925.999.8757 rnassab@comcast.net

Dr. Nassab’s Clinical Discussions:

I. Findings
The carpal tunnel is an area in the wrist where the bones and ligaments create a small passageway for the median nerve. The median nerve is responsible for both sensation and movement in the hand, in particular the thumb and first three fingers. When the median nerve is compressed, an individual’s hand will feel as if it has “gone to sleep.”
The diagnosis of carpal tunnel syndrome is made in part by checking to see whether the patient’s symptoms can be brought on by holding his or her hand in position with wrist bent for about a minute. This is now one of the most prevalent subluxations. My patient is a 40 year old woman who is in the computer technology industry. Her job requires a great deal of time on the computer key board and mouse. She was experiencing pain radiating into her wrist, arm, elbow, as well as her neck.
II. Treatment
Our goal of course was to reduce the pain as quickly as possible as to keep her working and not need to file for disability. She happened to live and work close so I was able to adjust her on a good and steady frequency . We used adjustments to the spine and wrist, taping to the wrist, and bracing of the wrist(only in the beginning ) to get long term results. It is always important to evaluate her spine and adjacent structures to achieve the long term goals.
III. Prognosis and Outcome
Her outcome was very good as we were able to relieve her pain and strengthen her wrists. She was required to do an ergonomic evaluation of her work space as we needed support not to have her symptoms return. The key is to not repeat what brought will slow or return the process of injury.
IV. Dr. Nassab’s Discussion
The patient did follow my guidelines, as I was her last stop or wrist surgery. It took some time and some major change of habits to finally get the results we needed. In this particular case I was working with her Orthopedic Doctor and was able to get up to date diagnostics and second opinion. I have, had to send patients in for surgery but, was fortunate enough to have a successful outcome with her without surgery and Chiropractic care. She is still a patient and because she works as hard as ever, she does come in for maintenance adjustments of her spine and occasionally her wrist.

This is an informational discussion for you and to present and or share with your family and friends.
If you have any feedback, questions, or concerns, please email, text, or call.
Yours in health,
Richard G. Nassab, D.C.

Pleasanton, California