Dr Davis' Back & Wrist Pain Blog

Carpal Tunnel Syndrome: Natural Solutions

We have been providing treatment for carpal tunnel syndrome in San Francisco for over 20 years.

Carpal Tunnel Syndrome (CTS) is a condition characterized by pain, numbness and/or tingling in the hand. This includes the palm and the 2nd, 3rd, and half of the 4th finger, usually sparing the thumb. Another indication of CTS is weakness in grip strength such as difficulty opening a jar to even holding a coffee cup. CTS can occur from many different causes, the most common being repetitive motion injuries such as assembly line or typing/computing work. Here is a PARTIAL list of potential causes of CTS: heredity (a small sized tunnel), aging (>50 years old), rheumatoid arthritis, pregnancy, hypothyroid, birth control pill use, trauma to the wrist (especially colles fractures), diabetes mellitus, acromegaly, the use of corticosteroids, tumors (benign or malignant), obesity (BMI>29 are 2.5 more likely), double crush (pinching of the nerve in more than 1 place such as the neck and the carpal tunnel), heterozygous mutations in a gene (associated with Charcot-Marie-Tooth), Parvovirus b19, and others. Again, repetitive trauma is still the most common cause. It becomes quite clear that a COMPLETE physical examination must be conducted, not just evaluation of the wrist! Once the cause(s) of CTS has been nailed down, then treatment options can be considered.

            From a treatment perspective, we’ve previously discussed what chiropractors typically do for CTS (spinal and extremity joint manipulation, muscle/soft tissue mobilization, physical therapy modalities such as deep tissue laser, the use of a wrist splint – especially at night, work task modifications, wrist/hand/arm/neck exercises, vitamin B6, and more). But, what about using other “alternative” or non-medical approaches, especially those that can be done with chiropractic treatment? Here is a list of four alternative or complementary treatment options:

1. Anti-inflammatory Goals: Reducing systemic inflammation reduces overall pressure on the median nerve that travels through the limited space within the carpal tunnel at the wrist. An “anti-inflammatory diet” such a Mediterranean diet, gluten-free diet, paleo-diet (also referred to as the caveman diet) can also help. Herbs that can helps include arnica, bromelain, white willow bark, curcumen, ginger, turmeric, boswellia, and vitamins such as bioflavinoids, Vitamin B6 (and other B vitamins such as B1 and B12), vitamin C, and also omega 3 fatty acids.
2. Acupuncture: Inserting very thin needles into specific acupuncture points both near the wrist and further away can unblock energy channels (called meridians), improve energy flow, release natural pain reducing chemicals (endorphins and enkephlins), promote circulation and balance the nervous system. For CTS, the acupuncture points are located on the wrist, arm, thumb, hand, neck, upper back and leg. The number of sessions varies, dependant on how long the CTS has been present, the person’s overall health, and the severity of CTS.
3. Laser acupuncture: The use of a low level (or “cold” laser) or a class IV pulsed laser over the same acupuncture points as mentioned above can have very similar beneficial effects (without needles)! One particular study of 36 subjects with CTS for an average of 24 months included 14 patients who had 1-2 prior surgeries for CTS with poor post-surgical results. Even in that group, improvement was reported after 3 laser treatments per week for 4-5 weeks! In total, 33 of the 36 subjects reported 50-100% relief. These benefits were reportedly long-term as follow-up at 1-2 years later showed only 2 out of 23 subjects had pain that returned and subsequent laser treatment was again successful within several weeks.
4. Acupressure: Acupuncture point stimulation with manual pressure. These points can be self-stimulated by the CTS sufferer multiple times a day via deep rubbing techniques.

            We realize you have a choice in who you consider for your health care provision and we sincerely appreciate your trust in choosing our service for those needs.  If you, a friend or family member require care for CTS, we would be honored to render our services.

To schedule an appointment with one of our carpal tunnel doctors in San Francisco call 415-392-2225. Mention this blog post for a complimentary CTS consultation and trial laser session.

San Francisco Chiropractor Review: Hand Pain

The Executive Express Chiropractic San Francisco "Patient of the Week" is Mary Frazier. Mary was having problems opening and closing her hands and was recovering from recent hand surgery when we met. The hand surgery for the most part was successful but she still wished her hand pain and grip strength could be better. Mary wanted to have more power in her hands and less pain and dysfunction.

