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Carpal Tunnel Syndrome
Causes & Treatment  
What is the Carpal Tunnel?
Bound by bones and ligaments, the carpal tunnel is a narrow passageway, about as round as your thumb, located on the palm side of your wrist. It contains thick ligament (tissue) just under your skin (the carpal ligament), which makes up the top of the tunnel. The median nerve is the only nerve that passes through the carpal tunnel and connects the tendons that flex or curl your fingers.
More on the Median Nerve
The median nerve enters the arm through the carpal tunnel, and runs up the arm through the forearm, elbow, and bicep, branching off to numerous muscles. In the region of the forearm, the median nerve branches off to four muscles, an as a result most of the muscles in front of the forearm are supplied by the median nerve. It then passes on the medial side of the arm between the brachialis muscle (muscle in the upper arm that flexes the elbow joint) and the biceps brachii muscle.  
After the median nerve passes through the carpal tunnel, it divides into branches and supplies the thumb, index, middle, and ring finger. 
Carpal Tunnel Syndrome
Carpal Tunnel Syndrome (CTS) is a problem of the median nerve, and occurs when the median nerve gets compressed in the carpal tunnel. Any condition that causes swelling or a change in position of the tissue within the carpal tunnel can squeeze and irritate the median nerve. Many times, patients will find that these muscles are weakened due to the loss of supplying function from the nerve. CTS is the most common of the "entrapment neuropathies"- compression or trauma of the body's nerves in the hands or feet.

- Carpal tunnel syndrome (CTS) is the most expensive of all work-related injuries. Over his or her lifetime, a carpal tunnel patient loses about $30,000 in medical bills and time absent from work. (ACA)
Symptoms of Carpal Tunnel Syndrome
Because the nerve supplies function to numerous muscles in the arm, wrist, and hand, the compression may result in pain, weakness, and/or numbness in these areas. Burning, tingling, itching, and/or numbness in the palm of the hand and thumb, index, and middle fingers are most common. Some patients with CTS say that their wrist or fingers feel useless and weak, and may feel swollen even though no swelling is noticeable. Since many people sleep with flexed wrists, the symptoms often first appear while sleeping. As symptoms worsen, they may feel tingling during the day. In addition, weakened grip strength may make it difficult to form a fist or grasp small objects. Some are unable to distinguish hot from cold by touch.

What Dr. Sullivan Recommends for Treatment
In our office we have successful treated hundreds of carpal tunnel syndrome cases.  
Dr. Sullivan recommends chiropractic adjustments to the neck and wrist regions to reduce the irritation to the carpal tunnel nerve. Additionally, Graston Technique and Active Release Techniques are very effective to loosen up the muscles that can entrap the carpal tunnel nerve. 
Laser therapy also provides pain relief and accelerates the healing process by reducing the inflammation around the carpal tunnel. Carpal tunnel syndrome was the first condition that researchers study with laser therapy.  It has an 80% success rate at treating carpal tunnel syndrome.  

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Note: The material provided in this newsletter is for informational purposes only. The opinions expressed herein may not always reflect the views of the NOVA Chiropractic, nor do they imply an endorsement. 
In This Issue
Carpal Tunnel Syndrome - Causes & Treatments
NOVA Chiropractic Blog Article
6 Surprising Health Risks of Sitting at Your Desk
Helpful Video: The Anatomy of the Median Nerve
Laser Therapy
Ingredient of the Week
Stay Fit with Local Events
The Healthy Alternative
Contact Information
8992 Fern Park Drive
Burke, VA 22015
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Mon  8:00 - Noon   2:00 - 7:00

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Fri      Closed 
Sat     Closed 
Sun    Closed 
Quick Links
K-Laser Therapy
 The Latest & Greatest at NOVA Chiropractic
The laser has proven to help dozens of patients at NOVA Chiropractic! Common conditions with current patients that laser therapy is helping to heal are:
  • Herniated discs
  • Knee arthritis
  • Carpel tunnel syndrome
  • Achilles tendinitis 
  • Neck and back pain
  • and much more!
For more information, call 703-912-7822 or email
Ingredient of the Week
White Peony Root
The white peony is one of the oldest remedies in traditional Chinese medicine, and is also considered primarily a women's herb. This herb is known to help reduce:
  • Pain from carpal tunnel syndrome
  • High blood pressure
  • Lowers cholesterol
  • Irritable Bowel syndrome
  • Pain from menstrual cramping
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Richmond, Virginia


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Health Fair at the Naval Research Laboratory

Washington, DC


The Healthy Alternative
The Healthy Alternative

A guidebook written by

Dr. Sullivan!

The Healthy Alternative: 

A Guide For A Pain-Free, Active Lifestyle empowers and educates the reader when confronted with back or neck on the treatment options available and integrating the safest, most effective ways to manage and prevent pain. Order Now!