Carpal Tunnel Syndrome & Regional Interdependence

Carpal tunnel syndrome (CTS) is a common compression neuropathy of the upper extremity, which is caused by increased pressure on the median nerve as it passes through the wrist with resulting symptoms of pain, numbness, and tingling in the thumb through third finger and thumb half of the fourth finger (palm-side) ¹. Traditionally, treatment guidelines for CTS have focused on therapies applied to the wrist. However, there is a growing understanding in the research community that CTS may be best viewed as a complex pain syndrome that requires a comprehensive sensory nervous system approach to achieve a satisfactory outcome for the patient.

Current literature suggests that 45% of CTS patients may also experience pain in the forearm, elbow, and shoulder and 14% have concurrent neck pain ¹. Patients with CTS have also been observed to have myofascial trigger points in upper trapezius and infraspinatus muscles, as well as osteoarthritis in the cervical spine ¹. Carpal tunnel syndrome sufferers may also have reduced cervical range of motion to the side opposite the affected wrist in addition to forward head posture—which occurs when the head rests forward of the sagittal plane, placing added stress on the soft tissues at the back of the neck and upper back to keep the head upright ¹. Because these issues can occur along the course of the median nerve or affect anatomical regions that the median nerve passes through, treatment to address these disorders can reduce a patient’s CTS symptoms. The term “regional interdependence” is used when interventions applied to one anatomical region can influence the outcome and function of other body regions ¹.

At Morgan Chiropractic, we take a comprehensive approach to treating CTS. Our goal is to provide our patients with relief from their symptoms while addressing any underlying issues that may be contributing to their condition. We offer a range of treatments including chiropractic adjustments, massage therapy, and physical therapy. Our team will work with you to develop a personalized treatment plan that addresses your specific needs.

If you are experiencing symptoms of CTS or have been diagnosed with this condition, we encourage you to schedule a consultation with us. Our team is here to help you find relief from your symptoms so that you can get back to doing what you love.