Dr. Richard Steffen, D.C., Steffen Chiropractic, Gladstone, Mo.

New CTD-Mark 1 treatment device and therapy protocols are designed for quick and effective treatment of arm, wrist or hand numbness, pain and/or tingling.

Chiropractic patients nationwide are experiencing the benefits of a new triple combination of therapies for treating neck, arm and hand pain, including carpal tunnel syndrome.

This non-surgical approach includes (1) manipulation, (2) traction and (3) selected physiological-therapeutic modalities. In combination, these three kinds of treatment are credited with producing quicker and better clinical results.

During the past few years carpal tunnel syndrome (CTS) has reached epidemic proportions in the workplace. CTS mainly affects workers whose duties subject them to repetitive or awkward hand motions. Yet some workers in this classification seem to be virtually immune to carpal tunnel syndrome.

While surgery can give some relief, research studies show surgeries for CTS to have only a 40 percent to 70 percent success rate. In some patients the surgery has to be repeated. In most cases recovery is far below the 100 percent mark. This poor record for surgery is not the surgeon's fault. It's just that in many cases surgery may not correct the underlying cause and therefore gives only partial, temporary relief.

Chiropractic doctors who treat CTS often find the awkward or repetitive hand movements which are blamed for causing the condition, may in fact only be responsible for aggravating a previous injury.

Many CTS patients report previous wrist injuries...often many years ago. Examination frequently reveals slight misalignments of the wrist bones, often due to past injuries. Lack of treatment allowed such misalignments to become chronic. This scenario sets the stage for joint derangements that can blossom into full blown carpal tunnel syndrome...weeks, months or years later, at a time when the hand or wrist is subjected to repetitive motion. This new understanding of the underlying cause explains why two workers may do the same task, yet one worker develops CTS while the other worker remains pain free.

Chiropractic doctors have long used manipulation for treating neck, shoulder, arm and hand complaints, with good results. But with the recent development of the CTD-Mark 1 treatment device, chiropractic doctors nation-wide are excited about the results. The CTD-Mark 1 uses motorized, intermittent traction to stretch and re-stretch not only the wrist joint, but also the muscles, ligaments, tendons and fasciae in the forearm, which are typically tightened in CTS victims. This treatment protocol allows for reduction of the inflammation, pain and weakness so often associated with carpal tunnel syndrome.

If you or someone you know suffers from carpal tunnel syndrome, or related disorders causing pain, numbness or weakness of the neck, shoulder, elbow, arm, wrist or hand, it's possible that the CTD-Mark 1 along with manipulation could help.


Area: FIBROM Echo
Date: 22 Feb 95
From: Bill Jackson
To: Joanna Benz
Subj: New Carpal Tunnel Trtmnt
-=> Quoting Bill Jackson to All <=-

BJ> Many CTS patients report previous wrist injuries...often many years
BJ> ago. Examination frequently reveals slight misalignments of the wrist
BJ> bones, often due to past injuries. Lack of treatment allowed such
BJ> misalignments to become chronic.
JB> Thanks for posting this, Bill. Excellent article, and I think
JB> there's a strong argument for this theory.

I wasn't too sure about it when I first ran across it, which was one reason I asked for comments when I posted it. Interestingly, I saw an item in this Sunday's "Star Magazine" from The Kansas City Star (2-19-95) that supports this new technique.

The item on Carpal Tunnel Sydrome mentions that while doctors have been operating at a "brisk pace" to help sufferers, it often doesn't work.

"New research from Washington Univ. School of Medicine in St. Louis shows that physical therapy, patient education and workplace modification can eliminate most patients' pain -- without surgery.

In a study of 64 people with cumulative stress disorders, 90 percent said such conservative treatment relieved neck and shoulder pain; 63 percent reported relief from finger tingling and hand numbness.

The treatment involves physical therapy to teach patients how to get their muscles back into balance, stretching those that are tight and strengthening ones that are weak. Improving posture minimizes the hunched shoulders that can compress the nerves in the neck. Modifying the workplace -- with good chairs and foot rests -- also helps."

JB> I haven't actually been diagnosed with CTS, but have had weak wrists
JB> for a long time, which might possibly be due to some old injury that
JB> I don't remember... I had a lot of trouble for awhile, on one
JB> particular job, with repetitive movements when the ergonomics
JB> weren't exactly right. And still get lots of pain in my wrists...

Fits in with the news above, huh? :)

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