Causes, Symptoms, & Treatments
Presented by:
Dr. Clay Kuethe
Carpal Tunnel (An Overview)
 Where is the Carpal Tunnel?
 The Carpal Tunnel is in your
wrist.
 It is made up of the car...
Carpal Bones
 Scaphoid
 Lunate
 Triquetrum
 Pisiform
 Trapezium
 Trapezoid
 Capitate
 Hamate
What Is In The Carpal Tunnel?
 The median nerve which
is the nerve supply for
the palm side of your
hand.
 The flexor te...
Some Symptoms of Carpal Tunnel
Syndrome
 Numbness, tingling, and/or pain in the
thumb, pointer finger, middle finger, and...
Some Tests to Check for Carpal
Tunnel Syndrome
 Tinel’s sign: Involves
tapping over the carpal
tunnel to elicit
numbness ...
Causes of Carpal Tunnel Syndrome
 Women are actually 3
times more likely to have
symptoms of carpal tunnel
syndrome.
 Mo...
How Do These Activities Cause
Carpal Tunnel Syndrome?
 Excess or strained
movement, such as
typing, mouse
use, assembly l...
How Do These Activities Cause
Carpal Tunnel Syndrome? (cont)
 Scar tissue will connect
structures together, such
as tendo...
What Else Could It Be?
 C6 or C7 nerve root
lesion (Subluxation)
 Disc disease of the
cervical spine
 Pronator Teres
Sy...
C6 or C7 Nerve Root Lesion(Subluxation) &
Cervical Discogenic Disease
 Subluxation of either the
C6 or C7 vertebra can
ca...
Pronator Teres Syndrome
 The median nerve is
compressed before it
reaches the carpal tunnel
in between the two
heads of t...
Cubital Tunnel Syndrome
 The ulnar nerve becomes
trapped on the medial
side of the elbow.
 This can cause pain and
senso...
Tunnel of Guyon Syndrome
 Tunnel where ulnar
nerve and artery cross
the wrist into the hand.
 Hypothenar wasting and
sen...
Radial Tunnel Syndrome
 Entrapment of the radial
nerve in the lateral
aspect of the elbow.
 Pain with elbow flexion
of e...
Posterior Interosseous Nerve
Syndrome
 Entrapment of the motor
branch of the radial
nerve.
 Wrist extension will be
weak...
How Do You Treat It?
 Chiropractic
adjustments if the main
cause is cervical
degenerative disease or
subluxation.
 Chiro...
Have Questions? Just Call or Send
an E-mail
 516 W. 35th St.
 Davenport, IA 52806
 Phone: 563-388-6364
 E-mail: drclay...
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Carpal Tunnel Syndrome

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Davenport Chiropractor, Dr. Clay, has prepared a short slide show presentation on some causes of carpal tunnel syndrome and the treatments for it. For more information, please visit http://familycarechiropracticdavenport.com

