Understanding Carpal Tunnel Syndrome: Causes, Symptoms, and How Chiropractic Care Can Help

Carpal Tunnel Syndrome (CTS) is a common condition that affects millions of people, causing pain, numbness, and weakness in the hand and wrist. While it’s often associated with repetitive motions like typing, there’s much more to understand about how and why it develops—and how chiropractic care can offer relief without the need for medications or surgery.

Anatomy of the Carpal Tunnel

The carpal tunnel is a narrow passageway located on the palm side of the wrist. This tunnel is formed by:

• Carpal bones (wrist bones) creating the floor and sides of the tunnel
• The transverse carpal ligament forming the roof

Within this tunnel run nine tendons that control finger movement and the median nerve, which provides sensation to the thumb, index, middle, and part of the ring finger. Carpal Tunnel Syndrome occurs when the median nerve becomes compressed or irritated, leading to the characteristic symptoms of the condition.

Who’s at Risk?

Several factors can contribute to the development of Carpal Tunnel Syndrome:

• Repetitive wrist movements: Individuals who perform repetitive tasks with their hands, such as typing, assembly line work, or using hand tools are at higher risk.
• Prolonged wrist flexion or extension: Poor ergonomics, like improper desk setups or sleeping with your wrists bent, can increase pressure on the median nerve.
• Underlying health conditions: Conditions like diabetes, hypothyroidism, and rheumatoid arthritis can increase the likelihood of developing CTS.
• Pregnancy: Hormonal changes and fluid retention during pregnancy can cause temporary symptoms of carpal tunnel.

Signs and Symptoms

Carpal Tunnel Syndrome typically develops gradually, with symptoms worsening over time. Common signs include:

• Numbness and tingling: Usually in the thumb, index, middle, and ring fingers, especially at night or after repetitive activity
• Pain or discomfort: In the wrist, hand, or forearm, sometimes radiating up the arm
• Weakness: Difficulty gripping or holding objects

Treatment Options for Carpal Tunnel Syndrome

Early intervention is key to preventing permanent nerve damage or long term functional limitations with the wrist and hand. Treatment options range from conservative care like chiropractic care, to more invasive interventions like surgery. 

Lifestyle Modifications

• Rest and activity modification: Reducing repetitive motions or correcting ergonomics can prevent further nerve irritation.
• Wrist splinting: Wearing a wrist brace, especially at night, can help keep the wrist in a neutral position.
• Ice and anti-inflammatory measures: To reduce swelling and relieve pain.

Chiropractic Care for Carpal Tunnel Syndrome

Chiropractic care offers an approach that focuses on addressing the underlying causes of nerve compression.

• Wrist and hand adjustments: Help restore proper alignment and movement to the wrist to reduce pressure in the carpal tunnel.
• Spinal adjustments: The nerve roots that supply the arm and wrist originate in the cervical spine. If there are misalignments or restrictions in the neck, they can contribute to symptoms of CTS.
• Soft tissue therapy: Techniques to release tension in the forearm muscles.
• Ergonomic and lifestyle advice: Guidance on how to modify your daily activities to avoid aggravating the condition.

When to Seek Care

If you’re experiencing persistent numbness, tingling, or weakness in your hand or wrist, it’s essential to seek evaluation. Left untreated, Carpal Tunnel Syndrome can lead to permanent nerve damage and significant functional impairment.

At Chiropractic Health and Wellness, we take a whole-body approach to treating Carpal Tunnel Syndrome. By addressing not just the symptoms but the underlying causes—whether it’s poor ergonomics, spinal misalignments, or muscle imbalances—we help our patients get lasting relief and improved function.

If you’re struggling with wrist pain or suspect you may have Carpal Tunnel Syndrome, we’re here to help.