Carpal Tunnel Syndrome (CTS) usually starts gradually, with complaints of burning, tingling, “pins and needles,” or numbness in the palm of the hand and fingers. Often the symptoms are more noticeable during the night, and individuals often report being wakened with symptoms. As the condition progresses, the symptoms are noticed during the daytime and are often worse with excessive computer use and/or gripping fine objects as when writing. Weakness of the hand and more constant numbness may occur if the pressure on the nerve continues. This person may find that they drop objects unexpectedly or have a weakness in their grip.
CTS can have multiple contributing factors including overuse or repetitive tasks and poor posture (forward head rounded shoulders). Because of this, the cervical spine is usually involved in contributing to distal (arm/hand) symptoms. Conservative treatment usually consists of quality Manual Therapy, strengthening of deep neck flexors of the anterior neck, strengthening of mid scapular muscles, nerve glides, and proper stretching routines.
Conservative treatment should ALWAYS be attempted first! We often see patients that have already undergone a nerve conduction study (EMG), injections, and even a carpal tunnel release (surgery), who STILL have their symptoms. The majority of our patients who have CTS see dramatic results and a reduction of their symptoms after just one visit! Call JGPT Beaches today to begin your road to recovery!
