Causes
The median nerve is responsible for our feeling and sensation on the palm side of our first three-and-a-half fingers. If it gets compressed or irritated as it travels through your carpal tunnel, you’re more likely to develop Carpal Tunnel Syndrome (CTS), which affects 3% – 5% of people around the world.
Risks
CTS can be caused by prolonged wrist flexion and/or repetitive motions. When supermarket scanning, keyboard use, carpentry or assembly line work are done for long periods of time they may cause CTS due to the exposure to vibration or cold.
Carpal Tunnel Syndrome can affect both your dominant and non-dominant hand, but it is more common in the former. Some risk factors for developing CTS include diabetes, thyroid disease, rheumatoid arthritis (RA), alcoholism or kidney problems. Fluid retention during pregnancy can also cause carpel tunnel symptoms(CTS).
Symptoms
A tingling sensation is the most common symptom of carpal tunnel syndrome. The pain and discomfort you feel can also sometimes extend towards your elbow. Although, it usually starts as nighttime discomfort or waking up with numb hands but quickly progresses to a constant annoyance that requires treatment immediately.
If you are one of the many people with carpal tunnel syndrome, your symptoms may be exacerbated by holding things like books when reading or a steering wheel while driving. To reduce this early on, try to shake out your hands every once in awhile and sometimes feel as though they are tight or swollen.
In severe cases where hand weakness has set in, it can cause difficulty performing day-to-day tasks such as turning doorknobs without pain so make sure to get treatment right away!
Treating CTS
If you have carpal tunnel syndrome, avoid repetitive wrist flexion. For example, performing pushups will likely worsen your condition and grasping the handlebars on a bicycle might lead to increased irritation of your injury.
Our office may prescribe a special splint that keeps your wrist in a neutral or slightly extended position that will help with your night-time symptoms.
Frequently Asked Questions
Do I need a referral from my GP to see a chiropractor for carpal tunnel syndrome?
No, you don’t need a referral to book in. Most patients self refer when they’re ready to be seen. If your symptoms are severe or you have significant numbness that isn’t easing, it’s worth mentioning this to your GP as well, as they can arrange further tests if needed.
How many sessions will I need?
This varies from person to person, depending on how long you’ve had symptoms and how they’re affecting you day to day. Some patients notice a difference after just a few visits, while others with longer standing symptoms may need a more gradual approach. After your first assessment, we’ll be able to give you a clearer idea of what a realistic plan might look like for you.
What's the difference between chiropractic care and just wearing a wrist splint?
A splint can help by keeping your wrist in a neutral position, particularly at night, which may reduce pressure on the nerve. Chiropractic care takes a broader view, looking at the joints, muscles and posture of your wrist, arm, shoulder and neck, since tension or restriction further up the arm can sometimes contribute to symptoms in the hand. Many patients find combining a splint with hands on care works well, so we’re happy to discuss this alongside your treatment.
Is it safe to see a chiropractor if I'm also under a GP or hand therapist for this?
Yes, in most cases chiropractic care can be used alongside other treatment you’re receiving. We’d always recommend letting us know what other care or investigations you’re having, such as any tests, medication or injections, so we can tailor our approach and make sure everything is working together sensibly.
Can carpal tunnel symptoms come back after treatment?
They can, particularly if the underlying triggers are still part of your daily routine, such as repetitive wrist movements, poor desk setup or certain hobbies. Many patients find that ongoing self care, such as stretches and taking regular breaks, alongside occasional check ups, helps keep symptoms managed long term. We’ll talk through practical ways to reduce your risk of flare ups as part of your care.
I don't live right in Newcastle under Lyme, can I still be seen for this?
Yes, we see patients from right across the local area, not just Newcastle under Lyme itself. If Stoke on Trent is easier for you to get to, our sister clinic, City Chiropractic, sees patients with the same type of wrist and hand symptoms. You’re welcome to book online at whichever clinic suits you best.
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