Health Update: Carpal Tunnel

Carpal Tunnel Syndrome or CTS is a very common problem affecting many workers and is one of the most costly conditions afflicting today’s workforce.  It is most often caused by repetitive activity using rapid movements of the arms and hands and can lead to work loss and disability when not properly managed.  CTS occurs when the median nerve that travels through the carpal tunnel (CT) located on the palm side of the wrist becomes pinched by the swelling of the 9 tendons that also travel through the CT and essentially, pinch the nerve up against the transverse carpal ligament.  This results in numbness, tingling and/or pain of the index, middle and forth fingers.

Other symptoms include sleep interruptions where shaking and flicking of the fingers is required to allow for a return to sleep.  This is frequently caused by sleeping with the wrist in a cocked position, increasing the pressure inside the already swollen carpal tunnel.  This is why a cock-up wrist splint usually helps as it disallows the wrist from bending to the extremes and the nerve is not pressured or pinched as much.  Other symptoms include weakness of the grip, making it a challenge to unscrew a jar, open a door, and even sometimes turn the key when starting a car.  Driving can also be affected as the hands often fall asleep while holding onto a steering wheel.

Pain can also affect the rest of the arm and sometimes the neck area.  The median nerve can also be pinched in more than one place and may include the neck, shoulder, elbow as well as the wrist making it necessary to have all the areas treated for a satisfying result.

People at greatest risk are women > men, workers who handle small tools, computer workers, fast repetitive line workers, and people older than 40 years of age.  People with other health conditions including rheumatoid arthritis, Lymes disease, rubella, pregnancy, birth control pill use, diabetes mellitus and menopause are at an increased risk of developing CTS.  Certain foods such as caffeine, tobacco, and/or alcohol may also contribute to CTS.

Though treatment is very important –the sooner the better- prevention is most important.  In fact, some simple approaches can make a big difference!  Some of these include modifying the position of a computer chair, keyboard, monitor, or mouse (work station modifications), alternate between different tasks to reduce the repetition of work, stretch your forearms and fingers before, during and after work, and treat any underlying conditions.  When symptoms first occur, these recommendations, as well as wearing a night wrist cock-up splint and seeing your chiropractor, will often reverse the condition without difficulty.  If you wait too long and nerve damage occurs, it becomes a more challenging process to manage CTS and at times, even surgery will not be very helpful.

Some of the non-surgical treatment approaches you might expect from your chiropractor include joint manipulation and/or mobilization applied to the neck, wrist, elbow and/or shoulder, the application of physical therapy modalities such as ultrasound, electrical stim, and/or low level laser therapy (“light” therapy), as well as the use of wrist splints.

The University of Maryland Medical Center cites two research articles on chiropractic treatment for CTS. They report good results are usually obtained and that these good results continued for at least 6 months after treatment ended.  The same reference also recommends nutrition and supplements in the management of CTS.  Some of these include: eliminate food allergens (often milk, cheese, eggs, ice cream, glutens/wheat-grains, soy, corn, and preservatives) and eating foods high in B-vitamins (dark leafy greens like spinach, kale, and sea vegetables), anti-oxidants (fruits – blueberries, cherries, tomatoes; vegetables – squash, bell peppers),  avoiding refined foods, using olive oil and adding omega 3 fatty acids to the diet (fish oil).  Other vitamins including a multivitamin, B complex, Vit. C, alpha-lipoic acid, MSM, resveratrol, Vit. D, Co-Q10, magnesium can also really help.

We realize that you have a choice in where you choose for your healthcare services.  If you, a friend or family member requires care for CTS, chiropractic care is a logical first choice and we would be honored to offer our services to you.

You may be a candidate for our Carpal Tunnel Syndrome program. For a free, no obligation consultation, call 732.984.9594.

Take your life back

Schedule an Appointment

Let’s schedule an initial consult to get an understanding of your goals and what problems you’ve been having.

Work with your doctor & create a plan

After assessing your condition, our doctors and clinicians will work together to develop a comprehensive wellness plan to set you up for success.

Take back your

We will help you put your personalized plan in action to get you back to feeling great and living life to the fullest.

Free Benefits Check

Our staff will work with you to help reduce the stress of working with insurance companies. We accept many insurance providers to make sure as much of the cost as possible doesn’t come out of your pocket!

In the event we don’t accept your insurance we will make every effort to work with you financially to get the treatment you need.

Give us a call at 732-431-2155 or complete the form below and we will contact you.


Play Video

Advanced Wellness taught me – without judging – what I needed to do to get healthy. – Chris C.

Play Video

I lost 56 pounds in three months. – Nicole D.

Play Video

I found a one-stop location to turn my health around. -Brossa

Why choose Advanced Wellness?

We're convenient.

With all the services we offer under one roof, there’s no need to drive around town to get to your appointments. At Advanced Wellness we’re a one-stop shop with one focus: getting you back to your best health.

We're comprehensive.

Our goal isn’t just to treat your symptoms. Our team works together to find the root cause of your problem so we can correct it. Every morning, our team discusses every patient that will walk through our doors that day — giving you access to several expert clinicians on your personal wellness team.

We're cutting-edge.

Advanced is in our name for a reason. We pride ourselves on offering proven, effective and high tech diagnostic techniques and procedures to get you out of pain so you can get back to life.

Get a Free Benefits Check

We work with many insurance providers to make sure as much of the cost as possible doesn’t come out of your pocket!

Or give us a call at (732) 431-2155 In the event we don’t accept your insurance we will make every effort to work with you financially to get the treatment you need.

  • This field is for validation purposes and should be left unchanged.
A book on diet, nutrition, exercise, and
health mindset by Dr. Joe Cilea.

Schedule an Appointment

  • This field is for validation purposes and should be left unchanged.
Contact Us

Tel: 732-431-2155
17 N Main St.
Marlboro, NJ 07746
Fax: 732-431-2889


Tel: 732-780-1111
3338 U.S. 9,
Freehold, NJ 07728
Barclay Shopping Center

Advanced Wellness provides services for patients from Monmouth County, Ocean County and Middlesex County, New Jersey including Marlboro, Manalapan, Englishtown, Morganville, Freehold, Colts Neck, Matawan, Howell, Old Bridge, Jackson, Sayreville, Perth Amboy, South Amboy and Parlin, NJ… and more!

Copyright 2020. All Rights Reserved.

Scroll to Top