One of Mary's doctors told her that certain chiropractors that specialized in the wrists and hands could possibly help her so she did some online research, found Executive Express Chiropractic, and decided to try us out. We have been working on Mary from the neck to the finger tips on both sides for about a month or so now. We found that Mary had pressure on the nerves in the neck that control or innervate the hands, as well as misalignment's in the wrists.

Our treatment consists of spinal adjustments to the neck, shoulders, elbows, wrists and fingers, along with massage, myofascial release to the neck and upper extremities, traction and exercises. Well, so far so good. Mary is slowly improving and is much better than she was. We are both hoping these positive changes become permanent and that Mary can simply maintain them with periodic visits and home exercises. We are both hopeful.

To schedule an appoinment with a hand pain doctor in San Francisco please call 415-392-2225. Mention this blog post for a complimentary consultation. 

Serving local zip code 94111 for over twenty years

Are You Tired All Day But Can’t Sleep At Night?

Are you tired during the day, but then can’t fall asleep at night?  Do you lay awake in bed, staring at the ceiling, wondering why you were falling asleep at work?  Do you wake up more tired than when you went to sleep? How about this one…

Do You Look At The Clock And

Calculate How Many Hours Of Sleep

You Could Get If You Fell Asleep Right Now?

If you do, you are not alone.  According to the Centers for Disease Control and Prevention (CDC), “Insufficient sleep is a public epidemic. An estimated 50-70 million U.S. adults have sleep or wakefulness disorder.” 

            The CDC recommends school-age children (5-10 years) sleep 10-11 hours, teens (10-17 years) sleep 8.5-9.5 hours, and adults sleep 7-9 hours per night.

            Of course, everyone is individual.  Some people need more sleep, and others need less sleep. 

One thing is certain: If you are not getting the proper amount of sleep you need, there are health risks.

            Barring a health condition that may cause an inability to sleep, stress may be the biggest cause of insomnia.

            Insomnia is a sleep disorder that is characterized by difficulty falling and/or staying asleep. People with insomnia have one or more of the following symptoms:  Difficulty falling asleep, waking up often during the night and having trouble going back to sleep, waking up too early in the morning, and feeling tired upon waking. 

            Some of the consequences of insomnia are:  Sleepiness during the day, general tiredness, irritability, and problems with concentration and or memory. 

You May Suffer From “Adrenal Fatigue”

            According to Dr. James Wilson, author of the book Adrenal Fatigue: 21^st Century Syndrome, 80 percent of people will suffer adrenal fatigue at some point in their lives.

            Adrenal glands help your body handle and deal with stress.  The more stress you experience, the more your adrenal glands have to work. There is a point when the adrenal glands become over-worked. When this happens, it is VERY bad for you and your health.

            This is a condition called, “Adrenal fatigue.”  The adrenal glands secrete cortisol, a powerful hormone that is responsible for gluconeogenesis and activating anti-stress and anti-inflammatory pathways. Cortisol prevents the release of substances in the body that cause inflammation.

Small increases of cortisol have some positive effects including a quick burst of energy for survival reasons, heightened memory functions, a burst of increased immunity, lower sensitivity to pain, and it also helps maintain homeostasis in the body.

            But, it is important for the body to have a decreased or “no stress” period so its functions can return to normal.

            When constant stress is present, high cortisol levels remain in the blood stream. 

            This causes all kinds of health problems including: Impaired cognitive performance, suppressed thyroid function, blood sugar imbalances such as hyperglycemia, decreased bone density, decrease in muscle tissue, higher blood pressure, lowered immunity and inflammatory responses in the body, slowed wound healing, and increased abdominal fat (which is associated with a greater amount of health problems than fat deposited in other areas of the body).

Some of the health problems associated with increased stomach fat include: heart attack, stroke, metabolic syndrome, increased “bad” cholesterol (LDL), and decreased “good” cholesterol (HDL).

In other words, it is VERY bad.  But things can get worse…

If the overload of stress continues, the adrenals become exhausted and actually become resistant to the stress.  This can result in hemorrhaged adrenal glands, high insulin levels, atrophied thymus glands, biochemically devastated bodies, a total collapse of body function, or a collapse of specific organs or systems.

Obviously, this is no laughing matter. 

STRESS KILLS

            So what can you do?  Stress reduction is a must, and since it is virtually impossible to eliminate all stress from your life, you should take measures to minimize it and re-charge your body.

            There are several great ways to reduce stress, such as  yoga. 

