Carpal Tunnel Syndrome
So you have Carpal Tunnel Syndrome.  If you have been to enough people to get that diagnosis you have a
problem.  The usual symptoms include numbness and tingling on the thumb side of the palm of your hand.  
It seems to come with a good dose of pain an weakness too.    Many people have difficulty holding things in
the affected hand.  Dropping things is common.  This is a problem if you like to hold babies, drink coffee, use
hand tools, or use your computer a good bit.

The nerve going through your wrist is frequently blamed.  Traditional treatment can involve exercise,
splinting, and even surgery.  It is not uncommon to repeat the surgery or to develop RSD (Causalgia is the
new term).  Carpal Tunnel Syndrome is fast becoming a problem in the workplace and home.  

Trigger Point Therapy is an often forgotten source of help in Carpal Tunnel Syndrome in the Pittsburgh area.  
Trigger Points in the muscles can cause entrapment of the median nerve.  There are several areas from the
neck to the wrist where entrapment can occur.  It has been called a Crush or Double Crush Syndrome
because of this entrapment at more than one occasion.  Some have even called it whole nerve syndrome
due to the number of areas along the nerve where compression can occur.
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Treating Trigger Points in the muscles that can entrap the nerve is an important part of dealing with the
symptoms of Carpal Tunnel Syndrome.  This treatment must involve treatment of the local muscles to get the
pressure off of the nerve and to eliminate the referred pain patterns of trigger points that refer pain to the
region.  It is usually important to have a big picture approach.

When I was a newly minted therapist a lady came to me with a diagnosis of Carpal Tunnel Syndrome.  She
had been treated for 2 years by good therapists who specialized in treating the forearm.  Rather than trying to
do what had already been done I tried a postural approach.  Her pelvis tilted forward.  This caused her head
and shoulders to come forward.  This forward position of the shoulders put pressure on the nerve at the level
of the shoulder.  Correcting her posture got the pressure off and her symptoms resolved.  I have watched
this happen over and over again.  Simply balance the posture, restore flexibility, and often the body takes
care of the rest.
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Carol Finn MTPT                                        Richard Finn, CMTPT
412-266-2359                                                   412-779-7822
carolmfinn@gmail.com                  pittsburghpainrelief@hotmail.com