Acupuncture for Carpal Tunnel Syndrome
Carpal tunnel syndrome (CTS) is one of
the most common job-related injuries and is responsible for the highest
number of days lost among all work related injuries. It is the reason
for over two million visits to physicians' offices and approximately
465,000 carpal tunnel release operations each year, making it the most
frequent surgery of the hand and wrist.
Acupuncture is extremely effective at treating carpal tunnel syndrome;
eliminating the need for surgery or the use of anti-inflammatory drugs
or corticosteroids. In fact, one of the most common reasons that people
get acupuncture is for repetitive stress injuries, including carpal
tunnel syndrome. Recent studies even suggest that acupuncture may be
more effective than corticosteroids when it comes to treating CTS.
What is Carpal Tunnel Syndrome?
The carpal tunnel is a narrow passageway in the wrist made up of
ligaments and bones. The median nerve and the tendons that connect the
fingers to the muscles of the forearm pass through this tightly spaced
tunnel.
Carpal tunnel syndrome, also known as median nerve entrapment, occurs
when swelling or irritation of the nerve or tendons in the carpal
tunnel results in pressure on the median nerve. The median nerve
controls sensations to the palm side of the thumb and fingers, as well
as impulses to some small muscles in the hand that allow the fingers
and thumb to move.
Symptoms usually start gradually, with frequent burning, tingling, or
numbness in the palm of the hand and the fingers, especially the thumb,
index and middle fingers. The symptoms often first appear during the
night. As symptoms worsen, people might feel pain, weakness, or
numbness in the hand and wrist, radiating up the arm during the day.
Decreased grip strength may make it difficult to form a fist, grasp
small objects, or perform other manual tasks. If not properly treated,
CTS can cause irreversible nerve damage and permanent deterioration of
muscle tissue.
Diagnosis and Treatment of Carpal Tunnel Syndrome with Acupuncture
From an Oriental medicine perspective, CTS is seen as a disruption of
the flow of Qi and Blood within the area and associated with Cold,
Dampness or Wind penetrating the muscles and sinews of the wrist.
Acupuncture points, stretching exercises, herbal remedies and
nutritional supplements are chosen to treat accordingly.
As well as reducing the swelling, inflammation and pain in the wrist,
acupuncture addresses any headaches, neck pain, shoulder stiffness and
sleeping problems that often accompany this condition.
Your treatment may also take into account any underlying conditions
that contribute to the development of CTS including obesity, rheumatoid
arthritis, thyroid problems, diabetes, hormonal changes of pregnancy
and menopause.
If you or someone you love suffers carpal tunnel syndrome, please
call to find out more about how acupuncture and Oriental medicine can
help you.
Sources:
Acupuncture: A Comprehensive Text. By Shanghai College of Traditional Chinese Medicine, 1981
Plastic and Reconstructive Surgery: Volume 105(5) April 2000 pp 1662-1665
|
|
In This Issue
- Acupuncture for Carpal Tunnel Syndrome
- New Study on Acupuncture & Carpal Tunnel Syndrome
New Study on Acupuncture & Carpal Tunnel Syndrome
Acupuncture is as effective as the
corticosteroid, prednisone, for the treatment of carpal tunnel syndrome
(CTS), according to a new study.
The randomized, controlled study that was published in the May 2009
issue of The Clinical Journal of Pain, investigated the efficacy of
acupuncture compared with steroid treatment in patients with
mild-to-moderate carpal tunnel syndrome as measured by both nerve
conduction studies and symptom assessment surveys.
Seventy-seven patients were randomly divided into 2 groups. One group
received eight acupuncture treatments over four weeks, and the other
group received oral doses of prednisone, daily, for four weeks. The
results showed that acupuncture was just as effective as the
corticosteroid for pain, numbness, tingling and weakness. For the
symptoms of night time awakening and motor function, the acupuncture
group had better results.
The researchers concluded that acupuncture is a safe and effective
treatment option for CTS for those who experience side effects to oral
steroids or for those who do not opt for early surgery.
Source: The Clinical Journal of Pain. 25(4):327-333, May 2009.
doi: 10.1097/AJP.0b013e318190511c
|