Γ—

New Permanent Location

254 East Crossroads Blvd, 84045
Saratoga Springs Utah next to Twisted Sugar

Do I Have Carpal Tunnel Syndrome?

Many people believe they have carpal tunnel syndrome (CTS). The majority have been told by their medical doctor that they have CTS. Others have mistakenly concluded that because they have some numbness and tingling in their wrist or hand, they must have this neurological disorder. Still others have ongoing forearm, wrist, or hand pain (possibly localized to the thumb and/or index finger), and are led by articles they've read on the Internet to diagnose themselves with CTS. Almost all of this is in error.1,2
Why are so many diagnoses of this condition mistaken? The primary culprit is lazy clinical decision-making, compounded by a failure to understand correctly the workings of the musculoskeletal system. Carpal tunnel syndrome is a specific diagnosis which involves mechanical pressure on the median nerve as it passes through a small tunnel in the wrist created by tiny adjoining bones. There's not much room in this carpal tunnel and its dimensions can be narrowed further by inflammatory conditions such as osteoarthritis or rheumatoid arthritis. Pregnancy can lead to CTS owing to increased fluid retention. Repetitive stress may lead to inflammation of tendons that cross the wrist. Such inflammation may lead to soft tissue swelling which compresses the carpal tunnel, causing CTS. Various other disorders should also be considered when CTS is suspected.
Importantly, CTS is not a catchall diagnosis to be used when a person has forearm, wrist, and/or hand pain. If a person really has CTS, he or she will have specific symptoms. The person will awaken at night owing to pain and/or numbness and tingling. Symptoms will be precisely located to the thumb and index finger (possibly involving the middle finger). Wrist pain may or may not be present. Also, the person will demonstrate a weakness of pinch grip involving the thumb and index finger. If these signs and symptoms are not present, the person does not have carpal tunnel syndrome. Usually, the diagnosis is clearcut and does not require special tests such as electromyography.
Remarkably, most physicians, regardless of specialty, are unaware of these important criteria. If the patient has pain and/or numbness in the hand, the patient has CTS. Case closed. This lack of sophistication leads to real harm done to the patient, such as unnecessary tests which waste time, cost a lot of money, and may result in damaging surgery which is not curative as it was directed at a problem that really wasn't there.
In marked contrast, chiropractors are highly trained in accurate analysis of musculoskeletal problems involving the shoulder, arm, and hand.3 When patients have symptoms mimicking those of carpal tunnel syndrome, chiropractors use their broad knowledge and experience to correctly evaluate the situation. For example, spinal dysfunction, muscle spasm, and trigger points can all cause symptoms which appear to be those of CTS. Chiropractors are able to see through this masquerade and effectively address the real underlying problems.
1Ibrahim I, et al: Carpal tunnel syndrome. Review of the recent literature. Open Orthop J 6:69-75, 2012
2Uchiyama S, et al: Current concepts of carpal tunnel syndrome: pathophysiology, treatment, and evaluation. J Orthop Sci 15(1):1-13, 2010
3Bialosky JE, et al: Heightened pain sensitivity in individuals with signs and symptoms of carpal tunnel syndrome and the relationship to clinical outcomes following a manual therapy intervention. Man Ther 16(6):602-608, 2011

Location

Find us on the map

Office Hours

Our Regular Schedule

Monday:

7:30 am-12:30 pm

2:00 pm-5:00 pm

Tuesday:

7:30 am-12:30 pm

2:00 pm-5:00 pm

Wednesday:

7:30 am-12:30 pm

2:00 pm-5:00 pm

Thursday:

7:30 am-12:30 pm

2:00 pm-5:00 pm

Friday:

Closed

Saturday:

Closed

Sunday:

Closed

Testimonials

Reviews By Our Satisfied Patients

  • "Dr. Goodman is a miracle worker! He has been our chiropractor of choice for over 10+ years. Dr. Goodman is friendly and knowledgeable. He listens and sincerely cares about his patients’ needs. I highly recommend him for any of your chiropractic needs."
    ANGELA WALKER
  • "Dr. Goodman is the best chiropractor that I've ever had! I love coming here he takes care of me very well and his receptionist is awesome as well. I love Goodman chiropractic!"
    SHANE BUNDY
  • "Such an amazing team. Always so welcoming. So easy to communicate. They have always squeezed me in if my schedule changes. I won't go anywhere else."
    ASHLEY GIBSON
  • "Dr. Goodman is great! He explains to you why and what he is doing. He works with you to come up with a treatment plan. He feels like a friend that just wants to help you feel better. I don't think I could ever go any where else again."
    MELISSA HOYT
  • "After two weeks of visits, I feel 15 years younger!

    Back pain is pretty much gone and I feel so much better.

    Dr. Goodman is an expert and true professional at his craft.

    I've been visiting for lower back pain, but they can help with so much more. Give their office a call if you are considering a chiropractor."
    PARKER MCCUMBER
  • "I'm from out of town visiting my daughter. I hurt my lower back just before leaving on vacation. I was miserable. My daughter had been to Dr. Goodman for her neck which fixed as well. She made me an appointment after 2 visits I was feeling great. I would highly recommend Dr. Goodman."
    TOMMY THOMSON
  • "Dr. Goodman does a great job and listens when I tell him what is going on with me."
    BRIAN
  • "We love going to the chiropractor!!! My children who are 11 and 9 look forward to going as well. Dr goodman is the best. I've been to several chiropractors, they all just end up hurting me and I never want to go back. He has helped not only my neck and lower back feel better, but my whole body as well. If you need to see a chiropractor, go see someone else; because Dr Goodman is all MINE!!! 😁😁😁. OH, and I can not forget his LOVELY receptionist Chiska she is AWESOMESAUSE πŸ’œπŸ’œπŸ’œ My children love her as well."
    REBECCA TREJO
  • "I love that Dr. Goodman does his job well and doesn't require any other unnecessary treatments. He's honest and easy to work with. He listens to you and your needs. Chiska, his secretary, is great as well, and easy to work with."
    AVALLE FAMILY
  • "I am a new patient of Dr. Goodman and I highly recommend him. He is very professional and I really appreciate him explaining all my questions and concerns. He was really great and the office is beautiful and clean. His staff is great too. Very friendly and helpful."
    JANETH M
  • "Nice place, Dr Goodman is funny and very personable, my wife is getting adjustments and feeling better with each visit"
    SCOTT NELSON
  • "I've been going to Goodman Chiropractic for many years. I feel that he keeps me going. I have chronic back pain and his adjustments help me function well. He knows what he is doing. He is a professional with a great sense of humor. He is cares about me and about my health. Chiska manages the office and runs it very efficiently. She has a great personality and a ready smile. I won't go anywhere else. I highly recommend him too anyone who is looking for Chiropractic services."
    MICKI DELALOZA