Treat Carpal Tunnel Syndrome without Surgery
Millions of Americans suffer from the pain and disability of
carpal tunnel syndrome. Most do not know that conservative
measures provide relief in the majority of cases. Almost all
people with the pain, numbness and weakness in the hands and
wrists can be helped with manual medicine. The osteopath
evaluates the nerves, blood vessels, and muscles first for any
abnormality. Next is a structural exam to check for decreased
range of motion of the wrist and hand. This is almost always
abnormal. By opening up the canal where the median nerve and
blood vessel travels, more oxygen can get to the tissue.
Stretching the ligament that crosses transversely at the wrist
also releases the joint and decreases pain and swelling. This is
all part of osteopathic manipulative therapy.
The D.O. may also check lab work for hypothyroidism or
autoimmune disorders such as rheumatoid arthritis. If you have a
job involving repetitive motion or a large amount of computer
work he/she will look at your mechanics and make suggestions.
Less stress and better positioning of the wrist increases its
strength and flexibility. A nutritional approach has shown 50
mg. of B6 to be effective in some cases. Of course traditional
methods of splints, anti-inflammatory medicines, and exercises
are also used.
Surgery and further testing of the nerves and muscles may be
necessary if you do not improve with conservative measures.
Shrinking of the muscles of the thumb or coldness of the tips of
the fingers are serious findings.
References:
1. Journal of the American Osteopathic Association, January
1993; 93:92. 2. Journal of the American Osteopathic Association,
August 1994; 94:647.
About the author:
Author: Katherine A Martin, D.O. - Board Certified Family
Practice Physician. Medical Coaching and Consulting. Health for
the whole person. Visit my web site at
http://www.DO-Medicine.com
Written by: Katherine Martin
