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Carpal Tunnel Syndrome Research

Conservative chiropractic care of cervicobrachialgia Glick DM, Chiropr Res J, 1989; 1(3):49-52

Cervicobrachialgia, also known as “brachial neuritis” or “brachial neuralgia” involves neck and arm pain that can be described as “sharp,” “stabbing,” or “aching,” with acute sudden onset. The pain is in the shoulder blade, the side of the neck and may continue through the upper arm.

This is the case of a 42 year-old woman diagnosed with the above condition who had suffered a fall skiing during the prior week when symptoms began. Upper cervical x-rays revealed the atlas to be displaced laterally to the right and rotated anterior on that side. The patient was adjusted upper cervically by hand.

Immediately following the first adjustment the patient reported noticeable relief in symptoms. 48 hours later she received a second adjustment. Three days later she was checked again and did not need an adjustment.

Comparative efficacy of conservative medical and chiropractic treatments for carpal tunnel syndrome: a randomized clinical trial. Davis PT, Hulbert JR, Kassak KM, et al. Journal of Manipulative and Physiological Therapeutics, June 1998, vol.21/no.5, pp317-26.

This study showed that chiropractic was as effective as medical treatment in reducing symptoms of CTS. Chiropractic care included spinal adjustments, and in addition, ultrasound over the carpal tunnel and the use of nighttime wrist supports.

Double crush syndrome: a chiropractic/surgical approach to treatment. Cramer SR, Cramer LM Dig of Chiropractic Economics Mar/April, 1991.

Seventy five patients received chiropractic and hand surgery/rehabilitation. It was concluded that these two approaches are complementary and can be effective in improving the lives and prognoses of patients.

A treatment for carpal tunnel syndrome: evaluation of objective and subjective measures. Bonebrake AR, Fernandez JE, Marley RJ et al. Journal of Manipulative and Physiological Therapeutics, Vol.13 No.9 Nov/Dec 1990.

Thirty-eight CTS sufferers underwent spinal manipulation and extremity adjusting, soft tissue manipulation, dietary changes and daily exercises. Post treatment results showed improvement in all strength and range of motion measures. A significant reduction of nearly 15% in pain and distress ratings was documented.

Resolution of a double-crush syndrome. Flatt DW. Journal of Manipulative and Physiological Therapeutics, July/August 1994; 17(6): 395-397.

A 63-year-old man suffered from a 36-month history of right anterior leg numbness and recurrent lower back pain. Complete resolution of right anterior leg numbness followed chiropractic. Although not a carpal tunnel problem, the double crush phenomenon, in this case involving the leg, and its resolution under chiropractic care is of interest.

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