Home Blog Hands-On Healing: Neurodynamic Techniques for Carpal Tunnel Breakthrough!

Hands-On Healing: Neurodynamic Techniques for Carpal Tunnel Breakthrough!

Feb 5, 2024 -- Posted by : Dr.Harcourt

Carpal tunnel syndrome (CTS) arises when the median nerve, located on the palm side of the wrist, is compressed. This condition is characterized by motor and sensory issues, including numbness, pain, and tingling in the first three fingers, along with muscle weakness and reduced hand function. For those with mild-to-moderate CTS, non-surgical treatments are recommended prior to considering surgery, with chiropractic care being a viable option. Chiropractors employ neurodynamic techniques among their treatment methods.

Neurodynamic techniques involve manual therapies aimed at improving the length and mobility of nerves. For CTS, these techniques target the median nerve not only at the wrist but also along its path from the neck down to the shoulder, elbow, and forearm. Addressing restrictions of the median nerve upstream from the wrist is crucial, as these can mimic CTS symptoms and heighten the likelihood of nerve entrapment at the wrist. Without assessing the entire path of the median nerve, treatment outcomes may be less effective.

A systematic review and meta-analysis in July 2023, which examined twelve randomized controlled trials with 1,000 mild-to-moderate CTS patients, demonstrated the efficacy of neurodynamic techniques in alleviating symptoms and enhancing wrist and hand functionality. This review also confirmed improvements in median nerve function, as indicated by nerve conduction tests. Similar positive outcomes were reported in a 2022 systematic review of six randomized controlled trials involving 401 CTS patients, showing immediate enhancements in pain, functionality, and nerve conduction following neurodynamic treatments.

Highlighting the significance of a comprehensive approach over treating just the wrist, a 2022 study divided 62 CTS patients into two groups—one receiving treatment solely on the wrist and the other treated both at the wrist and along the median nerve's path. The group receiving broader treatment reported more significant improvements in pain, grip strength, and functional status.

Conservative chiropractic management of CTS may also encompass additional manual therapies, use of nocturnal splints, exercise regimens, dietary advice, and physiotherapy modalities such as electrical stimulation, ultrasound, laser, and pulsed magnetic field therapy. Chiropractors may collaborate with other healthcare professionals for treatments that extend beyond their expertise when necessary.

So, if you are experiencing pain in my wrist (yours), numbness or paresthesia, hand weakness, and carpal tunnel symptoms and you type in pain management near me or chiropractor near me, you may find Coast Chiropractic Centers with Dr. Timothy Harcourt, me, comes up. 

You may wonder, “Do I need an MRI scan of my neck or wrist.”?

What is carpal tunnel syndrome and who can help near you? 

You may have a “funny feeling like a numbness frequently called paresthesia. Even a handshake may be painful or weak.  Some people around your area have prescribed chemicals that may temporarily reduce the numbness but not fixing the problem. The numbing in the fingers can be annoying and even debilitating.

You may want to see a study on chiropractic effectiveness for carpal tunnel such as this one:


Also, if you feel arm pain it may indicate things are getting worse and may indicate a bulge on the disc or worse yet a herniated disc in your neck. Persistent or worsening pain intensity and/or frequency necessitates a visit to see a professional in your area.

If you would like to avoid getting carpal tunnel in the first place or to take a proactive approach to your health and wellness nearby, our membership program called Club C may be just the thing for you with great cost savings, convenience, and even more importantly, a plan to get your health back and keep it.

Schedule Your Appointment Here 

Coast Chiropractic Centers Map

Call me, Dr. Tim Harcourt, at Coast Chiropractic Centers at (239) 278-3344 or stop by on your day off for a walk in visit and mention this article for an awesome discounted first visit to include history, exam, and adjustment or Class IV high-intensity laser treatment.


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