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Causes pain, numbness and tingling in your hands
Pressure on the median nerve

Other causes:

-Illnesses – rheumatoid arthritis, diabetes, lupus, hypothyroidism and multiple sclerosis



-Repeated hand/wrist movements

-Broken bones, dislocated bones, bone spurs or new growth from healing bones

-Tumors or other growths – these are uncommon causes

-Normal wear and tear of the tissues of the hand/wrist


Common work-related injury 

-Forceful repetitive hand movements

-Hand-arm vibrations

-Prolonged work periods in the same or awkward positions, especially with other health conditions

Usually diagnosed by history and physical examination

Additional testing:


-Nerve testing



-Blood test – may be ordered to evaluate for other medical problems that may be causing


Non-surgical treatment can include: physical medicine modalities, wrist splint, NSAIDs, changing or avoiding activities that may be causing symptoms or injections

Surgical treatment: recommended with failure of conservative measures to relieve the pressure on the median nerve

Types of surgical treatment

1.  Open carpal release surgery

-- larger incision, usually from the wrist to the palm

-- has longer recovery

-- may be less chance for other complications

2.  Endoscopic carpal tunnel release surgery

--  small incision at the wrist or palm

--  shorter recovery

--  may be slightly higher rate of reoperation

Other forms of non-surgical treatment



-Chiropractic care

-Vitamin supplementation of B6

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Posture and Neck Pain

Chronic neck pain is a miserable experience. Although some cases of neck pain are caused by an injury, many are simply due to poor posture. Poor posture stresses the muscles of the neck and can cause muscle spasms, stiffness and pain. Over time, the stresses of poor posture on the neck can cause degenerative diseases to develop in the discs and bones of the neck. Forward head A very commonly seen posture that puts a lot of strain on the neck is the forward head. The individual habitually thrusts the head forward, carrying it out in front of the shoulders. In this position, the weight of the head is constantly pulling on the spine and the shoulders. Sitting for hours hunched over a desk or a computer is a common cause of forward head. Many people with this habitual forward head carriage suffer from sore shoulders as well as a sore neck. Over time, the vertebrae at the base of the neck (C5 and C6) can develop painful degenerative conditions due to the constant weight of the head pulling on them in the forward head posture. Correct posture A correct posture is one that keeps the spine in alignment. Some people call it a neutral or balanced posture. One exercise to encourage a neutral posture is to focus on opening the chest wide as you try to squeeze your shoulder blades together. Once your chest is open, bring your head into alignment. Think of a string pulling up the top of your head and lengthening the neck. When you do this, your chin will tuck in and your head will naturally shift into proper alignment with your spine. Do the open chest/ string exercise multiple times a day. Other exercises to build better posture are head nods and chin tucks. To do a head nod, slowly nod your head slightly up and down without moving your neck. To do chin tucks, tip your nose down toward the ground and move the top of your head backwards. Repeat head nods and chin tucks several times a day. These exercises strengthen the muscles on the front of the neck. Individuals with habitual forward head posture usually have very weak muscles in the front of the neck. If you've worked hard at correcting your posture and you are still suffering from neck pain, why not give us a call?

Note: The information on this Web site is provided as general health guidelines and may not be applicable to your particular health condition. Your individual health status and any required medical treatments can only be properly addressed by a professional healthcare provider of your choice. Remember: There is no adequate substitution for a personal consultation with your physician. Neither BPF Specialty Hospital, or any of their affiliates, nor any contributors shall have any liability for the content or any errors or omissions in the information provided by this Web site.