Archives for posts with tag: wrist pain

Your friendly Chiropractor in Chandler AZ, Dr. Dan Rae, is back at the computer this morning to write about Carpal Tunnel Syndrome.  Carpal Tunnel Syndrome is one of those syndromes that we have all heard about, but we seem to be hearing less and less about it every year.  A few years ago it was the diagnosis everyone got when their wrists hurt, which lead to a lot of misdiagnosis, which in turn, lead to a lot of people having surgery for something they did not have.  Furthermore, Carpal Tunnel Syndrome can generally be treated without surgery.

hand_carpal_tunnel_intro01

The image above by MMG 2003 clearly shows compression of the Median Nerve in the right hand, which is the cause of Carpal Tunnel Syndrome.  The reason I mention that it is the right hand is because the image below by 2004 MedicineNet, Inc. will demonstrate the area of pain and numbness, but it is showing it in the left hand.

carpal_tunnel

The Median Nerve runs through runs through the Carpal Tunnel created by the Transverse Carpal Ligament and the carpal bones, which are the bones of the hand.  Carpal Tunnel Syndrome can occur through compression from ganglions, fractures, and dislocations; however, it is more common to have a history of direct pressure on the tunnel or a history of extended periods of wrist use in full flexion or extension.  The pressure in the tunnel will increase with these extreme positions.  Other additional factors have to do with fluid retention such as with pregnancy, RA, diabetes, and connective tissue disorders.  It has also been shown that individuals who are deficient in vitamin B may be predisposed.

Treatment for Carpal Tunnel Syndrome does not have to include surgery.  Initial treatment involves night splinting in in extension of neutral positions, avoiding the compressive or overuse activities such as resting the wrists on the desk while typing, and perhaps the use of a B-complex vitamin.  It has been shown that adjustments to the lunate bone, one of the carpal bones, is extremely helpful.  Myofascial release techniques such as Active Release Technique (ART) and Graston Technique are also utilized to help relieve the pressure within the Carpal Tunnel.

If you are struggling with Carpal Tunnel Syndrome or any other form of Wrist Pain or Hand Pain, call my office today (480) 366-4041.  We can Help!

Advertisements

Your friendly Chiropractor in Chandler AZ, Dr. Dan Rae, is back at the computer trying to squeeze this article in between patients this afternoon.  Today I am going to focus on a tendinitis in the wrist known as de Quervain’s Tenosynovitis.  This is a very common condition, but most doctors just says you have Wrist Tendinitis or Thumb Tendinitis, but the actual name is de Quervain’s Tenosynovitis also known as Stenosing Tenosynovitis.

DeQuervainsTenosynovitis

The image above gives a great example of what we see with de Quervain’s Tenosynovitis.  There is chronic microtrauma to either the tenosynovium or the tendon sheath causing a narrowing of the area surrounding the abductor pollicis longus and extensor pollicis  breveis muscles.  Pollicis meaning thumb.

These patients come into my office complaining of pain on the thumb side of the wrist with a history of activities that require forceful gripping with bent towards the little finger or repetitive use of the thumb such hitting the space bar all day long typing.

Treatment for this condition is rather simple.  Modification of the inciting activity is a must along with ultrasound therapy, Kinesiology Tape to relieve pressure on those muscles, and ibuprofen.  If this does not relieve the pain within 2-3 weeks use of a thumb spica may be necessary.  If none of these conservative efforts are successful referral for a local steroid injection would be made.

If you are struggling with Wrist Pain or Hand Pain, call my office today (480) 366-4041.  We can Help!