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Carpal Tunnel Syndrome or Repetitive Stress?

You're getting ready to launch your new business. And, being a savvy entrepreneur, you've been spending a lot of time doing research on the Internet. Entering searches, following links, cutting-and-pasting, typing, mouse-clicking, dragging-and-dropping.

By the time you're ready to "go live" you've begun to notice a dull ache in your wrist (the one that does most of the mouse-ing). There's an annoying tingling sensation in your thumb and the tendons in your forearm hurt whenever you move your fingers.

"Oh, no," you think. "I've got carpal tunnel syndrome."

However, the news is probably not as bad as that. It's much more likely you've developed repetitive stress syndrome, which can be effectively treated by a chiropractor.

Repetitive stress syndrome is often misdiagnosed as carpal tunnel syndrome by family physicians, internists, and even many orthopedists. The doctor thinks, "wrist pain and thumb pain, must be carpal tunnel". This path of least resistance leads to much unnecessary neurologic testing, needless medication, and unwarranted surgeries.

Real carpal tunnel syndrome (CTS) is actually uncommon, usually associated with pregnancy, rheumatoid arthritis, or decreased thyroid activity.1,2 Also, pain is more noticeable at night, rather than during activity. Finally, a quick test for CTS is to place the tips of your thumb and index finger together, forming a circle. Hold the circle closed while another person tries to pry your fingers apart. If your fingers are strong and can keep the circle closed, you probably don't have CTS.

The wrist, tendon, and forearm pain most of us experience after too much time at the computer is due to repetitive stress syndrome (RSS) - basically, too much of the same activity repeated frequently over too long a time. These new pains can be very uncomfortable and cause significant limitation and frustration.

The primary solution is rest and avoidance of the irritating activities. In practice, rest can mean relative rest.3 One key approach for computer-related repetitive stress is to begin using the opposite hand to do mouse or trackpad activities. This may take a while, but it's a highly effective method. And, once your non-dominant hand gets up to speed, you've got two hands that are smart, not only one!

What about chiropractic treatment? Several trouble spots may contribute to RSS, particularly tight shoulder and neck muscles. Your chiropractor will do a complete physical examination and determine the sources of the problem.

Treatment may include gentle chiropractic manipulation to improve the mobility of your neck and remove stress from that area of your spine. Trigger point therapy will relieve pain and relax tight muscular "knots" in your shoulder girdle and forearm.

Treatment combined with relative rest and rehabilitative exercises will likely result in rapid improvement - decreased pain, greater mobility, and a renewed focus on the work you want to get done, rather than the pain that is getting in your way!

1Source: National Institute of Neurological Disorders and Stroke - http://www.ninds.nih.gov/disorders/carpal_tunnel/detail_carpal_tunnel.htm.
2Piazzini DB, et al. A systematic review of conservative treatment of carpal tunnel syndrome. Clin Rehabil 21(4):299-314, 2007.
3Akuthota V, et al. Shoulder and elbow overuse injuries in sports. Arch Med Phys Rehabil 85(3 Suppl 1):S52-58, 2004.

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  • "Dr. Clark and the staff here are amazing. They are super friendly and thorough. I would highly recommend this practice!"
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  • "I absolutely love going here. I've been referred by many that have had life changing experiences because of Dr. Porter . He is amazing at what he does & it shows. He knows what he is doing. I have already felt such a difference in my health. I have more energy and less digestive issues and it's only been a couple of months. Everyone is so nice and especially Dr. Porter. He really shows care & concern. He takes his time and doesn't rush you. You won't regret going here 😊 Also his wife is so sweet and has a great sense of humor ."
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  • "I found my way to Porter-Clark by accident. I drove a friend to her appointment and as I waited in the waiting room I began to notice the efficiency of the staff , process and patient flow. I’m a healthcare consultant that assists organizations with operational efficiency and I was amazed at how efficient they actually were. We call it continuous flow and using the pull system. This means no waiting, bottlenecks or backups within the office process. Many organizations pay to achieve this kind of workflow. The best part of the visit is the friendliness of staff and the expertise of the docs. Hands down, the heat, massage and the skill of the message therapists for 10 minutes in the beginning of the visit is heavenly and worth the trip!! Many offices talk about putting patients first, but at Porter-Clark, they demonstrate it in everything they do. Great job!"
    Rita D.
  • "Excellent patient care and results from this clinic, which uses a holistic approach that combines chiropractic, massage, and clinical nutrition. Highly recommended!"
    Rachel M.
  • "I am new to your clinic and getting great results with the Nutritional Response Testing. Thank you so very much. I highly recommend the services of PCCC in Flat Rock."
    Emily S.
  • "I love it here! Everyone is extremely polite and helpful. I see Doctor Porter II and he’s been a lifesaver. He’s made room for me on his schedule multiple times when I’ve been randomly hit with a chronic migraine. He genuinely takes his time and cares about his patients. I’m really thankful for the friends that recommended me to this place and I highly recommend everyone else comes here as well."
    Alexandria V.
  • "I have been a patient of Dr. Porter for more than 20 years. He has helped me maintain a strong immune system and to live without pain. I trust him more than any medical doctor or specialist with my health and well-being."
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  • "Dr. Cara and the staff at Porter & Clark Chiropractic are wonderful! The adjustments, heat and massage have healed my aches and pains (slight and severe) over the last several years. I would highly recommend Dr. Cara to anyone needing Chiropractic care."
    Chris T.
  • "The staff, they make this place amazing. If you need an adjustment or a massage check everyone out. The staff are helpful in finding you the type of therapist you need for your massage, and each doctor is pretty amazing, in their quality of care and concern for you as a client while you are on their tables."
    Adam I-L
  • "Been coming here for 11 years now... I feel immediate relaxation after adjustments and 9 out of 10 times my back pain has subsided. Some days I'm so bad I call to make an appointment and they get me in the office same day!! I can't say enough about Dr. Porter and the staff in general."
    Brandon L.
  • "I love this place! Dr. Clark has taken care of my chronic pain for years! No other treatments have been nearly as effective. A bonus is that the staff is always so friendly and helpful!!"
    Mary B.
  • "Dr. Porter has been treating me with an ongoing problem for years. I starting going to him after I could not get relief from my family physician. Through his treatments and a vitamin regimen, I don't need pain meds & feel so much better."
    Review from healthgrades.com
  • "The doctors and all the staff are excellent!"
    Tanya W.
  • "I am no longer in pain under Dr. Cara Phillips' care! Staff is always very friendly and greet you when you walk in. My first appointment they took xrays and did an evaluation. I now go to be adjusted monthly. They also offer heat therapy and a massage before being adjusted."
    Maggie J.
  • "With his gift for healing, and his expertise with NRT (Nutritional Response Testing), Dr. Porter has saved my life! I am off prescription medications and no longer suffer from chronic lower GI pain and problems."
    Charles K.
  • "Dr. Michael Porter II has taken care of me since I was in an auto accident last year, and monthly visits keep me out of pain. The office is a welcoming place, and patient care is clearly their priority. Highly recommended."
    Adam W.
  • "Dr. Clark has the best practice on the planet. Great individual time and attention. Chiropractors and massage therapists truly concerned about your health. Pleasant office atmosphere."
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