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"Double-Crush" Risks and
Carpal Tunnel Syndrome
Most people with carpal tunnel syndrome think they have a primary problem in the wrist. While the wrist and hand may be the site of most of your symptoms, the cause can lie elsewhere. The nerves that course through the tiny tunnel in your wrist, originate in your neck. When the vertebrae are twisted in your neck or disk injury is present this can narrow the openings in your neck that the nerves must pass through. When this occurs and there is also a problem with compression at the wrist, it is called a double-crush syndrome. Double meaning the nerves are pinched at two locations.
Patients with double-crush syndrome tend to be older. Greater age can have an influence on degeneration of the disks in the neck, which can lead to narrowing of the passages the nerves must course through as they exit the spinal cord and move down the arm. Male patients are also more likely to have double-crush syndrome.
Since double-crush syndrome can be missed if a thorough neck examination is not done, this could lead to inappropriate treatments because the true cause is not being addressed.
Chiropractic care focuses on the cause of diseases. Just as a leg pain (e.g. sciatica) usually comes from a lower back problem rather than the leg itself, a wrist problem is not always in the wrist. It's important to have a comprehensive assessment when carpal tunnel symptoms develop, and this may include x-rays of your neck.
Our clinic tries to address these problems in a holistic, non-drug and non-surgical manner. Our approach will usually involve vertebral adjustments to correct structural problems in the neck region along with extremity adjustments to restore proper alignment of the carpal bones in the wrist. Nutritional support and cold laser therapy may also be beneficial. If these symptoms are present, consider chiropractic care as a conservative option prior to undergoing invasive surgury.
This Chiropractic health information is provided by Dr.Cimperman and Dr. Gallagher. We can be reached at 724-586-9777.