Index to Chiropractic Literature
Index to Chiropractic Literature
My ICL     Sign In
Sunday, November 24, 2024
Index to Chiropractic LiteratureIndex to Chiropractic LiteratureIndex to Chiropractic Literature
Share:


For best results switch to Advanced Search.
Article Detail
 Return to Search Results
ID 25852
  Title Complete resolution of carpal tunnel syndrome after relieving the ‘first crush’ in ‘double crush syndrome’ by improving the cervical spine posture: A CBP® case report
URL https://journal.parker.edu/article/78061-complete-resolution-of-carpal-tunnel-syndrome-after-relieving-the-first-crush-in-double-crush-syndrome-by-improving-the-cervical-spine-posture-a
Journal J Contemp Chiropr. 2019 ;2():49-53
Author(s)
Subject(s)
Peer Review Yes
Publication Type Case Report
Abstract/Notes

Objective: To discuss a case where complete resolution of carpal tunnel syndrome occurred following improvement in cervical spine lordosis and reduction of a lateral head translation posture.

Clinical Features: A 29-year old male had previously diagnosed carpal tunnel syndrome. Radiographic assessment showed an upper cervical spine kyphosis and a lateral head translation posture.

Intervention and Outcome: Treatment was aimed at restoring the cervical spine posture by use of Chiropractic BioPhysics® methods. Spinal manipulative therapy, mirror image® corrective exercises, and cervical extension traction methods were employed over a 13-week period. Thirty-three in-office treatment sessions as well as a daily home rehabilitation routine resulted in the structural improvement in cervical spine lordosis and a reduction in lateral head translation. This coincided with a complete resolution of carpal tunnel symptoms, including neck and upper extremity pains as well as bilateral hand numbness. The patient had a dramatic improvement in quality of life as measured on the SF-26 health questionnaire.

Conclusion: Biomechanically, a deviated cervical spine posture lengthens the spinal canal and exerts pathologic stresses onto the cord and nerves; consequently, further nerve irritation via upper extremity positions/movements may elicit outright neurologic symptoms consistent with carpal tunnel and related syndromes. We suggest treatment for carpal tunnel syndrome to be aimed at restoring normal cervical spine alignment as to remove the ‘first crush’ in this double crush syndrome. Further, routine assessment by radiography is recommended as a standard screening protocol for this disorder as it may offer a definitive etiology.

Author keywords: Carpal Tunnel Syndrome; Cervical Kyphosis; Double Crush Syndrome

Author affiliations: PYB: Private Practice, Winnipeg, Manitoba, Canada; PAO: Private Practice, Newmarket, Ontario, Canada; DEH: CBP NonProfit Inc., Eagle, Idaho, United States

This abstract is reproduced with the permission of the publisher. Click on the above link for free full text. 

 
   Text (Citation) Tagged (Export) Excel
 
Email To
Subject
 Message
Format
HTML Text     Excel



To use this feature you must register a personal account in My ICL. Registration is free! In My ICL you can save your ICL searches in My Searches, and you can save search results in My Collections. Be sure to use the Held Citations feature to collect citations from an entire search session. Read more search tips.

Sign Into Existing My ICL Account    |    Register A New My ICL Account
Search Tips
  • Enclose phrases in "quotation marks".  Examples: "low back pain", "evidence-based"
  • Retrieve all forms of a word with an "asterisk*", also called a wildcard or truncation.  Example: "chiropract*" retrieves chiropractic, chiropractor, chiropractors
  • Register an account in My ICL to save search histories (My Searches) and collections of records (My Collections)
Advanced Search Tips

:)