At Truspine Chiropractic, we have been providing natural treatment for Carpal Tunnel Syndrome (CTS) in the San Francisco area for years. During this time we have successfully treated many patients with carpal tunnel syndrome and related Repetitive Stress Injuries (RSI).

Let’s start by breaking down the words Carpal-Tunnel-Syndrome. Carpal is the Latin word for wrist. The Tunnel is an opening in the wrist created by the eight carpal bones (2 rows of four bones) on the bottom and the transverse ligament on the top. A Syndrome is a group of signs and symptoms that occur together.

The most common signs and symptoms of carpal tunnel syndrome are: wrist or hand pain, weakness of grip, numbness and tingling in the arms and hands, night pain (classic), swelling of the hand and fingers.

There are many secondary complaints such as elbow pain, shoulder pain, pain that radiates from the hand to the elbow, from the shoulder to the hand, and even neck pain.

There are eight carpal bones in the wrist that are all interconnected to form the bottom of the carpal tunnel. The transverse ligament forms the top part of the carpal tunnel. The carpal tunnel itself is about the size of the tip of your pinky. Inside the carpal tunnel are three things, the median nerve, the nine tendons of the flexor muscles, and some blood vessels.

Carpal Tunnel Syndrome (CTS) occurs when there is pressure on the median nerve inside the carpal tunnel. This can happen in two ways. The contents of the tunnel can expand, specifically, the flexor tendons from overuse which leads to inflammation and median nerve compression. Or, the diameter of the tunnel can narrow from misalignment of the carpal bones from trauma or repetitive use or flattening of the transverse ligament from strain or overuse.

Occupations that require repetitive use of the arms and hands are most prone to CTS. Since our clinic is located in the heart of San Francisco, we mostly see office workers. The majority of our patients spend their day at a desk in front of a computer doing repetitive tasks with their hands. Many then go home and do it for some more. With cell phones and tablets most of us now do it in between work and home on the train, bus, or ferry.

Sports and hobbies that involve repetitive use of the hands will also predispose you to carpal tunnel syndrome. Sports like tennis, golf, and racquetball. Hobbies like bowling and knitting. Musicians are often victims of CTS. Women are more prone to CTS and they also have a smaller carpal tunnel. Pregnant women frequently suffer with carpal tunnel syndrome because the tissues in the wrist swell during pregnancy.

Conditions such as Fibromyalgia, Headaches and Whiplash are also often times connected with carpal tunnel syndrome.

We have perfected a unique approach to the non-surgical treatment of carpal tunnel syndrome and related disorders. Chiropractors are expert carpal tunnel doctors. We examine the neck to the finger tips on both sides for nerve interference as pressure anywhere along the course of the median nerve (which originates in the neck) can cause CTS symptoms. In fact, most patients with CTS symptoms have neck involvement. Sometime from a cervical disk herniation. We offer cervical spinal treatments to address these cases.

Our treatment is very comprehensive and is also from the neck to fingertips. We do manual adjustments to the neck, shoulder, arms and hands, soft tissue therapy, customized exercises, ultrasound therapy and taping protocols as needed.

Our success rates are very high. If you are look for carpal tunnel relief and would like to find out if you are a candidate for CTS treatment we would like to meet you. To schedule an appointment with our San Francisco Carpal Tunnel Expert, please call 415–415–1115 or book an appointment here.


Also published on Medium.