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Carpal Tunnel Syndrome

  1. 1. Causes, Symptoms, & Treatments Presented by: Dr. Clay Kuethe
  2. 2. Carpal Tunnel (An Overview)  Where is the Carpal Tunnel?  The Carpal Tunnel is in your wrist.  It is made up of the carpal bones and the flexor retinaculum (transverse carpal ligament).  Pneumonic for carpal bones  Some Lover’s Try Positions That They Can’t HandleCarpal Bones
  3. 3. Carpal Bones  Scaphoid  Lunate  Triquetrum  Pisiform  Trapezium  Trapezoid  Capitate  Hamate
  4. 4. What Is In The Carpal Tunnel?  The median nerve which is the nerve supply for the palm side of your hand.  The flexor tendons of the muscles that flex your wrist, hand, and fingers.  Sometimes, arteries and veins that supply the hand.
  5. 5. Some Symptoms of Carpal Tunnel Syndrome  Numbness, tingling, and/or pain in the thumb, pointer finger, middle finger, and half of the ring finger.  Usually no pain in the palm, sensory nerve given off before entering the carpal tunnel  Weakness or clumsiness in gripping  Atrophy of the thenar eminence  Pain in the wrist, forearm, elbow, or shoulder.  Fingers turning purple  Symptoms can be relieved temporarily by shaking the hands, putting in hot water, or resting them.
  6. 6. Some Tests to Check for Carpal Tunnel Syndrome  Tinel’s sign: Involves tapping over the carpal tunnel to elicit numbness or tingling in the fingers(between 60%-80% effective)  Phalen’s test: Pressing the backs of the hands together to elicit symptoms (between 49%-64% effective)  Reverse Phalen’s: Pressing the palms of the hands together (between 49%-64% effective)  Pressure Provocative Test: Putting direct pressure over the carpal tunnel to elicit symptoms (100% effective)
  7. 7. Causes of Carpal Tunnel Syndrome  Women are actually 3 times more likely to have symptoms of carpal tunnel syndrome.  Most often a result of a person’s occupation.  Activities requiring continual use of the hands  Repetitive motions using force  Prolonged flexion or extension of the wrist  Gripping  Pressure over the palm  Trauma  Fractures  Vibration  Examples: data-entry, meat cutters, assembly, construc tion workers, and musicians
  8. 8. How Do These Activities Cause Carpal Tunnel Syndrome?  Excess or strained movement, such as typing, mouse use, assembly line movements.  Micro-bruises can form along these tendons if overused and as they heal, scar tissue can form.  Scar tissue forms in an attempt to help stabilize an area.
  9. 9. How Do These Activities Cause Carpal Tunnel Syndrome? (cont)  Scar tissue will connect structures together, such as tendons, in order to give them stability  The median nerve can also become entrapped when scar tissue forms  This restricts the normal movement of the nerve in the carpal tunnel  This results in more pulling and tugging on the nerve, which causes inflammation.  Inflammation irritates the nerve and can also draw fluid to the area, causing swelling.  Scar tissue formation can also cause the nerve to be compressed
  10. 10. What Else Could It Be?  C6 or C7 nerve root lesion (Subluxation)  Disc disease of the cervical spine  Pronator Teres Syndrome  Cubital Tunnel Syndrome  Tunnel of Guyon Syndrome  Radial Tunnel Syndrome  Posterior Interosseous Nerve Syndrome  Carpal Subluxation
  11. 11. C6 or C7 Nerve Root Lesion(Subluxation) & Cervical Discogenic Disease  Subluxation of either the C6 or C7 vertebra can cause inflammation at the nerve root, which can cause neuropathy in the median nerve  Will often have radiating pain down the arm, which may be relieved by distraction of the cervical vertebrae C6/C7 foramen C6 C7
  12. 12. Pronator Teres Syndrome  The median nerve is compressed before it reaches the carpal tunnel in between the two heads of the pronator teres.  Pain when pronating flexed wrist against resistance.  Sensations in the palm may be reduced.
  13. 13. Cubital Tunnel Syndrome  The ulnar nerve becomes trapped on the medial side of the elbow.  This can cause pain and sensory deficits in the ulnar nerve distribution of the hand.  The medial half of the palm and 5th and the medial half of the 4th digit.
  14. 14. Tunnel of Guyon Syndrome  Tunnel where ulnar nerve and artery cross the wrist into the hand.  Hypothenar wasting and sensory deficits in the highlighted area.  May also be the artery becoming compressed and causing sensory losses.
  15. 15. Radial Tunnel Syndrome  Entrapment of the radial nerve in the lateral aspect of the elbow.  Pain with elbow flexion of elbow and pronation of wrist.  Radial nerve supplies the posterior aspect of the hand and extensor musculature of the forearm.
  16. 16. Posterior Interosseous Nerve Syndrome  Entrapment of the motor branch of the radial nerve.  Wrist extension will be weak.  Pain with forceful wrist extension.
  17. 17. How Do You Treat It?  Chiropractic adjustments if the main cause is cervical degenerative disease or subluxation.  Chiropractic adjustments of the shoulder, elbow, or wrist if there is a subluxation of these areas.  Myofascial release if the cause is muscular or connective tissue in nature.  Anti-inflammatory medication to reduce swelling and inflammation.  Surgery as a last option to relieve pressure in the carpal tunnel.
  18. 18. Have Questions? Just Call or Send an E-mail  516 W. 35th St.  Davenport, IA 52806  Phone: 563-388-6364  E-mail: drclay@familycarechiropracticdavenport.com  familycarechiropracticdavenport.com  facebook.com/FamilyCareChiropractic1  Twitter: @Davenportchiro
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