Menu

Location

Location 1

101 Hodencamp Rd

suite 103

Thousand Oaks, CA 91360 USA

805-402-7576

Monday:

8:00 am - 12:00 pm

1:00 pm - 6:00 pm

Tuesday:

8:00 am - 12:00 pm

1:00 pm - 6:00 pm

Wednesday:

8:00 am - 12:00 pm

1:00 pm - 6:00 pm

Thursday:

8:00 am - 12:00 pm

1:00 pm - 6:00 pm

Friday:

8:00 am - 12:00 pm

1:00 pm - 6:00 pm

Saturday:

Closed

Sunday:

Closed

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

Primary Location

Monday:

8:00 am-12:00 pm

1:00 pm-6:00 pm

Tuesday:

8:00 am-12:00 pm

1:00 pm-6:00 pm

Wednesday:

8:00 am-12:00 pm

1:00 pm-6:00 pm

Thursday:

8:00 am-12:00 pm

1:00 pm-6:00 pm

Friday:

8:00 am-12:00 pm

1:00 pm-6:00 pm

Saturday:

Closed

Sunday:

Closed

  • "I have been experiencing a lot of pain. After getting treatments here, I have felt a lot better. I highly recommend the treatments. This is the only alternative of surgery and has helped."
    Marie B.
  • "Sharp pain down both back of legs to me feet. All gone after 12 visits!!My wife all her general aches and pains all gone. Carpel tunnel treatment for my hands, tingling almost all gone."
    Jerry N.
  • "I love the approach here with Dr. Rosenthal. They really do promote the well being of the entire body. The services and care offered here are unparalleled. I have a much better awareness of my body and how so many factors go into maintaining a healthy body. I have and will recommend Dr. Rosenthal to anyone looking to better themselves."
    Jason B.
  • "Dr. Rosenthal has been a great help to me and my lower back pain. The thing I appreciate the most is the education I received regarding my body and its condition. They have a wonderful, clean professional and technically advanced facility. I’ve always felt like I was in very capable and knowledgeable hands with Dr. Rosenthal and his staff. I have recommended them to many people and will continue to do so."
    Jeff J.
  • "Dr. Rosenthal and his excellent staff have done a great job getting me back to 100%. The rehab program and thorough weekly visits have me feeling great. Thank you."
    Josh G.
  • "Dr. Rosenthal and his staff are awesome! I came in three weeks ago in tremendous pain. Within a week I was doing 100% better and now I am pain free. Thank you again Dr. Rosenthal"
    Keith P.
  • "It has been a pleasure having Dr. Rosenthal work with me. I work out HARD and I have Scoliosis in the spine. I also had vertigo, tingling in my arms and limited range of motion. Since coming here I have not had vertigo, no tingling and range of motion is much better. I thank and totally appreciate Dr. Rosenthal and staff for feeling good."
    Tom K.
  • "As a martial artist I work out my whole body on a regular basis. With injuries I sustained and constant stress on my body it became difficult to teach and train in the art I love. I came in to get help and after seeing my X-rays, and the way mybody was out of alignment I realized how much help I really need. Now in just three months time my body is in much better alignment, I am feeling so much better and my body is under a lot less stress."
    Alex R.
  • "I first came here after suffering really bad pain in my lower back. It hurt to stand up and even sitting down involved discomfort. I was met by Dr. Rosenthal and in a very professional yet caring way; and after an evaluation, Dr. Rosenthal suggested treatment. I am now in the third week of such a treatment and the improvement has already been immense. I have nothing but gratitude and respect towards Dr. Rosenthal and his team."
    Demi M.
  • "I first came here after a car accident. I was suffering from shoulder, neck and back pain. Dr. Rosenthal and his staff are amazing, helpful and always bring a positive vibe whenever I come in. Now my pain is almost gone and it makes me very excited that I started coming here."
    Jerica A.
  • "When I came here I was extremely stressed, my body was tight and misaligned. After the first month I had major improvements. I am continuing treatment and on a path to total transformation. I have been to many treatment centers in the past and this is by far the best experience."
    Bryan S.
  • "Great results. Wonderful great people! Will definitely recommend to other people."
    Sandra F.
  • "When I first came here I was having headaches and migraines almost daily at a debilitating level. As a student it was really hard to stay focused on schoolwork. After a month of coming here the headaches disappeared. I am sleeping better and have more energy. It completely changed my day to day life and helped to get me back to the things I enjoyed."
    Jenna M.
  • "After years of neck and upper back pain, off and on, I finally feel great. I'm very thankful to Dr .Rosenthal and crew for helping me improve the quality of life. I highly them."
    Kristen F.
  • "I came in not being able to use my right arm due to horrible pain. The treatment was fully explained to me. Everyone is so helpful and warm here. They really care about you as a person and your progress. This is a very happy and wonderful place. My arm is almost back to 100% thanks to all of you."
    Julie T.