            Here are the results from a recent study, according to Science Daily: The participants were randomized into two groups. The meditation group was taught the 12-minute yogic practice that included Kirtan Kriya, which was performed every day at the same time for 8 weeks. The other group was asked to relax in a quiet place with their eyes closed while listening to instrumental music on a relaxation CD, also for 12 minutes daily for 8 weeks. Blood samples were taken at the beginning of the study and again at the end of the 8 weeks.

“The goal of the study was to determine if meditation might alter the activity of inflammatory and antiviral proteins that shape immune cell gene expression,” said Lavretsky. “Our analysis showed a reduced activity of those proteins linked directly to increased inflammation.”

In other words, this form of yoga practiced 12 minutes a day, everyday for 8 weeks, seemed to reduce harmful stress (a very good result).

            Now, check this out... Recent research also shows that telling fewer lies can lead to a healthier life. 

In a study, researchers used 110 males and females, between 18 and 71 years old.   Fifty-five were told to stop lying completely for 10 weeks and the other half were given no special instructions about lying. They went to a laboratory each week to complete health and relationship questionnaires and to take a polygraph test assessing the number of major and minor lies they had told that week.

According to researchers, the group who stopped lying complained less of headaches, sore throats, tenseness, anxiety and other problems than those who were given no instructions. Results also showed that the non-lying participants had improved close personal relationships and smoother social interactions. 

            The research has not been published in a peer-reviewed journal, but was presented at the American Psychological Association’s annual meeting.

            Researchers also mentioned that lying can cause a great deal of internal stress. 

            And don’t forget, if you ever have any questions or concerns about your health, talk to us. Contact us with your questions. We’re here to help and don’t enjoy anything more than participating in providing you natural pain relief.

To schedule an appointment with one of our San Francisco Chiropractors call 415-392-2225

Serving local zip code 94111 since 1992

San Francisco Chiropractor Review: Whiplash

The Executive Express Chiropractic "Patient of the Week" is Anabel Alvarez. Anabel presented to our clinic with neck and back pain from a recent whiplash injury. Anabel was in constant pain and was unable to get a good nights sleep or concentrate at work. Anabel could not exercise or perform normal household duties without severe back and neck pain.

Well, it's been about 5 weeks now and Anabel reports she is feeling much better. Her whiplash symptoms have subsided quite a bit and things are returning back to normal. Anabel is sleeping better, more focused at work, and is back to exercising. Anabel looks forward to being pain free soon.

We have treated Anabel's whiplash with a combination of chiropractic adjustments, massage, traction, and exercises. Whiplash trauma can lead to chronic pain syndromes if no treated properly because the inflammation in the soft tissues solidifies becoming scar tissue which is more sensitive, less flexible, and more prone to re-injury. This is why it's so important to seek immediate care if you are involved in a car accident.

To schedule an appointment with one of our whiplash doctors in San Francisco please call 415-392-2225. Mention this review for a complimentary consultation and office tour.

Serving local 94111 for over 20 years

Obesity on the rise in children and adults. Have You Heard of The New Term: OBESOGENS?

The obesity epidemic is skyrocketing. According to an article in USA TODAY 9/18/12 (Obesity On The Rise) on the front page, the Center for Disease Control puts the obesity rate on track to be 50% of all Americans in 2030. In 2010 it was 35%. Heck, right now almost 70% are overweight or obese...I guess it will be 80% plus by then.

Of particular concern to me (I have a 7 year old daughter) is the rapidly climbing childhood obesity rate, and there may be more to it than just poor food choices and sedentary lifestyles. A recent study links BPA to obesity in children. Here is an excerpt from an article (also in USA today) entitled:

Study links chemical BPA to obesity in children, teens.

But the findings, in today's Journal of the American Medical Association, add to a growing body of research -- in both humans and animals -- questioning BPA's safety, says Philip Landrigan, director of Children's Environmental Health Center at the Mount Sinai School of Medicine in New York.

STORY: FDA has 'some concern' about chemical BPA

"It's a credible study and it has to be given some attention," says Landrigan, who was not involved with the study.

In particular, the study adds to the notion that certain chemicals are "obesogens" that alter the body's metabolism, making it harder for people to lose weight, even with diet and exercise, says Linda Birnbaum, director of the National Institute of Environmental Health Sciences, who was not involved in the study.

"Are we programming people to fail?" Birnbaum asks. "That's the question we need to ask, instead of blaming people."

