Millions of Americans experience the debilitating pain and limitations of carpal tunnel syndrome. Fortunately, most cases can be effectively managed with conservative, non-surgical approaches.
Manual medicine offers significant relief for individuals suffering from pain, numbness, and weakness in their hands and wrists. An osteopathic physician (D.O.) will begin by thoroughly evaluating the nerves, blood vessels, and muscles in the affected area to identify any underlying abnormalities. A structural examination is then performed to assess the range of motion in the wrist and hand, which is frequently restricted in carpal tunnel patients. Osteopathic manipulative therapy (OMT) aims to improve circulation and reduce pressure on the median nerve by opening the carpal tunnel. This involves techniques such as stretching the transverse carpal ligament at the wrist, which helps to release the joint and alleviate pain and swelling.
In addition to manual therapies, a D.O. may order lab tests to rule out contributing factors like hypothyroidism or autoimmune disorders such as rheumatoid arthritis. For patients whose work involves repetitive motions or extensive computer use, the physician will assess their ergonomics and provide recommendations for improving posture and wrist positioning. Optimizing these factors reduces stress on the wrist, enhancing its strength and flexibility. Nutritional interventions, such as supplementing with 50 mg of vitamin B6 daily, have also proven beneficial in some cases. Traditional treatments like splints, anti-inflammatory medications, and targeted exercises are often incorporated into the comprehensive treatment plan.
If conservative measures fail to provide adequate relief, further nerve and muscle testing, as well as surgical intervention, may be considered. Significant muscle atrophy in the thumb or persistent coldness in the fingertips are signs that warrant immediate medical attention.