Understanding Hand Pain & Wrist Pain
The upper limbs are often used for defense or to cushion possible trauma. The wrist is a delicate joint system and fall or blocking a blow can cause severe injuries. In truth, we sacrifice our hands and wrists all the time to protect the rest of our bodies.
As years go by, the wear and tear in our hands and wrists can accumulate, forming scars and arthritic conditions of the joint.
"The most notorious carpal bone for misaligning is called the Lunate bone" - Manfred Alkhas
Some diseases of the wrist are common, such as Carpal Tunnel Syndrome and tendonitis. But, others are more rare and difficult to diagnose, such as Kienbock's disease.
Obviously, it is imperative that a detailed examination be done before any form of treatment is rendered. If treated wrongly, any permanent residual wrist pain can be debilitating.
The Differential Diagnosis for Wrist and Hand Pain Includes:
- Sudden acute injuries
- Repetitive injuries
- Subluxation of wrist carpal bones
- Carpal Tunnel Syndrome
- Arthritic diseases
- Rheumatoid Arthritis
- Gouty Arthritis
- Psoriatic Arthritis
- Ganglion Cysts
- De Quervain’s Tenosynovitis
The wrist is partially comprised of eight small carpal bones that allow for its incredible mobility. The eight bones are very strong and stable but they sometimes do tend to misalign.
The crescent shaped carpal bone named "Lunate" is notorious for its tendency to misalign.
Evaluation, Treatment, & Diagnosis of Hand & Wrist Pain
A good chiropractor must perform a detailed history intake and physical examination of the wrist's stability. During the examination, the alignment of every bone and its articulation must be checked. Then a good neurological evaluation must be performed.
Sometimes the wrist pain and numbness have nothing to do with the involved hand and wrist and everything to do with other parts of the body; for example, it could be due to neck and shoulder nerve impingements. Ruling out such possible pain referrals from more proximal body parts is necessary to formulate an accurate diagnosis. As an office protocol, Dr. Manfred evaluates the elbow region due to its proximity and effect in wrist stability.
At Good Life Chiropractic, along with a comprehensive wrist evaluation we have the ability to take wrist and hand x-rays. The most common x-rays at our office are spinal x-rays of the neck, upper back and low back regions. But interestingly, the x-rays showing the most fractures have always been of wrists and hands.
It is the subtleness and the severity of these injuries that calls for the detailed attention of an expert practitioner. According to our latest statistics, Dr. Manfred performs over 8-15 wrist and hand adjustments every week.
If you are suffering from wrist or hand pain, feel free to call our office and schedule a free consultation with Dr. Manfred.
I look forward to helping you get relief from your hand pain or wrist pain, including Carpal Tunnel Syndrome.
Dr. Manfred Alkhas, D.C., M. Div.
Or, Call (408) 871-1200
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