Exposure to BPA -- an estrogen-like chemical used in everything from plastic water bottles to the linings of metal cans and even the coatings on certain paper receipts -- is nearly ubiquitous. More than 92% of Americans over age 6 have detectable levels in their blood, according to the Centers for Disease Control and Prevention.

The new study drew on CDC surveys of 2,838 kids and teens, ages 6 to 19.

My Take: So what can we do? Well, as parents we can make sure we are educated on diet, health and nutrition, so we can make healthy informed decisions for ourselves and our children.  I have found that a diet centered around "plant foods" is best. My favorite resource is Dr. John McDougall, MD.

I also recommend Michelle Obama's "Let's Move" Initiative to help fight childhood obesity.

And stay away from products that contain BPA. This is not that hard to do. And make sure you and your children are getting plenty of exercise. Not all kids have PE in school, and should have 60 minutes of exercise per day. Most of the killer diseases like heart disease, strokes, diabetes and cancer are rooted in poor lifestyle choices. You can make a difference!

Dr. Eben Davis is founder and clinic director of Executive Express Chiropractic in San Francisco.

Whiplash Myths You Should Know

We have been providing treatment for whiplash in San Francisco for over 20 years now.

Whiplash is most commonly associated with the rapid, uncontrolled movement of the head as it whips back and forth during a motor vehicle collision. Though different types of injuries are associated with rear vs. front vs. side collisions, the net result is similar: the neck hurts! This month, we will look at several “myths” or untruths associated with the cause of whiplash or WAD, whiplash associated disorders.

MYTH #1: MEN ARE MORE VULNERABLE TO INJURY BECAUSE OF THEIR GREATER NECK MUSCLE MASS: FACT: This is exactly the opposite! Women are more vulnerable because they have LESS muscle mass, and hence, less tissue stopping the neck from going through a greater range of motion during the “crack the whip” process. Woman with long, slender necks are especially more vulnerable. They also take longer to recover and are more likely to suffer permanent residual problems long after their case settles.

 MYTH #2: YOU CAN’T HAVE A CONCUSSION UNLESS YOU HIT YOUR HEAD: This seems logical as most concussions occur from direct head trauma. However, during the whiplash process the brain, which is suspended by ligament-like structures inside the skull, bathed in a liquid, can literally smash into the inside wall of the skull resulting in concussion just from the whipping action, without hitting anything. Permanent residuals such as memory problems, articulating thoughts, staying on task, and more can result. This is often called “post-concussive syndrome” or “mild traumatic brain injury.”

 MYTH #3: NEGATIVE X-RAYS MEANS NO INJURY: Often, in the ER after a motor vehicle collision, x-rays are taken and read by the radiologist as “…essentially normal.” This can be confused as meaning, “…then there was no injury.” X-rays only show the bones in the neck and head region, not the muscles, tendons, ligaments or nerves. MRI (magnetic resonant imaging) shows more of these “soft tissues,” not just bone. But, due to the high costs of MRI, x-rays are performed first, and only later, if symptoms warrant it, is an MRI ordered. Soft tissue injury to the ligaments (the tissues that strongly hold bone to bone) can be assessed when we take flexion / extension (or bending forwards & backwards) x-rays, but many times these are not ordered in the ER.

MYTH #4: REST AND TIME ALONE WILL HEAL WHIPLASH: Though time for healing plays a role in recovery following all injuries, many patients find this approach fails and their pain persists. In fact, studies suggest that mobilization and manipulation performed as soon as possible after a whiplash injury yields significantly better outcomes than wearing a cervical collar and not moving the neck. Whiplash injuries, when not properly treated, often results in permanent loss of motion, pain, headache, and more. The days of rest and time only should be replaced by the sports medicine model of hot/cold packs, modalities such as interferential, pulsed magnetic stimulation, light or laser therapy, manipulation, massage, traction and guided exercise. Not, “…wait and watch.”

             Tune in next month for addition myths about whiplash as there are MANY! Rest assured that prompt chiropractic care is the best approach for treatment of the whiplash injured patient.

             We realize you have a choice in where you choose your healthcare services.  If you, a friend or family member requires care for whiplash, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

 To schedule an appointment with one of our San Francisco Whiplash Doctors call 415-392-2225

Serving local 94111 since 1992

San Francisco Chiropractor Review: Back Pain

The Executive Express Chiropractic San Francisco "Patient of the Week" is Elizabeth Carranza. Elizabeth presented to our clinic with chronic back and neck pain that had developed while recovering from a severe ankle fracture and wearing a cast.

