Carpal Tunnel Syndrome (CTS) is caused by pinching of the median nerve inside the carpal tunnel in the wrist resulting numbness, tingling, and sometimes pain into the hand affecting the index, 3rd, and thumb-side of the 4th finger. Grip strength weakness may occur (usually later in the process), making dropping of items and fine motor activities, like buttoning shirts, challenging. There are many approaches to the treatment of CTS of which surgical release of the transverse carpal ligament is the most common and usually recommended by most primary care physicians when tests support the presence of CTS. But, there are alternative treatment approaches that should be utilized first because the recovery time is less lengthy and grip weakness often occurs post-surgically with approximately a 30% loss of strength. Moreover, the CTS sufferer will lose minimal or no work time when treated with chiropractic approaches, compared to a 2 to 6 week work loss time after surgery, if there are no complications. Bottom line, there are no serious side effects to chiropractic management of CTS so, why wouldn’t you try that first since there are potential side effects to the surgical approach?

So, what can you expect when you present for chiropractic management of CTS?

The history process includes how the condition started (“mechanism of injury”), the date of onset, activities that make the condition better and worse, the quality of symptoms, the location of symptoms, the severity (0-10 scale usually), and when the condition is worse (such as night time when sleeping). There are special questionnaires that ask about symptom severity and function loss which are scored and used to track progress during treatment. A pain diagram is completed by the patient that illustrates where the patient has pain, numbness or other symptoms on a map of the body.  This is important as frequently in CTS, there are areas in the neck, shoulder, arm as well as the wrist and hand that are present in patients with CTS and successful management of CTS depends on treating ALL areas involved, not just the wrist/hand.

The examination of the CTS patient includes observing posture for a forward head position, protracted or rolled forward shoulders, muscle bulk of the arms, and if there is any abnormal spinal curvature or head tilt. The skin is also inspected for lesions, rashes, discoloration, swelling and hair loss. Next is palpation where we determine if there are any subluxations (vertebral and/or extremity joint misalignments) and/or trigger points in muscles including the neck, shoulders, arms and hands. Orthopedic tests are performed where we put the neck, shoulder, arm and hand in various positions to see if the symptoms of CTS change.  These tests give us clues as to which tissues are contributing to the CTS symptoms. For example, applying thumb pressure over the carpal tunnel will often reproduce the CTS symptoms of numbness and/or pain into the index, 3rd, and thumb half of the 4th finger. When we find multiple tests that reproduce the CTS symptoms, we will know what  areas require treatment as frequently, we will find a significant contribution to the CTS symptoms are coming from the neck, shoulder, and/or forearm, not just the wrist. This is why, in some cases, patients may not have a satisfying result after CTS surgery.

The treatment the CTS patient may expect at the chiropractic office includes manipulation of the neck, shoulder, elbow, wrist and hand. We will often perform muscle release techniques where pressure is applied into the muscles during stretch as well as friction massage. The use of a wrist “cock-up” splint at night is very helpful to reduce the frequency of waking up at night due to hand/finger numbness. Various physical therapy modalities such as low level laser therapy, electrical stimulation, pulsed magnetic stimulation, ultrasound, and others can also be helpful. Also, we give exercises that are extremely helpful and we frequently discuss job modifications to helps to reduce the repetitive strain that causes and can prolong the condition.

We realize you have a choice in who you consider for your health care provision and we sincerely appreciate your trust in choosing our service for those needs.  If you, a friend or family member require care for CTS, we would be honored to render our services.  If you would like to know how chiropractic care can help with your CTS, call 732-984-9597 for a free consultation.

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
health

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

OVER 20,000+ LIFESTYLES RESTORED.

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
Marlboro

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

Freehold

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