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Carpal Tunnel Syndrome or Repetitive Stress?

You're getting ready to launch your new business. And, being a savvy entrepreneur, you've been spending a lot of time doing research on the Internet. Entering searches, following links, cutting-and-pasting, typing, mouse-clicking, dragging-and-dropping.

By the time you're ready to "go live" you've begun to notice a dull ache in your wrist (the one that does most of the mouse-ing). There's an annoying tingling sensation in your thumb and the tendons in your forearm hurt whenever you move your fingers.

"Oh, no," you think. "I've got carpal tunnel syndrome."

However, the news is probably not as bad as that. It's much more likely you've developed repetitive stress syndrome, which can be effectively treated by a chiropractor.

Repetitive stress syndrome is often misdiagnosed as carpal tunnel syndrome by family physicians, internists, and even many orthopedists. The doctor thinks, "wrist pain and thumb pain, must be carpal tunnel". This path of least resistance leads to much unnecessary neurologic testing, needless medication, and unwarranted surgeries.

Real carpal tunnel syndrome (CTS) is actually uncommon, usually associated with pregnancy, rheumatoid arthritis, or decreased thyroid activity.1,2 Also, pain is more noticeable at night, rather than during activity. Finally, a quick test for CTS is to place the tips of your thumb and index finger together, forming a circle. Hold the circle closed while another person tries to pry your fingers apart. If your fingers are strong and can keep the circle closed, you probably don't have CTS.

The wrist, tendon, and forearm pain most of us experience after too much time at the computer is due to repetitive stress syndrome (RSS) - basically, too much of the same activity repeated frequently over too long a time. These new pains can be very uncomfortable and cause significant limitation and frustration.

The primary solution is rest and avoidance of the irritating activities. In practice, rest can mean relative rest.3 One key approach for computer-related repetitive stress is to begin using the opposite hand to do mouse or trackpad activities. This may take a while, but it's a highly effective method. And, once your non-dominant hand gets up to speed, you've got two hands that are smart, not only one!

What about chiropractic treatment? Several trouble spots may contribute to RSS, particularly tight shoulder and neck muscles. Your chiropractor will do a complete physical examination and determine the sources of the problem.

Treatment may include gentle chiropractic manipulation to improve the mobility of your neck and remove stress from that area of your spine. Trigger point therapy will relieve pain and relax tight muscular "knots" in your shoulder girdle and forearm.

Treatment combined with relative rest and rehabilitative exercises will likely result in rapid improvement - decreased pain, greater mobility, and a renewed focus on the work you want to get done, rather than the pain that is getting in your way!

1Source: National Institute of Neurological Disorders and Stroke - http://www.ninds.nih.gov/disorders/carpal_tunnel/detail_carpal_tunnel.htm.
2Piazzini DB, et al. A systematic review of conservative treatment of carpal tunnel syndrome. Clin Rehabil 21(4):299-314, 2007.
3Akuthota V, et al. Shoulder and elbow overuse injuries in sports. Arch Med Phys Rehabil 85(3 Suppl 1):S52-58, 2004.

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  • "Amazing, amazing! Alaina and Dr. Keller are always so sweet, helpful with payments, open with scheduling, and always so welcoming. I love my weekly visits!"
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  • "Dr. Brittney has been a mentor of mine as I went through chiropractic school. She loves her patients and wants nothing less than the absolute best for them. I am so excited to see her blossom in her own pediatric and prenatal focused office. If you're in Lincoln, bring your whole family in to see her and see how your family can be healthier without the use of drugs."
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  • "I started seeing Brittney with my first pregnancy. I had some low back pain when sitting up or down off the floor. She knew exactly what to do, and I don't know how I would have made it through my pregnancy without her. She also helps relieve tightness and knots in my neck and shoulders. **one last thing, she helped round out my baby's head. It was flat on one side. It was a very gently technique. Strongly recommend her!"
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  • "Both my 2 year old daughter and I have seen Dr. Brittney on a regular basis. She is so great with my daughter. Cecilia always looks forward to seeing Dr. Brittney for her adjustment. It has helped keep her little body regular and healthy. I have also benefited from Dr. Brittney's adjustments and treatments. It has significantly improved tension in my neck and shoulders. Overall Dr. Brittney is an extremely caring and intuitive person who provides excellent treatment and care."
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