The pain Elizabeth was experiencing was affecting her home and work life. When the foot is injured and gait is abnormal it can throw the entire spine and body out of alignment. This can cause symptoms like neck pain, back pain, and even headaches.

Plus, the nerves that exit the spine control all bodily functions, so even symptoms like digestive problems, insomnia, and menstrual cramps can occur in situations like this.

Thankfully, Elizabeth is feeling much better from her chiropractic adjustments and feels things have taken a turn for the better. Elizabeth is working out again, has more energy, is sleeping better, and is more focused.

Elizabeth looks forward to her adjustments and is confident she will be free of back pain soon. Elizabeth loves our walk-in, no wait service and our friendly and competent doctors and staff.

To schedule an appointmentment with one of our San Francisco Chiropractors please call 415-392-2225. Mention this chiropractic review for a complimentary consultation.

Serving local 94111 for over 20 years

Fibromyalgia Basics You Should Know

Fibromyalgia (FM) is a disorder that includes widespread musculoskeletal pain along with fatigue, sleep disturbance, memory changes, mood changes and more. Studies show that FM amplifies or increases painful sensations by changing the way the brain processes pain signals. FM is NOT a psychological disorder that only people with a troubled past or present acquire. Nor is it due to being inactive or lazy. If ANY doctor suggests that, PLEASE find a different doctor who understands the pathogenesis of FM. Unfortunately, this can be a challenge!

                FM symptoms can begin after a physical trauma, surgery, an infection and/or after a significant stress experience. It can also just gradually appear over time without an obvious triggering event. Women are more vulnerable to acquire FM than men. Many FM patients have other conditions that may be associated with FM including (but not limited to) headache, TMJ, irritable bowel syndrome, anxiety, depression, thyroid/hormonal imbalances, endometriosis, and more.

                Though the cause of FM may not be clearly identified, studies suggest there are a variety of factors that work together resulting in FM. Some of these include genetics, infections and physical and/or emotional trauma. Because FM tends to run in families, there may be certain genes or genetic mutations (changes that occur to genes) that make one more susceptible to developing FM. Infections appear to be a trigger for developing or aggravating FM. Post-traumatic stress disorder and less obvious physical or psychological trauma has been linked to the development of FM.  The amplified or heightened pain response has been termed, “central sensitization,” meaning, increased sensitivity to normal pain stimulation in the central nervous system (brain and spinal cord). Because of this heightened nervous system response, what normally isn’t processed as pain in the non-FM person, does reach and exceed the pain threshold in the FM patient (sort of like when amputation of a limb occurs and the brain still “thinks” there is a limb and “phantom pain” is felt). Studies show that repeated pain signals result in an abnormal increase in certain brain chemicals (called neurotransmitters). As a result, the brain’s pain receptors seem to develop a “memory” of the pain and become “sensitized” or they overreact to the pain signal input and pain is felt at an increased intensity. Certain risk factors come into play with developing FM, some of which include: your sex (female), family history (increased risk if other family members have FM), and rheumatic diseases such as rheumatoid arthritis and lupus.

                 Tests to establish the diagnosis of FM are few. In 1990, the American College of Rheumatology established 2 criteria for diagnosing FM. The first is widespread pain lasting at least 3 months, and the second is the presence of at least 11 out of 18 positive tender points. Since then, less emphasis has been placed on the exact number of tender points, while ruling out other possible underlying conditions that might be causing the pain is now utilized. There is no lab test to confirm a diagnosis of FM, but blood tests including a complete blood count, an ESR, and thyroid function tests are commonly done to rule out other conditions that have similar symptoms. Treatment is best approached by a “team effort” combining the skills from multiple disciplines including a primary care doctor who “believes in FM” and is willing to work with chiropractors, and others. Exercising, pacing yourself, accepting your limitations, yoga, psychological counseling, nutritional counseling, and having strong family/friend support are all important in the management of FM.

                If you, a friend or family member requires care for FM, we sincerely appreciate the trust and confidence shown by choosing our services!

To schedule an appointment with a Fibromyalgia Doctor in San Francisco call 415-392-2225.

 

San Francisco Chiropractor Review: Sciatica

The Executive Express Chiropractic "Patient of the Week" is Michelle Paholik. Michelle presented with severe low back pain and sciatica and was unable to work or perform normal household activities. Michelle had previously sought chiropractic care for her low back pain many years back so she knew it could help her.  Michelle found us online and read some of our reviews and decided to give us a shot.

