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The Repetitive Stress Disorder Page
There is a huge difference between chiropractic and medical management of disorders like Carpal Tunnel. There are pictures below of typical medical management. A chiropractor knows that if your hands have pain and tingling, that the first place to look is your neck, specifically in the mid to lower cervical spine. That is where the nerve roots which make up the brachial plexus originate. Then the brachial plexus divides into named nerves like the median and ulnar nerve. You will see the brachial plexus forming from the nerve roots on the right side of this picture.
Occupational Injuries Suffered by Classical Musicians Through Overuse
Clinical Chiropractic 2004 (Jun); 7 (2): 55–66
There is a high rate of injury to professional classical musicians and teachers that can be disruptive to practice and potentially threatening top careers. Females and string players were discovered to be of particular risk. The majority of injuries were to the shoulder and proximal thoracic spine and the absence of injuries in amateur players suggests a relationship to overuse. The author suggests that the incorporation of postural and ergonomic into musical education and chiropractic treatment programmes for classical musicians and teachers could be of benefit.
Chiropractic Manipulation in Carpal Tunnel Syndrome
J Manipulative Physiol Ther 1994 (May); 17 (4): 246–249
Chiropractic manipulations were rendered 3 times per week for 4 wk, to the subject's cervical spine, right elbow and wrist using a low amplitude, short lever, low force, high velocity thrust. Significant increase in grip strength and normalization of motor and sensory latencies were noted. Orthopedic tests were negative. Symptoms dissipated. In this case study, chiropractic made a demonstrable difference through objective and subjective outcomes.
The Symptomatic Upper Extremity:
An Algorithmic Approach to Diagnosis, Part 1
J American Chiropractic Assoc 1999 (Apr): 36 (4): 32–58
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Numbness in an arm or hand is a common presenting or secondary patient complaint. Carpal tunnel syndrome poses a familiar mechanism and is frequently cited as the cause of the patient's symptoms. While it may be the most common upper-extremity peripheral nerve entrapment neuropathy, a myriad of other nerve entrapment sites and pathologies are capable of producing upper-limb symptoms. In this article, an algorithmic approach by topographical region is utilized to narrow or expand the diagnostic focus.
The Symptomatic Upper Extremity:
An Algorithmic Approach to Diagnosis, Part 2
J American Chiropractic Assoc 1999 (May): 36 (5): 30–41
~ FULL TEXT
Numerous condtions, notably nerve entrapment syndromes, account for symptoms in the upper extremities. Some are quite common and familiar, while others are remote. In this article, an algorithmic approach has been utilized to describe a broad variety of neurological and non-neurological conditions and to provide readers with an overview of each. The algorithm is intended to be used by the non-specialist who is interested in expanding his list of differential diagnoses for a patient's complaint. It is a reference tool, not a cookbook for diagnosis. Likewise, a planar diagram cannot provide a definitive diagnosis. Common sense and experience will do that.
Comparative Efficacy of Conservative Medical and Chiropractic Treatments for Carpal Tunnel Syndrome: A Randomized Clinical Trial
J Manipulative Physiol Ther 1998 (Jun); 21 (5): 317–326
Interventions included ibuprofen (800 mg 3 times a day for 1 wk, 800 mg twice a day for 1 wk and 800 mg as needed to a maximum daily dose of 2400 mg for 7 wk) and nocturnal wrist supports for medical treatment. Chiropractic treatment included manipulation of the soft tissues and bony joints of the upper extremities and spine (three treatments/week for 2 wk, two treatments/week for 3 wk and one treatment/week for 4 wk), ultrasound over the carpal tunnel and nocturnal wrist supports. There was significant improvement in perceived comfort and function, nerve conduction and finger sensation overall, but no significant differences between groups in the efficacy of either treatment.
Review More Abstracts on Chiropractic and Carpal Tunnel
Review abstracts about chiropractic and a variety of organic and visceral disorders at the wonderful International Chiropractic Pediatric Association (ICPA) website
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