Tingling/Numbness/Weakness in Hand/Arm But Not Carpal Tunnel or Yr Neck; A NYC Chiropractor/Applied Kinesiologist/NeuroKinetic Therapist Explains

Do you have tingling or numbness in your hand that goes beyond your first three fingers?  Do you have weakness in your forearm, arm or shoulder despite your weight training routine?

It’s not carpal tunnel since it involves more than the fist three fingers. And you have no history of neck problems, all orthopedic tests and X-rays/MRI of the neck are negative.

You might have an entrapment syndrome of the brachial plexus nerves or subclavian artery/vein to the before mentioned structures.

This entrapment syndrome called Thoracic Outlet Syndrome is caused by three major conditions; Anterior Scalene Syndrome, Costoclavicular Syndrome and Pectoralis Minor Syndrome as well as some minor causes.

TOS

In the first condition called Anterior Scalene Syndrome, the brachial plexus nerves arising from C5, C6, C7, C8 & T1 nerve roots is trapped between the anterior and middle scalene muscles which may be in spasm or compensating for inhibited neck muscles.

This can be assessed by palpating for a decrease in strength of the radial pulse at the wrist. The patient is asked to ipsilaterally rotate, contralaterally laterally flex, and extend his neck at the spinal joints, while the radial pulse is palpated; this called Adson’s Test. Decrease in strength of the radial pulse is positive for the syndrome.

Treatment consists of using spindle work on the bellies of the scalene muscles or golgi tendons of the scalene attachments and of balancing the other neck muscles which can be either inhibited or compensating.

In the second condition Costoclavicular Syndrome, the brachial plexus and subclavian artery and vein run between the first rib and clavicle in the medial pectoral region. If the posture of the relationship of the clavicle and first rib changes and they approximate each other as often happens with rounded and slumped shoulders and impingement may occur.

This can be assessed by palpating for a decrease in strength of the radial pulse at the wrist when the patient is asked to stick his chest out and pull the shoulder girdle back and down similar to the military posture of attention. Again, weakening of the strength of the radial pulse would be considered to be a positive sign. This is called Eden’s test.

Treatment consists of checking muscles such as the SCM and the subclavius that attach to the area, improving the patient’s posture and checking muscles that resist this bad postural pattern such as the rhomboids and the middle trapezius.

In the third condition Pectoralis Minor Syndrome, a tight pectoralis minor muscle compresses the brachial plexus and/or subclavian vessels against the rib cage. The assessment is to bring the patient’s arm up and back. This position called Wright’s Test stretches and pulls the pectoralis minor taut against the rib cage

Treatment consists of checking for either an inhibited or facilitated pectoralis minor, or other muscles that can be inhibiting or compensating such as the serratus anterior, latissimus dorsi or the lower trapezius.

Other minor conditions such as  when both the medial and ulnar nerve getting entrapped by a spastic muscle such as the pronator or by a misalignment of the radius and ulna bone can happen and need to be ruled out.

forearm muscles

For additional information, please check out:  https://drvittoriarepetto.wordpress.com/2015/09/20/a-nyc-chiropractorapplied-kinesiologist-starts-adding-neuro-kinetic-therapy-to-the-mix/

https://drvittoriarepetto.wordpress.com/2010/06/21/muscle-balancing-in-applied-kinesiology/

https://drvittoriarepetto.wordpress.com/2012/05/23/how-a-nyc-chiropractorapplied-kinesiologist-treats-carpal-tunnel-syndrome/

 

© 2015-Dr. Vittoria Repetto

© Revised 2016 – Dr Vittoria Repetto

Want more information on Dr. Vittoria Repetto and her NYC Applied Kinesiology/Chiropractic/ NKT practice at 230 W 13th St., NYC 10011; please go to www.drvittoriarepetto.com

And please check out the Patient Testimonials page on my web site.

 Want to be in the know on holistic information and postings? 

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What a Mixture of Chiropractic, Applied Kinesiology and Nutrition Can Do

03/28/2014 – Yesterday’s new patient has over 25 yrs of chronic pain complicated  by gluten sensitivity and a resulting leaky gut that has never healed and numerous falls and auto accidents. The list of her diagnoses included frozen shoulder that turned into an acromioclavicular jt separation, two ruptured lumbar discs, TMJ problems, bladder control weakness and peripheral nerve weakness and pain in her feet, gall bladder pain, carpal tunnel, fibromyalgia and chronic fatigue.
 
All her medical doctors could offer her was surgery and pain management; previous surgeries had not resolved any problems and she didn’t want to be “drugged” up; and she wanted wellness care. She was tried of being sick; her body feeling “kinked-up” 
 
I worked on getting mobility into her sacrum, her cranials, her lumbar spine; strengthening her psoas – a major muscle for locomotion and posture, adjusting her feet and working on acu-points for her bladder, gall bladder and stomach and balanced her shoulder muscles and adjusted her a-c joint.
 
