Health Update: Carpal Tunnel

Why is it so common?

Carpal tunnel syndrome or, CTS, is a condition where a nerve (called the median nerve) is compressed in a relatively tight or restricted space (called the carpal tunnel), resulting in altered nerve function that includes numbness and weakness. In order to fully understand what CTS is, let’s devote this Health Update to better understanding the anatomy of the carpal tunnel.

Video: Carpal Tunnel Syndrome

The carpal tunnel is made up from 8 bones (2 rows of 4 carpal bones that are stacked on top of each other) that are arranged in the shape of a horse shoe. The “roof” of the tunnel is a ligament (transverse carpal ligament) that stretches tightly across the two ends of the horseshoe completing the formation of a tunnel – actually, an upside down tunnel when looking at the palm side of the wrist). The contents of the tunnel include 9 tendons and their covering (sheath), blood vessels and on top of all that just under the roof is the median nerve – the culprit that creates most of the symptoms of CTS. The cause of CTS is simply anything that causes the contents inside the tunnel to swell, which then compresses the median nerve up into the roof or ligament, pinching the nerve. This can create numbness, tingling, the falling asleep sensation and weakness. It’s important to point out that the median nerve starts out from the neck, passes through the shoulder, past the elbow, through the wrist’s carpal tunnel and ends in the hand – specifically fingers 2,3, and 4. Therefore, the entire nerve must be looked at for all CTS cases as pinching can occur anywhere along its course from the neck to the hand.

It’s said that pictures say a thousand words, so let’s take a look…

Using the pictures here, familiarize yourself with the words and re-read the 2nd paragraph above, periodically looking at these pictures until you feel you understand where everything goes.  Once you’ve accomplished that, you’ll be able to better appreciate CTS, how the anatomy relates to the condition, and appreciate the need to reduce the swelling inside the tunnel when symptoms occur.  The treatment is simple: price – P protect R rest I ice C compress E elevate – accomplished by bracing (especially at night), ice cup massage (5 min. until numb 5x/day), rest (light duty work), and therapy (see your chiropractor!).

To find out if you are a candidate for their customized treatment approach call 732-984-9597 or visit our website.

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.

Take your life back

Schedule an

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.  

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

Over 30000 lifestyles restored!

“Advanced Wellness taught me – without judging – what I needed to do to get healthy.”

– Chris C.

Play Video
Play Video
Play Video
A book on diet, nutrition, exercise, and health mindset by Dr. Joe Cilea.
Contact Us

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

Tel: 732-780-1111
3338 U.S. Route 9 South,
Freehold, NJ 07728
Barclay Shopping Center
Fax: 732-798-9173

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!
Scroll to Top