what?

Well, our next step at Executive Express Chiropractic is nonsurgical spinal decompression with the DRX9000c.

The DRX9000c was designed and built to treat cervical disc herniations…and it does this extremely well.

Cervical decompression will most likely help. It has helped thousands of disc patients avoid surgical intervention. It’s just a really logical next step when conservative care fails to deliver.

For more information on Executive Express Chiropractic at the SF Embarcadero Center, and to find out if you are a candidate for nonsurgical cervical decompression…call 415-392-2225. 

If you do not live in the San Francisco Bay Area…you can find a doctor with a DRX9000c at www.axiomworldwide.com

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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