Carpal tunnel syndrome (CTS) affects millions of Americans. It is the fastest growing job-related disability. Its symptoms include hand pain, grip weakness, numbness and paresthesias (abnormal sensations) in the hand and fingers. True CTS requires specific orthopedic tests and the ruling out of other differential diagnoses. True CTS means the problem stems from the wrist itself vs. other areas. The carpal “tunnel” is formed by the carpal bones in the hand and connective tissue. This area is at the end of the palm, joining the forearm. The carpal tunnel contains flexor ligaments and the median nerve. CTS may be very painful and oftentimes disabling. This occurs when the median nerve becomes entrapped and compressed due to narrowing of the “tunnel.” This narrowing is caused by edema (swelling) of the surrounding flexor tendons or mechanical impingement of the carpal bones.
When It’s Not Really Carpal Tunnel
In my practice I often see patients who were told they have CTS, and who might have already had surgery for CTS, yet the symptoms returned. A clue for me is when the complaints are bilateral (both hands). This indicates neuralgia (pinched nerve) from the cervical spine (neck). Thoracic outlet syndrome is another differential diagnosis. This is a compression (pinching) of a nerve in an area where the neck meets the shoulder. CTS may be traumatic in nature, such as repetitive injury from typing (computer use), or non-traumatic, such as from hypothyroidism, obesity or diabetes.
The Conventional Treatment Path
For true, classic CTS, mainstream medical approaches include medications for reducing inflammation and/or steroid injections. A special night splint is often helpful. If symptoms persist, surgery is recommended. The surgery cuts the fibrous band and ligaments to allow more room for the median nerve.
Natural and Safe Alternatives
There are natural and safe alternatives. Since the origin of the hand nerves is in the lower neck, the cervical nerve plexus, I treat both the neck and the hand. Spinal manipulation, extremity adjustments at the wrist, acupuncture, ultrasound, electric muscle stimulation, and heat and cold compresses are all helpful. Extensive studies have been performed showing the efficacy of low-level laser therapy (LLLT) in managing patients with CTS. Laser therapy has virtually no side effects and limited contraindications.
Why the Neck Is Often the Real Problem
As mentioned above, many patients suffer from numbness or tingling in both hands. Though they were diagnosed with CTS by their mainstream doctor, treatments at the wrist do not help, because the problem is in the neck. Palpation (deep feeling) of the neck reveals spasm (tension) and tightness. It is at the neck where the nerves are “pinched.” Often a patient might even say their neck doesn’t hurt, and the pain is shooting down the arm. The hand becomes numb or weak or painful. CT scan or MRI reveals the lower cervical discs are herniated or bulging.
A Complete, Nutrition-Supported Approach
A comprehensive history and exam, along with appropriate orthopedic tests, are essential. A multi-faceted treatment approach is then most beneficial. Natural, holistic treatments are safe and proven. Certainly surgery is a last resort and often avoidable. Last but not least, adding nutrition for patients with neuralgia very often helps dramatically. The late Dr. Carlton Fredericks, who had a health radio program for many years, recommended vitamin B6 as the “cure” for CTS. It is well known that B vitamins reduce nerve stress. Anti-inflammatory natural substances include omega 3, turmeric, boswellia, devil’s claw, and others. Relief of muscle spasm that causes nerve “pinching” may be found in valerian root, passion flower, and magnesium. Anti-anxiety supplements include l-theanine, GABA, inositol, B-complex, which also help relieve muscle spasm and subsequently the “pinched” nerve causing CTS symptoms.
For CTS or any nerve issue please call Dr. Bekermus at 845 369 1310 or check out DrBek.com. Thanks!