Carpal Tunnel Syndrome

Today just about everyone can be affected, but particularly people involved in occupations or leisure activities that require repetitive use of the hands and wrists (i.e., office, skilled labor jobs, tennis, golf or even knitting). Medical doctors commonly prescribe anti-inflammatory drugs, which prove ineffective in most patients and cause adverse side effects in others.

The double crush syndrome is a compression neuropathy characterized by affecting two areas along the same nerve, one usually distant from the other. A growing number of researchers have suggested a correlation between some peripheral neuropathies like carpal tunnel syndrome and cervical nerve root compression another. The nerve is “crushed” or irritated in the spine, “priming” the more distal areas of the nerve for dysfunction when that part is stressed by the second “crush”).

Autonomic dysfunction in idiopathic carpal tunnel syndrome Verghese J, Galanopoulou AS, Herskovitz S, Muscle Nerve 2000 Aug;23(8):1209-13

This is the study of 76 patients with CTS (in 139 limbs). Autonomic symptoms were reported in 76 limbs (47 patients). Of these, 59% consisted of swelling of the fingers, 39% dry palms, 33% Raynaud’s phenomenon, and 32% blanching of the hand. Sympathetic skin response (SSR) had a sensitivity/specificity ratio of 34/89% in CTS with autonomic symptoms. The presence of autonomic disturbances was significantly associated with female gender but not age, duration of disease, or clinical severity in a binary logistic regression model.

It appears that autonomic disturbances are common (55%) in CTS, occurring with increasing severity of electrophysiologic findings.

Conservative chiropractic care of cervicobrachialgia Glick DM, Chiropr Res J, 1989; 1(3):49-52 Cervicobrachialgia, also known as “brachial neuritis” or “brachial neuralgia” involves neck and arm pain that can be described as “sharp,” “stabbing,” or “aching,” with acute sudden onset. The pain is in the shoulder blade, the side of the neck and may continue through the upper arm.

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