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Chiropractic manipulation in carpal tunnel syndrome
1Department of Chiropractic Principles and Practice, Cleveland Chiropractic College and Clinic, Kansas City, MO.
Summary
Chiropractic manipulation may relieve carpal tunnel syndrome (CTS) symptoms. This case study showed improved grip strength and nerve function, suggesting chiropractic care as a potential treatment for CTS.
Area of Science:
- Neurology
- Orthopedics
- Chiropractic Medicine
Background:
- Carpal tunnel syndrome (CTS) is a common condition characterized by pain, tingling, and numbness in the wrist.
- Conservative treatments for CTS often include wrist splinting, medication, and physical therapy.
Observation:
- A 42-year-old female presented with classic symptoms of CTS, including right wrist pain, paresthesia along the C6 dermatome, and positive Phalen's and Tinel's signs.
- Electromyography (EMG) testing confirmed the diagnosis of carpal tunnel syndrome.
Findings:
- The patient received chiropractic manipulation of the cervical spine, right elbow, and wrist three times weekly for four weeks.
- Following treatment, significant improvements in grip strength and normalization of motor and sensory nerve conduction latencies were observed.
- Orthopedic tests became negative, and subjective symptoms of pain, tingling, and numbness resolved.
Implications:
- This case study suggests that chiropractic manipulation may be an effective treatment for carpal tunnel syndrome.
- Further research with larger sample sizes and rigorous study designs, such as double-blind, cross-over trials, is warranted to confirm these findings.