Manual Therapy vs Surgery for Carpal Tunnel Syndrome

Here’s a study that compared carpal tunnel surgery to manual therapy. They concluded that in terms of self-reported function and grip strength, they were about the same. The Effectiveness of Manual Therapy versus Surgery on Self-Reported Function, Cervical Range of Motion and Pinch Grip Force in Carpal Tunnel Syndrome: A Randomized Clinical Trial Authors: César…

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Rx for Pain Patients Who Are Obese: Recommend the Mediterranean Diet

Written by Robert Bonakdar MD, FAAFP, FACN We often see pain patients in our clinic who are obese. Many of them did not start their pain journey this way, and there is emerging evidence that pain, in addition to changing activity, can also change dietary patterns. In addition, the stress of chronic pain combined with…

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Does vitamin D deficiency trigger carpal tunnel syndrome?

If you are suffering from carpal tunnel syndrome (CTS), consider getting a blood test to measure your Vitamin D levels.  The authors of this study also commented on weight gain and carpal tunnel nerve pain with Vitamin D deficiency.  Other studies show that excess body mass leads to more carpal tunnel release surgeries as well.…

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Manual Therapy vs Surgery for Carpal Tunnel Syndrome

In my experience, Carpal Tunnel Syndrome can be caused by more than just a nerve entrapment at the level of the wrist.  The peripheral nerve actually emerges from the spinal cord in the neck, then goes through the neck muscles, shoulder muscles/joint, elbow muscles/joint and then finally the wrist muscles/joint.  The nerve can be trapped…

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What Home Remedies for Carpal Tunnel Syndrome Are There?

Written by Hannah Nichols Reviewed by Beth Holloway RN, M.Ed. Last reviewed: Tue 20 December 2016 Carpal tunnel syndrome is a common condition that causes numbness, tingling, and sometimes pain in the fingers and the hand. Carpal tunnel syndrome (CTS) ranges from mild to severe. Proper treatment can often restore the functioning of the hand…

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Can You Prevent Carpal Tunnel Syndrome?

Carpal tunnel syndrome (CTS) is the most common of the many “entrapment neuropathies”— nerve pinches in the arms or legs—likely because we use our hands and fingers repetitively for long time frames at work and during many of our hobbies. In addition, the wrist is a very complicated joint because it’s not a simple ball-and-socket…

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Acupuncture and splinting helps carpal tunnel syndrome

Electroacupuncture and splinting versus splinting alone to treat carpal tunnel syndrome: a randomized controlled trial CMAJ September 6, 2016 vol. 188 no. 12 First published June 6, 2016, doi: 10.1503/cmaj.151003 Vincent C.H. Chung, PhD Abstract Background: The effectiveness of acupuncture for managing carpal tunnel syndrome is uncertain, particularly in patients already receiving conventional treatments (e.g.,…

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Carpal Tunnel Syndrome – How Do I If Know I Have It?

Carpal Tunnel Syndrome is VERY common. If fact, it affects 3-6% of the general population, and up to 50% of those afflicted have it in both hands! So what makes it so common? Here are several reasons: 1) ANATOMY: The wrist is made up of eight small “carpal” bones that allow the wrist to bend…

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Carpal Tunnel Syndrome – Let’s Get the FACTS! (Part 3)

This month, we will conclude our three-part series on important facts regarding carpal tunnel syndrome (CTS). CTS TREATMENT OPTIONS (continued): Aside from the carpal tunnel, there are several places where the median nerve can become compressed as it travels from the neck, down through the shoulder, through tight muscular areas of the upper arm and…

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Carpal Tunnel Syndrome – Let’s Get the FACTS! (Part 2)

Healthcare providers tend to agree that in non-emergency situations, patients with conditions like Carpal Tunnel Syndrome (CTS) should try non-surgical treatments before consulting with a surgeon. The “PRICE” concept, that is Protect, Rest, Ice, Compress, & Elevate can be applied to most injuries, including CTS, especially in the acute/inflammatory stage. However, many of these principles…

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