Double-Crush Risks and Carpal Tunnel Syndrome

August 24, 2009

Bayonne and Scotch Plains Chiropractor Comments: Most people with carpal tunnel syndrome think they have a primary problem in the wrist. While the wrist and hand may be the site of most of your symptoms, the cause can lie elsewhere. The nerves that course through the tiny tunnel in your wrist, originate in your neck. When the vertebrae are twisted in your neck or disk injury is present this can narrow the tunnels in your neck that the nerves must pass through. When this occurs and there is also a problem with compression at the wrist, it is called a double-crush syndrome. Double meaning the nerves are pinched at two locations.

Researchers (Clin Neurol Neurosurg 2007; Oct.11; Moghaderi A, Izadi S) have looked at risk factors for the double crush syndrome. They specifically investigated age, gender, and body mass index (how heavy you are), as independent risk factors for double crush syndrome.

Patients with double-crush syndrome tended to be older. Greater age can have an influence on degeneration of the disks in the neck, which can lead to narrowing of the passages the nerves must course through as they exit the spinal cord and move down the arm. Male patients were also more likely to have double-crush syndrome.

Since double-crush syndrome can be missed if a thorough neck examination is not done, this could lead to inappropriate treatments because the cause is not being addressed.

Chiropractic care focuses on the cause of diseases. Just as a leg pain (e.g. sciatica) usually comes from a lower back problem rather than the leg itself, a wrist problem is not always in the wrist. It’s important to have a comprehensive assessment when carpal tunnel symptoms develop, and this may include x-rays of your neck.

To learn more about carpal tunnel syndrome, sign up for a free report, or click here to register for a Free, In- Office Evaluation. If you are looking for faster service, feel free to give us a call at one of our two New Jersey locations. For our Bayonne, NJ location, call 201-339-8889, and for our Scotch Plains, NJ location call us at 908-490-1800. Just tell them that you read this article and you will receive our complimentary in-office evaluation (a $245 Value).

Article by Dr. Eric Chludzinski, DC. Dr. Chludzinski is the founder of Hudson Center for Spinal Care located in Bayonne and Scotch Plains, New Jersey. In preparation for his career, Dr. Chludzinski attended St. Peter’s College in Jersey City, NJ graduating in 1998 with a Bachelor of Science in Natural Science. He continued his studies at Life University School of Chiropractic in Marietta, GA graduating in the class of 2002 as a Doctor of Chiropractic.

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