CHIROPRACTIC MANIPULATION IN CARPAL-TUNNEL SYNDROME

Objective: To determine if chiropractic manipulation could relieve car pal tunnel syndrome (CTS). Clinical Features: A 42-yr-old female suffe red from pain, tingling and numbness in the right wrist. Paresthesia a long the C6 dermatome, a positive Phalen's test and Tinel's sign was p resent. EMG testing confirmed the clinical diagnosis of CTS. Intervent ion and Outcome: Chiropractic manipulations were rendered 3 times per week for 4 wk, to the subject's cervical spine, right elbow and wrist using a low amplitude, short lever, low force, high velocity thrust. S ignificant increase in grip strength and normalization of motor and se nsory latencies were noted. Orthopedic tests were negative. Symptoms d issipated. Conclusion: In this case study, chiropractic made a demonst rable difference through objective and subjective outcomes. Further in vestigations using double-blind, cross-over designs with larger sample s are warranted.