Tag Archives: wrist

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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Walk In Chiropractor at the SF Embarcadero Center

Walkin Chiropractor SF Financial District

Walk-in Chiropractor Embarcadero Center

We have been providing chiropractic in the San Francisco Financial District for over 22 years now. During this time we have come to realize three things:

1. Many chiropractic patients and prospective chiropractic patients prefer a walk in chiropractor vs. making an appointment. They like to know they can just walk-in when they feel the need.

2. Busy urbanites, office workers and executives do not have much of a tolerance for long wait times. Little to no wait times are best.

3. The food must be great. What we mean by this is the chiropractic consumer expects high quality care from the doctors and staff…and they want it with a smile.

Well, this is the basic foundation of Executive Express Chiropractic at Embarcadero Center One. It’s always a work in progress as we strive to improve our patient experience every day.

Whether you are suffering with back, neck or wrist pain from long hours of sitting and repetitive use of the upper extremities or a sports injury from weekend warrior or elite athlete activities, we can help. We also specialize in the nonsurgical treatment of herniated and bulging herniated discs.

We have recently added acupuncture, physical therapy, and chiropractic sports medicine to our treatment protocols to meet your needs.

To find out more about Executive Express Chiropractic visit our San Francisco Walk-in Chiropractic Clinic online. You can request a complimentary insurance benefits check our fill out our secure online intake form here. And one more thing…

Prepare to be impressed!

 

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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Carpal Tunnel Syndrome: Diagnosis and Treatment

Carpal tunnel syndrome clinic san francisco
We have been providing treatment for Carpal Tunnel Syndrome in San Francisco for over 20 years.

Carpal
Tunnel Syndrome
(CTS) refers to the median nerve being pinched in a tunnel at
the wrist. As the name implies, “carpal” refers to the 8 small bones in the
wrist that make up the “U” shaped part of the tunnel and “syndrome” means
symptoms that are specific and unique to this condition. As we learned last
month, CTS can be affected by nerve pinches more proximal to the wrist, such as
at the forearm, elbow, mid-upper arm, shoulder or neck. To make matters more
complex, there are two other nerves in the arm that can also be pinched in
different tunnels, and the symptoms of numbing and tingling in the arm and hand
occur with those conditions as well. This is why a careful clinical history,
examination, and sometimes special tests like an EMG/NCV (electromyogram/nerve
conduction velocity) offer the information that allows for an accurate
diagnosis of one or more of these “tunnel syndromes” in the “CTS” patient.
Let’s look at these different tunnels and their associated symptoms, as this
will help you understand the ways we can differentiate between these various
syndromes or conditions.

            Let’s start at the neck. There are seven cervical
vertebrae and eight cervical spinal nerves that exit the spine through a small
hole called the IVF (intervertebral foramen). Each nerve, like a wire to a
light, goes specifically to a known location which includes: the head (nerves
C1, 2, 3), the neck and shoulders (C4, 5), the thumb side of the arm (C6), the
middle hand and finger (C7) and the pinky side of the lower arm and hand (C8).
If a nerve gets pinched at the spinal level (such as a herniated disk in the
neck), usually there is numbness, tingling, and/or pain and sometimes, usually
a little later, weakness in the affected part/s of the arm and hand (or
numbness in the scalp if it’s a C1-3 nerve pinch). So, we as chiropractors can
test the patient’s sensation using light touch, pin prick, vibration, and/or
2-points brought progressively closer together until 1-point is perceived and
then comparing it to the other arm/hand. Reflexes and muscle strength are also
tested to see if the motor part of the nerve is involved in the pinch. The exam
includes compression tests of the neck to see if the arm “lights up” with
symptoms during the test.

            Next is the shoulder. Here, the nerves and blood vessels travel through
an opening between the collar bone, 1st rib and the chest muscles (Pectorals).
As you might think, the nerves and blood vessels can be stretched and pinched
as they travel through this opening and can cause “thoracic outlet syndrome.”
Symptoms occur when we raise the arm overhead. Hence, our tests include
checking the pulse at the wrist to see if it reduces or lessens in intensity as
we raise the arm over the head. At the shoulder, the ulnar nerve is the most
commonly pinched nerve, which will make the pinky side of the arm and hand
numb, tingly, and/or painful. A less common place to pinch the nerves is along
humerus bone (upper arm) by a bony process and ligament that is usually not
there or resulting from a fracture. Here, an x-ray will show the problem.

            The elbow is the MOST common place to trap the ulnar nerve in
the “cubital tunnel” located at the inner elbow near the “funny bone” which we
have all bumped more than once. Cubital tunnel syndrome affects the pinky side
of the hand from the elbow down. The median/carpal tunnel nerve can get trapped
here by the pronator teres muscle, thus “pronator tunnel syndrome.” This
COMMONLY accompanies CTS and MUST be treated to obtain good results with CTS
patients. The radial nerve can be trapped at the radial tunnel located on the
outside of the elbow and creates thumb side and back of the hand
numbness/tingling.

