IS SURGERY REALLY NECESSARY?
By: Dr. Steven Trembecki, D.C, Tue Jun 12th, 2007 Carpal tunnel syndrome is defined as a condition involving numbness, tingling, weakness, pain and/or muscle wasting of the hand along the distribution of the median nerve. This relates to the thenar or thumb-side of the hand. Although surgery is often the choice of treatment, it is the most invasive form of treatment and is not the only treatment available. To better understand this, one needs to better understand the different causes of carpal tunnel syndrome. The carpal tunnel is made of two rows of four bones, called carpal bones, which sit in a semi-circle at the back of the wrist. This forms one side of the tunnel. The opposite side of the tunnel is formed by a strong ligament, the flexor retinaculum, which completes the carpal tunnel. Through this tunnel pass a number of crucial structures, including the tendons that bend the fingers, and the median nerve. With Carpal Tunnel Syndrome, this nerve gets squeezed and compressed. The r
Pain clinics are bombarded with the number of people getting humongus amounts of pain medicines for chronic back pain. Americans are spending millions on physician and therapists visits, pain medicines and loss of income because they have to miss work. Millions are suffering from the chronic back pain and the side effects of the pain medicines that they have to take to keep the pain in check. Is this you? Chronic back is at epidemic levels and the problem is growing. Aren’t you tired of missing out on all of the fun because of back pain? Are you weary with the chronic morning stiffeness that makes it tough to do every day tasks? What about your sex life, lifting grandchildren, gardening, long car rides that are all effected by that nagging back pain? I, for one, had to miss tons of work because of chronic pain. This cost me thousands of dollars in income. My name is Janice Knox. I am a physician who had to suffer debilitating back pain until I figured out what I could do to erase that
The core symptoms of Carpal tunnel syndrome include numbness, tingling, weakness, pain and/or wasting of the muscles in the hand. All this occurs along the distribution of the median nerve, which is the one that supplies the thumb-side of the hand. Surgery is often recommended as the best treatment. However, it is a serious undertaking, and sometimes a more conservative approach might be better. To know what route to take, we first need to have a good understanding of the different causes of Carpal Tunnel Syndrome. The carpal tunnel is formed by an arch of four bones, the carpal bones, which form the back of the wrist. The front of the wrist is formed by the flexor retinaculum, a strong ligament which spans the arch. The tunnel thus forms between them. The tendons that bend the fingers, and the median nerve all pass through this tunnel from the arm to the hand. What happens in Carpal Tunnel Syndrome is that, for various reasons, the space in the tunnel becomes overcrowded, the nerve ge
By Dr. Steven Trembecki, D.C Carpal tunnel syndrome causes tingling, numbness, pain, and wasting of the muscles on the thumb side of the hand – the area that is supplied by the median nerve. Surgery is often recommended as the best treatment. However, it is a serious undertaking, and sometimes a more conservative approach might be better. To know what route to take, we first need to have a good understanding of the different causes of Carpal Tunnel Syndrome. The wrist is formed by four bones, the carpal bones, which make an arch across the back of the wrist. This arch is spanned by a strong ligament, the flexor retinaculum, which forms the front of the wrist. The space between the bones and the ligament is the carpal tunnel. The tendons that bend the fingers, and the median nerve all pass through this tunnel from the arm to the hand. What happens in Carpal Tunnel Syndrome is that, for various reasons, the space in the tunnel becomes overcrowded, the nerve gets compressed, and the resul
Carpal tunnel syndrome is defined as a condition involving numbness, tingling, weakness, pain and/or muscle wasting of the hand along the distribution of the median nerve. This relates to the thenar or thumb-side of the hand. Although surgery is often the choice of treatment, it is the most invasive form of treatment and is not the only treatment available. To better understand this, one needs to better understand the different causes of carpal tunnel syndrome. The wrist is formed by four bones, the carpal bones, which make an arch across the back of the wrist. This arch is spanned by a strong ligament, the flexor retinaculum, which forms the front of the wrist. The space between the bones and the ligament is the carpal tunnel. Through this tunnel pass a number of crucial structures, including the tendons that bend the fingers, and the median nerve. With Carpal Tunnel Syndrome, this nerve gets squeezed and compressed. The result is a decrease in its conductivity, meaning the nerve does
