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Carpel Tunnel





Golfer’s Elbow




Tennis Elbow

Carpel Tunnel Syndrome: This is a so called common problem that involves the wrist and the hand. This is a repetitive motion trauma to the wrists that causes compression of the median nerve at the wrist as it goes through the transverse carpal ligament and the bones (carpals) of the hand. (Fig. 2) This is a nerve entrapment problem that is usually caused by repeated use of the hands (typing on a keyboard, assembly work, mechanics hammering with their hands, trauma to the wrists) causing inflammation of the median nerve.

Carpal tunnel may cause pain, tingling and numbness to the thumb, index finger, middle finger, and half of the ring finger. (Fig. 1) Compression of the carpal tunnel will also cause weakness of the thenar muscles causing weak thumb during opposition. Chiropractic has been shown to help.


Sciatica: A term that has been misused often in the medical industry. Any back pain is usually considered sciatica, but that may not be the case.

Sciatica is a syndrome characterized by pain radiating from the back into the posterior (back) aspect of the lower leg. (Fig. 2) Sciatica is most commonly caused by a protrusion of a lower lumbar disc which causes compression of the sciatic nerve. Sciatica may also be caused by a nerve entrapment somewhere down the effected leg such as piriformis syndrome. (Fig. 1)

Risk factors may include: diabetes, osteoarthritis, prior back injuries or tumor. Symptoms may include: pain, tingling, and/or numbness in the back of the leg and into the big toe. It can be self resolving. Chiropractic has been shown to help sciatica.


Headache: There are many reasons and types of headaches which have different characteristics. A headache can be described as pain or discomfort in the head, scalp or neck. There are 4 common headaches: tension, cluster, and a migraine with/with out aura.

Headaches can be caused by many many things. A frequent and overlooked cause of headaches is the malfunction of the alignment of spinal bones in the neck and upper back. When bones of the spine lose their normal position or motion (subluxation), sensitive nerves and blood vessels to the head can be affected. When spinal nerves and related tissues are stretched or irritated (nerve entrapment), they can produce throbbing headaches. Some aggravating factors may be: stress, dehydration, light sensitivity, depression, anxiety, not enough sleep, skipped meals, drugs, alcohol, chocolate, monosodium glutamate (MSG), cheese, grinding teeth, poor sleep position. Aspirin and medications may cover up these warning signs, but do not correct the underlying structural cause. Chiropractic has been shown to help headaches.



Golfer’s Elbow: Although the golf swing is a major contributor to medial epicondylitis, there are many other repetitive motions such as: swinging a hammer, many hand tools, throwing can cause trauma and injury to the inner forearm muscles. This is the wrist flexor group which attaches at a common tendon called the common flexor tendon that s located on the inside of the elbow at the bump (medial epicondyle). (Fig. 2) Through repetitive flexing, twisting and grasping of the wrist, this tendons may become inflamed causing pain and tenderness at the inside elbow usually in the distribution. (Fig. 1) You may also have weakness when grasping, bending or twisting the wrist. Chiropractic has been shown to help Golfer’s elbow.


Arthritis: Is inflammation of one or more joints causing pain, swelling and limited movement. Arthritis is usually caused by the breakdown of cartilage within a joint.

Cartilage protects the joint by not only acting as a shock absorber but also creates a smooth surface between two bones assisting fluid like motion within the joint.

Arthritis is usually an overuse (general wear and tear) problem but can also be caused by a broken bone, infection, or an autoimmune disease.

Osteoarthritis, is the most common, and is most likely due to aging. Pain and or loss of motion may be felt in your hips, knees, or fingers. Risk factors may include being overweight, previous injuries, or a repetitive motion.

Symptoms may include: joint pain, joint swelling, stiffness-especially in the morning, warmth and or redness around the joint, or reduced movement of the joint or joints. Chiropractic has been shown to help.



Tennis Elbow: Although the backhand swing in tennis is the main contributor of lateral epicondylitis, many other repetitive motions (painting with a paintbrush, running a chain saw, typing on a keyboard improperly) can cause trauma and injury to the outer forearm muscles. This is the wrist extensor group which attach to a tendon that then attaches to the bump (lateral epicondyle) on the outside of the forearm. (Fig. 1) Through repetitive extension (wrist up) motions; hammering nails, picking up heavy buckets, pruning shrubs, this tendon becomes inflamed. This may cause pain and tenderness at the outside elbow and may go all the way down to the middle and ring finger. (Fig. 2) Pain may also be felt when the wrist is bent backward, or when picking something up with a straight elbow, or holding something with a stiff wrist. Chiropractic has been shown to help.

This also may be caused by Tendonosis.