Category: Carpal Tunnel Syndrome

What treatments work for carpal tunnel syndrome?  Some of the things they recommend are 1) assistive technology such as using the arrow keys, or soft touch keyboards,2) wrist braces, 3) superficial heat, 4) shortwave diathermy, 5) interferential current, 6) manual therapy directed at the cervical spine and upper extremity, and 7) stretching exercises. ~ Dr.…

by Ronald Grisanti D.C., D.A.B.C.O., D.A.C.B.N., M.S. Just recently I had the opportunity to consult with a patient by the name of Andrea who was suffering with carpal tunnel syndrome. Andrea was a 47 year women who was employed as an executive secretary for a Fortune 500 company. Her job responsibilities included typing business documents, scheduling…

Before going straight to surgery for carpal tunnel syndrome, consider manual physical therapy, including desnensitization maneuvers.  This treatment has been found to be equally effective but less costly than surgery for women with carpal tunnel syndrome. ~ Dr. Broussard Cost-Effectiveness Evaluation of Manual Physical Therapy Versus Surgery for Carpal Tunnel Syndrome: Evidence From a Randomized…

Oral steroids and steroid injections help people with carpal tunnel syndrome in the short term, and are not maintained in the long term. ~ Dr. Broussard Effectiveness of Oral Pain Medication and Corticosteroid Injections for Carpal Tunnel Syndrome: A Systematic Review Archives of Physical Medicine & Rehabilitation August 2018 Volume 99, Issue 8, Pages 1609–1622.e10…

This article says that low level laser can help carpal tunnel syndrome in the very short term, but the relief doesn’t last. ~ Dr. Broussard Arch Phys Med Rehabil. 2017 Jun 16. pii: S0003-9993(17)30391-X. doi: 10.1016/j.apmr.2017.06.002. [Epub ahead of print] Do Patients With Carpal Tunnel Syndrome Benefit From Low-Level Laser Therapy? A Systematic Review of…

Some people develop carpal tunnel syndrome because there is not enough room in the wrist.  This article shows that by mobilizing the carpal bones, it increases the cross-sectional area of the tunnel, thereby making room for the nerve. ~ Dr. Broussard Dimensional changes of the carpal tunnel and the median nerve during manual mobilization of…

Ronald Grisanti D.C., D.A.B.C.O.,D.A.C.B.N., MS, CFMP For over 30 years it has been known that many conditions treated by surgery could be totally cured with pennies worth of nutrients. But there’s no money in pennies of nutrients. Surgeon Dr. John Ellis wrote extensively about how vitamin B6 cleared the majority of carpal tunnel syndromes, and…

The current study found that manual therapy and surgery exhibited similar effects on decreasing pain in women with carpal tunnel syndrome at medium and long-term follow-ups ~ Dr. Broussard Effectiveness of manual therapy versus surgery in pain processing due to carpal tunnel syndrome: A randomized clinical trial Eur J Pain. 2017 Aug;21(7):1266-1276. doi: 10.1002/ejp.1026. Epub…

Nerve gliding may be a worthwhile add-on in the conservative management of carpal tunnel syndrome.  Here are a couple of videos showing how to do nerve gliding for CTS. Carpal Tunnel Tendon Stretch and Nerve Gliding – Video – Fitzmaurice Hand Institute Carpal Tunnel Nerve Gliding – Video – Leo Rozmaryn MD, Orthopedic Surgeon J Manipulative Physiol Ther. 2017…