Carpal tunnel syndrome and the "double crush" hypothesis: a review and implications for chiropractic

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Carpal tunnel syndrome and the "double crush" hypothesis: a review and implications for chiropractic

Upton and McComas claimed that most patients with carpal tunnel syndrome not only have compressive lesions at the wrist, but also show evidence of damage to cervical nerve roots. This "double crush" hypothesis has gained some popularity among chiropractors because it seems to provide a rationale for adjusting the cervical spine in treating carpal tunnel syndrome. Here I examine use of the conce...

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Chiropractic Management of Carpal Tunnel Syndrome

INTRODUCTION Carpal tunnel syndrome (CTS) is one of the leading causes of work related injuries in industries for a number of reasons. First, technological changes have increased the pace in which the worker must perform (1). Production rates have increased dramatically with high tech approaches and as a result, the requirement of the worker to keep up with the escalation in rate has resulted i...

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ACUPUNCTURE AND CARPAL TUNNEL SYNDROME About carpal tunnel syndrome

Carpal tunnel syndrome comprises potentially disabling sensory and/or motor symptoms in the hand. Around 1 in 10 people develop carpal tunnel syndrome at some point, and it is particularly common in women (Hughes 2007), with one study in the UK indicating an incidence of 139.4 cases per 100,000 women per year and 67.2 cases per 100,000 men (Bland 2003). The condition carries considerable implic...

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Comparing the Outcomes of Minimal Incision and Double Incision in Treatment of Carpal Tunnel Syndrome: A Randomized Controlled Trial

Background and purpose: Carpal tunnel syndrome is the most prevalent neuropathy caused by trapping and median nerve compression in the wrist. This study aimed at comparing the effects of minimal incision and double incision in treatment of patients with carpal tunnel syndrome. Materials and methods: This randomized controlled trial was performed in 50 patients with carpal tunnel syndrome atten...

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The carpal tunnel syndrome.

The carpal tunnel is a channel with fibroosseous walls leading from the deep flexor space of the forearm into the palm of the hand. Superficially it is bounded by the flexor retinaculum which stretches from the trapezium and scaphoid laterally to the pisiform and hamate medially. This tough sheet blends proximally with the deep fascia of the forearm and distally with the palmar aponeurosis. The...

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ژورنال

عنوان ژورنال: Chiropractic & Osteopathy

سال: 2008

ISSN: 1746-1340

DOI: 10.1186/1746-1340-16-2