Well...here we are about 3-4 weeks later and Michelle is feeling great. Her sciatica has completely resolved and her low back pain is almost gone. Michelle is exercising again and life is returning back to normal.

Low back pain and sciatica typically respond very favorably to chiropractic care and should be considered as an option right away in most cases.

Many sciatica patients suffer with herniated and bulging discs that can be effectively managed with chiropractic care, massage, laser, spinal decompression, and ART.

To schedule a complimentary consultation with one of our San Francisco Chiropractors call 415-392-2225.

Serving Zip Code local 94111 for over 20 years

Carpal Tunnel Syndrome: Prevention

We have been providing treatment for carpal tunnel syndrome in San Francisco for over 20 years now in the Financial District, where it's not uncommon for those involved in finance, legal, social media, and technology, to spend 10-12 hours per day in front of a computer doing repetitive motions.

Carpal Tunnel Syndrome (CTS) is a very common problem that is often associated with work related activities. Our focus this month is on how to prevent CTS. Of course, if you already have CTS, read this Health Update to learn preventative measures that also work while you receive treatment for CTS.

            The concept is to think about prevention as a matter of economics; as you lose time from work because of CTS, if affects your bottom line, and I’m sure you have bills to pay and mouths to feed (…or, at least one)! So please take the advice offered here seriously, as we are genuine about our concern for your well-being and not losing work time is a huge component of all of our “well-being!”

            If you’ve experienced sore wrists, hands, sudden sharp jabs of pain up the forearm, noted numbness and/or burning in your fingers (especially the index through 4th / ring finger), wake up at night needing to shake and flick your fingers to “wake them up,” have weakness in your grip strength, are slowing down at work (whether it’s typing/computer work, assembly line work, cooking, waitressing, and so on), you NEED to do the following NOW! The goal here is prevent work loss and surgery (as up to 6 weeks lost work time will be required if surgery is needed).

1. Anti-inflammatory measures: This starts with a healthy diet. STOP eating foods that inflame such as omega 6 rich foods (“GOOGLE” omega 6 and print out the list of food). Emphasize fruits, vegetables, lean meats, nuts and AVOID grains because of glutens, which many of us have a sensitivity against. Vitamins such as a multiple, magnesium, fish oil (omega 3’s), Vitamin D3, and CoQ10 are GREAT! Freeze water in a small cup and rub it on the wrist/carpal tunnel until it gets numb (takes 3-5 minutes) and do that 2-3 times a day. Consider natural anti-inflammatories such as ginger, turmeric, cercumen, bioflavinoides and others.
2. Stretch: Bear-claw, fist, “High-5” (opened hand with the fingers fanned out) reps, wrist extensions on the wall/table stretches (elbows straight).
3. Rest: Cock-up splint, take mini-breaks, and get sound/restoring sleep. IT REALLY HELPS!
4. Ergonomic modifications: Position your computer keyboard, mouse and monitor so that you are looking straight ahead at a slight downward angle and your elbows are at a 90° or slightly less of an angle when typing. Set an alarm on your computer to go off every 15 minutes as a reminder to “shake and flick” your hands, wiggle your fingers, do your stretches, and/or squeeze a soft ball. Write with a fat pen vs. a skinny one – this helps a lot!
5. Weight management: Obesity is a common risk factor for developing CTS.
6. Manage other health issues: Diabetes, thyroid disease, inflammatory arthritis, neck/shoulder or elbow problems can all contribute to or, even cause CTS.

            Think of the above measures as minimums and obtain professional care to help you. You have choices between the traditional medical model of cortisone shots, anti-inflammatory medication, and surgery vs. chiropractic: manipulation and mobilization of the fingers, hand, wrist, elbow, shoulder and neck as needed, splinting at night, anti-inflammatory diet and nutrients, ergonomic modification and exercise training, which ALL will help to treat as well as prevent future CTS problems, EVEN IF you’ve had surgery already!

            We realize you have a choice in who you consider for your health care provision and we sincerely appreciate your trust in choosing our service for those needs.  If you, a friend or family member require care for CTS, we would be honored to render our services.

To schedule an appointment for carpal tunnel treatment in San Francisco call 415-392-2225. Mention this article for a complimentary consultation and tour.

Serving local 94111 for over 20 years

Related Carpal Tunnel Syndrom Articles:

Carpal Tunnel Syndrome and Yoga Stretches

Carpal Tunnel Syndrome Facts