            Hence, you see the importance of
evaluating and treating ALL the tunnels when CTS is present so a thorough job
is done (which is what Chiropractors do). Try the LEAST invasive approach first
– non-surgical treatment – as it’s usually all that is needed!

            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 San Francisco Carpal Tunnel Doctors 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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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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Chiropractor or M.D. for Carpal Tunnel Syndrome?


Carpal tunnel syndrome doctor san franciscoCarpal Tunnel Syndrome (CTS) is a very common problem
affecting a large population (1 out of 20 in the general population) including
typists, assembly line workers, postal employees, secretaries, servers/waiters,
musicians, carpenters, and many others. CTS drives a high level of cost to the
health care system between time lost from work, treatment costs, and short and
long term disability payments (on average $30,000 per claim, and this is an old
stat!). Continued CTS signs and symptoms can persist long after surgical
treatment and the question that typically arises when this happens is “…why?”
Let’s take a look at reasons for failed treatment of CTS…

The classic non-surgical medical management model for
treating CTS includes non-steroidal, anti-inflammatory medication (like
ibuprofen), rest, and the use of nocturnal (night time) wrist splints. This
approach works in some cases, but in the majority, it is unsuccessful and leads
to the next medical management step: surgery.  And frequently, the CTS surgery fails and
follow-up surgery is needed.

The classic chiropractic management model for treating
CTS includes similar initial treatment approaches including anti-inflammatory
measures, rest, and night wrist splints. One anti-inflammatory measure is ice
massage or cupping, where the ice is rubbed directly on the skin until numbness
is achieved (this usually takes about 4 minutes). Prior to numbness, there will
be a burning and aching often described as intense, “…like a brain-freeze when
I drink a slushy too fast.” The ice cup approach can be repeated several times
a day. Other anti-inflammatory measures may include the use of herbal
anti-inflammatory nutrients such as ginger, tumeric, boswellia, bioflavinoids,
and/or the use of digestive enzymes taken between meals to help reduce the
inflammation. The “rest” component is also shared by both models as is the use
of the night wrist splint. So, what makes the chiropractic model different?

The nerve affected in CTS is called the median nerve.
It arises initially from the nerves in the neck, specifically, C6-8 and T1
nerve roots which are part of the brachial plexus. These form into one nerve
(the median nerve) which travels through small openings, first at the neck
followed by the shoulder (called the thoracic outlet), then into the arm
through a muscle at the elbow (pronator tunnel), and finally through the carpal
tunnel at the wrist to innervate the hand including the palm and the 2nd, 3rd
digits and thumb side of the 4th finger. The median nerve can get “crushed” in
more than one tunnel and treatment must address the WHOLE nerve, not just at
the carpal tunnel / wrist. This chiropractic management of CTS helps many
patients because the nerve along its entire course including the neck,
shoulder, and elbow is treated, not just the wrist!

A little known fact is that pressure on the nerves in
the neck from misaligned vertebrae, bulging and herniated discs, or spinal
degeneration, can cause the same signs and symptoms as CTS. This is why it is
so important for doctors to check from the neck to the finger tips when
diagnosing carpal tunnel symptoms.

In addition, there must be an effective method of
treatment…not just treating the symptoms. Chiropractic adjustments to the neck,
shoulder, elbow, wrist and fingers can actually remove physical pressure off
the nerve roots and nerves addressing the true cause of the problem, 100%
naturally.

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 doctors in San Francisco call 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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Carpal Tunnel Syndrome Awareness Week

We have been providing treatment for Carpal Tunnel Syndrome in San
Francisco
for over 20 years. Next week (October 15-19) we will be
demonstrating our carpal tunnel syndrome (CTS) treatments to the public.
If you have wrist, hand, arm, shoulder, or neck pain, you may have CTS
or a related disorder. Please call 415-392-2225 to schedule your demo
treatment.

Carpal Tunnel Syndrome Promo

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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San Francisco Chiropractor Review: Hand Pain

Mary FrazierThe Executive Express Chiropractic San Francisco "Patient of the Week" is Mary Frazier.
Mary was having problems opening and closing her hands and was
recovering from recent hand surgery when we met. The hand surgery for the most part
was successful but she still wished her hand pain and grip strength could be better. Mary wanted to have more power in her hands and less pain and dysfunction.

One of Mary's doctors
told her that certain chiropractors that specialized in the wrists and hands could
possibly help her so she did some online research, found Executive Express Chiropractic, and
decided to try us out. We have been working on Mary from the neck to
the finger tips on both sides for about a month or so now. We found that Mary had pressure on the
nerves in the neck that control or innervate the hands, as well as
misalignment's in the wrists.
Our treatment consists of spinal
adjustments to the neck, shoulders, elbows, wrists and fingers, along
with massage, myofascial release to the neck and upper extremities,
traction and exercises. Well, so far so good. Mary is slowly improving
and is much better than she was. We are both hoping these positive
changes become permanent and that Mary can simply maintain them with
periodic visits and home exercises. We are both hopeful.
To schedule an appoinment with a hand pain doctor in San Francisco please call 415-392-2225. Mention this blog post for a complimentary consultation. 
Serving local zip code 94111 for over twenty 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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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

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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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