Carpal Tunnel Syndrome, we have all heard about it and many of you reading this may in fact have been diagnosed with it. I’ve even read articles from some angry neurologists angry in fact that people have even suggested that there may be another way to deal with it other than surgery.
Chiropractors have been helping people with Carpal Tunnel Syndrome very successfully for many years. Some better than others but there you go. As Dad used to say “There are more muskrats than minks out there son.” I think this is true in every discipline and yet I believe most practitioners are doing the best they can for people some are just better than others.
The nice thing about the Chiropractic approach is that should it fail you, the surgery is still an option for you. Where if you have the surgery first the Chiropractic method may still help but…. Hey…. You just had surgery for nothing.
No I’m not saying we are better than the other guys, just less invasive and more often than not successful at helping people with these issues. Not only that but our treatment is far less expensive too though many insurance companies won’t pay for this type of care. I do however think its worth checking out prior to jumping on the surgery band wagon.
The following are quotes from an article talking about something we Chiropractors have known for years. I like to think it’s a huge advance to see the other side even talking about it, let alone researching it. You go guys, its about time you get on board.
J Orthopaedic & Sports Physical Therapy 2009 (Sep); 39 (9): 658—664 Ana I. De-la-Llave-Rincón, César Fernández-de-las-Peñas, Domingo Palacios-Ceña, Joshua A. Cleland
Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Universidad Rey Juan Carlos, Alcorcón, Madrid, Spain.
STUDY DESIGN: Case control study.
OBJECTIVES: To compare the amount of forward head posture (FHP) and cervical range of motion between patients with moderate carpal tunnel syndrome (CTS) and healthy controls. We also sought to assess the relationships among FHP, cervical range of motion, and clinical variables related to the intensity and temporal profile of pain due to CTS.
BACKGROUND: It is plausible that the cervical spine may be involved in patients with CTS. No studies have investigated the possible associations among FHP, cervical range of motion, and symptoms related to CTS.
METHODS: FHP and cervical range of motion were assessed in 25 women with CTS and 25 matched healthy women. Side-view pictures were taken in both relaxed-sitting and standing positions to measure the craniovertebral angle. A CROM device was used to assess cervical range of motion. Posture and mobility measurements were performed by an experienced therapist blinded to the subjects’ condition. Differences in cervical range of motion were examined using the nonparametric Mann-Whitney U test. A 2-way mixed-model analysis of variance (ANOVA) was used to evaluate differences in FHP between groups and positions.
RESULTS: The ANOVA revealed significant differences between groups (F = 30.4; P<.001) and between positions (F = 6.5; P<.01) for FHP assessment. Patients with CTS had a smaller craniovertebral angle (greater FHP) than controls (P<.001) in both standing and sitting. Additionally, patients with CTS showed decreased cervical range of motion in all directions when compared to controls (P<.001). Only cervical flexion (rs = -0.43; P = .02) and lateral flexion contralateral to the side of the CTS (rs = -0.51; P = .01) were associated with the reported lowest pain experienced in the preceding week. A positive association between FHP and cervical range of motion was identified in both groups: the smaller the craniovertebral angle (reflective of a greater FHP), the smaller the range of motion (r values between 0.27 and 0.45; P<.05). Finally, cervical range of motion and FHP were negatively associated with age in the control group but not in the group with CTS.
CONCLUSION: Patients with mild/moderate CTS exhibited a greater FHP and less cervical range of motion, as compared to healthy controls. Additionally, a greater FHP was associated with a reduction in cervical range of motion. However, a cause-and-effect relationship cannot be inferred from this study. Future research should investigate if FHP and restricted cervical range of motion is a consequence or a causative factor of CTS and related symptoms (eg, pain).
In other words, to those of us who have been treating people with forward head posture for years, it is CLEAR to us that Forward Head Posture is in fact a major causative factor in people with Carpal Tunnel Syndrome. Its amazing to me that research on this issue has been this late in coming.
Historically speaking, Chiropractors (And not all of them for that matter.) have been working at correcting head forward posture for years. Don’t you think this should be the starting point if you are suffering with Carpal Tunnel Syndrome as opposed to the treatment of last resort ?