J Manipulative Physiol Ther. 1994 May; 17(4): 246-9.

Chiropractic manipulation in carpal tunnel syndrome.

Valente R, Gibson H.

Department of Chiropractic Principles and Practice, Cleveland Chiropractic College and Clinic, Kansas City, MO.

OBJECTIVE: To determine if chiropractic manipulation could relieve carpal tunnel syndrome (CTS). CLINICAL FEATURES: A 42-yr-old female suffered from pain, tingling and numbness in the right wrist. Paresthesia along the C6 dermatome, a positive Phalen's test and Tinel's sign was present. EMG testing confirmed the clinical diagnosis of CTS. INTERVENTION 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. Significant increase in grip strength and normalization of motor and sensory latencies were noted. Orthopedic tests were negative. Symptoms dissipated. CONCLUSION: In this case study, chiropractic made a demonstrable difference through objective and subjective outcomes. Further investigations using double-blind, cross-over designs with larger samples are warranted.