I started to tell her things she needed to do at home..like doing Kegel exercises to strengthen muscles around her bladder and not trying to hold urine in ( increases bladder problems) but to go immediately to the bathroom, how to ice her low back and feet, what position to sleep in , what probiotics & prebiotics she needed to repair her leaky gut and decrease the inflammation in her body and positive affirmations to repeat to herself about getting well.
 
Suddenly she looked at me and said that she was noting that sitting was not causing pain or increasing the “kinked-up” sensation…she felt a lot looser …I asked her to move the shoulder w/ the a-c joint problem…movement was pain-free and testing of her lt big toe was testing strong.
 
I’m sure that continued treatments and doing the homework I gave her to do will results in amazing changes in her body and her life.
 
05/10/2014 – Patient came in for her second visit due to financial problems, she can only come in for monthly visits. She has been doing her icing and exercises; though she says that she may have overdone it.
 
She is sleeping better and has less fatique and less overall body pains.
 
Her bladder control is much better with only occasional leaks since she has been doing her Kegel exercises and due to better nerve flow after her last adjustment to her sacrum and lower lumar vertebrae.
 
Her shoulder is moving freely though still with some pain and so her shoulder joint and scapula were adjusted and the spindles of her shoulder muscles were worked on.
 
Recent blood tests were negative for RA and Thyroid problems which were positive before; her Vitamin D is very low.
 
Due to financial problems, she has not gotten the supplements I recommended.
 
Her low back feels better and she was treated again with flexion distraction and pelvic category blocking  for her disc problem and stenosis; her pelvic category has changed to a less severe and painful category.  Her sacrum is moving well. Her big toe movement is better.
 
Her wrist (carpal tunnel) was adjusted again and wrist exercises were recommended.
 
Patient was told to continue w/ Kegel exercises for her bladder, and add toe exercises to her routine. And I asked her to get the supplementals I recommened.
 

© 2014-Dr. Vittoria Repetto

Want more information on Dr. Vittoria Repetto and her NYC Applied Kinesiology/Chiropractic practice at 455 W 23rd St., NYC 10011; please go to www.drvittoriarepetto.com

 And please check out the Patient Testimonials at the “Our Practice” page at the web site.

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How a NYC Chiropractor/Applied Kinesiologist Treats Carpal Tunnel Syndrome

These days with all our computer usage, we are very aware of Carpal Tunnel Syndrome which consists of weakness, numbness or tingling or pain in the first 3 fingers in your hand. The problem is caused by pressure on the median nerve as it travels through a “tunnel” in our wrist formed by the bones of our wrist and a ligament called the flexor retinaculum or the transverse carpal ligament

carpal tunnel

The pressure can be caused by structural collapse of the tunnel by over-extension of the wrist as in over-use of computers, hammering or using a wrench or narrowing due to arthritis or fluid in the tunnel caused by diabetes or hypothyroidism

As a Doctor of Chiropractic and an Applied Kinesiologist, I would first rule out diabetes and hypothyroid by patient history, signs & symptoms and blood and urine tests. Compression of the wrist in arthritis would make the symptoms of carpal tunnel syndrome worse instead of making it better.

And as course, since the median nerve is a branch of the brachial nerves coming from the 5th, 6th and 7th cervical nerve roots at the spinal level, I rule out problems in the neck  and down the course of the nerve such as muscle entrapment and shoulder and elbow problems.

Treatment of the syndrome involves adjustment of the wrist bones and sometimes  adjusting the way the two forearm bones (the ulna & radius) articulate with each other,  balancing the muscles that cross the wrist joint in both flexion and extension.

forearm muscles

Please see https://drvittoriarepetto.wordpress.com/2010/06/21/muscle-balancing-in-applied-kinesiology/

A wrist wrapping or a brace would be used for support and exercises for the wrist would be recommended. Nutritional support for the nerves and ligaments and a natural anti-inflammatory would be recommended to speed up the healing following the structural correction.

By utilizing applied kinesiology and chiropractic, we can balance the body’s structure and chemistry utilizing and can solve many health problems by addressing the cause. Please feel free to call  to schedule a consultation to discuss this or any other health issues you may have.

© 2012/ Revised 2015-Dr. Vittoria Repetto

Want more information on Dr. Vittoria Repetto and her NYC Applied Kinesiology/Chiropractic/ NKT practice at 230 W 13th St., NYC 10011; please go to www.drvittoriarepetto.com

And please check out the Patient Testimonials page on my web site.

 Want to be in the know on holistic information and postings? 

https://www.facebook.com/wvillagechiropracticappliedkinesiologynkt/

Or join me at Twitter: www.twitter.com/DrVRepetto