Carpal Tunnel and its Diagnosis
Bay Area Chiropractor Comments: Pain in the wrist and hand can be a difficult thing to diagnose properly. The first problem that patients have is deciding what type of doctor to see. A chiropractor, internist, orthopedist, rheumatologist, or neurologist, will all agree to schedule you for an appointment, but who is best?
At your visit it’s important to have a thorough examination and to ask a lot of questions. I’d be skeptical if the doctor only examines the wrist and hand, and leaves out the elbow, shoulder and neck. The reason this is the case is that problems of the neck and other joints distal to the pain, can refer pain into the wrist and hand. Not all wrist pains are a problem with constriction at the carpal tunnel. Pain into the hand can come from compression of nerves in the neck. Your carpal tunnel pain needs to be separated from a problem in the neck, such as a radiculopathy or thoracic outlet syndrome.
Your doctor should ask are how long the problem has lasted, and if there has been any trauma. Trauma to the neck is especially important, and could be a sign that your wrist problem is really a neck injury.
For some patients, losing weight and doing specific exercises are enough to cure these types of pains. Some patients simply need to have their computer monitor adjusted, or are given stretching exercises to do between long periods at the computer keyboard. The stretching may be for the wrist, but should also address the entire arm and neck to be comprehensive. How we sit and whether there is forward head posture are also important considerations. The forward head posture can stretch your spinal cord and nerve roots making the nerves more susceptible to pressure when they eventually pass through the carpal tunnel.
In others, the problem of joint alignment needs to be properly addressed. Through specific chiropractic adjustments, the motion of the joints and their alignment can be restored. The misalignments may occur at the wrist or even the neck.
In my Clear Lake City office I treat many patients with carpal tunnel symptoms. Sometimes the problem is local to the wrist but most patients will require a more comprehensive approach. If you’d like care that emphasizes proper posture and alignment and avoids the problems of long- term medication use, then schedule an appointment today.
Dr. Ward Beecher practices at Beecher Chiropractic Clinic at 1001 Pineloch, Ste 700 Houston, TX 77062. You can schedule an appointment at BeecherChiropractic.com or by calling (281) 286-1300. If you have any questions regarding this blog, please comment below!
Headaches from Forward Head Posture
Clear Lake Area Chiropractor Comments: John Q. Public has been trained to believe that headache is a problem in the head and headache treatment and relief comes in a bottle.
While it’s true that pain medications can bring relief for a pounding headache, they rarely get at the actual cause of the problem. You have to also consider the long-term problems that can occur when you take these types of pills for years or even decades. Some long-term complications include stomach bleeding, liver and kidney problems. Plus there is the problem of not actually correcting anything and instead masking the symptoms. Pain pills are not one of the five food groups.
For many patients, the problem is not one in the head, but may have a spinal cause. Let me explain how this works…. Normally, the neck is balanced over the shoulders in an upright manner. Some people, however, they develop forward head posture where the head protrudes out away from the shoulder girdle-it looks like the bad posture your mother told to avoid. It is the slouching or turtle problem- your neck should now come out of the front of your chest. This type of posture is often seen in computer operators and others who bend over to do their work. Whiplash injuries can also create this forward head posture by disrupting the natural curve of the neck.
Over time the muscles at the back of the neck become tight and start to tug and pull at the base of the skull. This can cause head pain. Sometimes it’s a dull ache with a burning type of pain full of tension. In other patients, the headache may be more throbbing and to one side. The important thing is to address the actual cause of the problem. This is where chiropractic care is key. By correcting the forward head posture, the head is more balanced over the shoulders. Many patients will report less tension in their shoulder and upper back muscles which were really working over time.
At Beecher Chiropractic Clinic, I try to get at the cause of headaches. Usually it’s not a lack of pills in the diet, and in most patients simply correcting their posture can bring relief. Only a comprehensive examination of the full spine will determine if the cause of your headaches is spinal, and whether chiropractic will be the best option for you to regain your health.
Dr. Ward Beecher practices at Beecher Chiropractic Clinic at 1001 Pineloch, Ste 700 Houston, TX 77062. You can schedule an appointment at BeecherChiropractic.com or by calling (281) 286-1300. If you have any questions regarding this blog, please comment below!
The Truth About Neck Pain and Chiropractic Treatment
Neck pain is a very common complaint that chiropractic has been found to be very effective in treating. There are many causes of neck pain including posture related (such as a forward head carriage) and repetitive strain (such as long static holding of awkward positions). These two causes are very similar as the head weighs approximately 15 pounds and when held in a forward translated position for a lengthy time frame, the muscles fatigue and begin to ache. This is similar to holding a baby in your arms for a long time frame. We soon find ourselves moving the baby to the other arm or against our chest due to the gradual increasing strain placed our upper quarter muscles. Hence, we must similarly change the forward head position when we are working at the computer, listening or talking (especially if the person is not directly in front of you), reading a book, cooking, and so forth.
Another cause of neck pain is trauma. This could be from a car accident, a slip-and-fall injury, sports injury, and more. These injuries are highly variable as no two injuries or accidents are the same and, there are a wide variety of neck sizes in both length and girth and hence, the same trauma may hardly result in an injury in one person and greatly injure a smaller, more petite person. Your doctor of chiropractic will ask you about the “mechanism of injury” as that can give us clues about which tissues are injured. For example, in a motor vehicle collision, if the impact occurs from the side verses the rear end of the car, the tissues in the neck are stretched differently and the management/treatment may vary accordingly.
Other causes of neck pain include a “slipped” or herniated disk. A herniated disk is like a jelly donut where the jelly leaks out and presses against a nerve that travels down the arm. Symptoms often include pain, numb, tingling, burning, weakness, or combinations of these sensations down the course of the nerve. When this occurs, the person is usually quite specific about where the pain is traveling such as, “…it goes down my arm to my ring and little finger.”
Another cause can be related to natural aging process involving the “wearing out” process of the disk, joints, and muscle/ligament attachments. The term, “osteoarthritis” is commonly associated with these findings and is often blamed for neck pain, but this is controversial. First, osteoarthritis (OA) takes years to develop and many people have a significant amount of OA but literally no pain or symptoms while others with only a little x-ray evidence of OA present with an abundance of pain.
So, how do chiropractors manage all of these causes of neck pain? A thorough history, examination, and locating the positions of pain production verses pain relief are “key” to the successful management of patients with neck pain. For one patient, traction/stretching types of manual adjustment techniques work best while for the next, this may not be tolerated at all, which is why we “pre-position” the patient prior to administering an adjustment.
Other treatment considerations may include exercise instruction, physical therapy modalities (electric stimulation, ultrasound, etc.), the use of ice/heat or changes to your work station. If you, a family member or a friend require care, we sincerely appreciate the trust and confidence shown by choosing our service.
We are proud that chiropractic care has consistently scored the highest level of satisfaction when compared to other forms of health care provision and we look forward in serving you and your family presently and in the future.
Dr. Ward Beecher practices at Beecher Chiropractic Clinic at 1001 Pineloch, Ste 700 Houston, TX 77062. You can schedule an appointment at BeecherChiropractic.com or by calling (281) 286-1300. If you have any questions regarding this blog, please comment below!
