TREATING CARPAL TUNNEL SYNDROME
So back to my gal who showed up at our office with numbness and tingling in her hands for 2 years. She had several preceding problems with her neck and upper extremities that led me in checking out those areas as the nerves and tissues associated with those structures are all connected further down the chain. In fact, there are several muscles themselves which can refer pain into the thumb and first two fingers giving one the exact perception they indeed have CTS. One of them, the subclavius is shown here for you. There are several more. After my evaluation, I found she had significant problems with her neck for almost 20 years when she
Now everyone does not experience this from one, two or even three sessions of PT but we have seen it so many times, a person would be doing themselves a disservice from not checking out options other than jumping into and having surgery for this syndrome. Let there be no doubt, there are specific times when surgery for CTS is warrented. Before that happens to you, do yourself a favor and call us for an evaluation to see if we can make a life changing event happen for you. 1)J Clin Neurophysiol. 2011 Feb;28(1):45-50. doi: 10.1097/WNP.0b013e31820510f2. How to make electrodiagnosis of carpal tunnel syndrome with normal distal conductions? Lee WJ1, Liao YC, Wei SJ, Tsai CW, Chang MH. 2)Clin Neurophysiol. 2006 May;117(5):984-91. Epub 2006 Mar 23. Comparison of sensitivity of transcarpal median motor conduction velocity and conventional conduction techniques in electrodiagnosis of carpal tunnel syndrome. Chang MH1, Liu LH, Lee YC, Wei SJ, Chiang HL, Hsieh PF.
landed on her neck when a horse she was riding tripped and tried to fall on her. She also had a previous surgery of one of her shoulders due to it being dislocated several times beforehand. Her other shoulder also had previous problems with subluxation (medical term for partial dislocation). So I elected to treat her cervical (neck) as well as her shoulder problems using deep soft tissue massage as well as Stecco fascial manipulation ® . I informed her she would probably be sore and the treatment could indeed make her symptoms worse temporarily. I saw her in one week for a follow-up visit. I was immediately dissapointed when she informed me she did not experience any increased symptoms. Not that I was hoping for more numbness or tingling but usually a person has a fair amount of soreness if we are going to make a change. She then smiled and stated her symptoms were altered/changed 100% up until the day she returned and were only mild in comparison. Holy smokes!! What a change.
3)2005 Journal of Neurology Neurosurgery and Psychiatry How to get the most out of nerve conduction studies and electromyography G Fuller
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PATIENT SUCCESS SPOTLIGHTS
“I will definitely recommend!” “When I first started coming to APT, I had lots of pain. As things went along, I started to improve and now I have ZERO pain! Annie was really good at keeping me informed and getting me back to the things I wanted to do. Great staff all around. I will definitely recommend! Connie was also very helpful and even called me to remind me of my appointments.” - Jack L.
“I would have never identified this as a problem without her expertise.” “I came to Appalachian Physical Therapy when referred by my GYN as an option before trying surgical intervention. Colleen identified residual issues from an ACL repair 3 years prior that were causing pain in other areas. I would have never identified this as a problem without her expertise and as a result, I was able to avoid surgical intervention. I am so thankful for APT’s services.” - Mariah M. “Over a period of weeks, the pain lessened dramatically.” “Before going to APT I had pain from my hip to my ankle for 4 months, ranging from moderate pain to actual limping. In 2007, I had a partial hip replacement because of a black ice accident. All was really trouble free and I have been very active, until last summer when a 3 week road trip took its toll. Long days in the car followed by very active days, etc., resulted in much pain. This greatly limited my long early morning walks which I love. A friend referred me to APT and I went not knowing what else to do. Linden listened attentively and was very knowledgeable about what would help. She began a round of stretches, exercises and pressure point therapy (ouch!). Over a period of weeks, the pain lessened dramatically. I will certainly continue the stretching exercises she has prescribed. I thank her sooo much for all her help and I have resumed my morning walks. The APT staff are clearly doing a great job.” - M. Curtis
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