Carpal Tunnel Symptoms

It is important to begin treating carpal tunnel syndrome as soon as symptoms first appear before the damage progresses. Carpal Rx delivers a Deep Tissue Myofascial Release Massage proven to get rid of carpal tunnel pain and numbness.

The True Facts About Carpal Tunnel Surgery:

niosh-approvedWhat Surgeons Will Never Tell You About Carpal Tunnel Surgery.

Carpal Tunnel Syndrome is the #1 reported medical problem, accounting for about 50% of all work-related injuries

ONLY 23% of all carpal tunnel syndrome patients returned to their previous professions following carpal tunnel surgery, according to the Bureau of Labor & Statistics and the National Institute for Occupational Safety & Health.

Journal of hand surgeryCarpal tunnel surgery has about a 57% failure rate following patients from 1-day to 6-years. At least one of the following symptoms re-occurred during this time: Pain, Numbness, Tingling sensations. Source: Nancollas, et al, Journal of Hand Surgery.

Revision Surgery after Carpal Tunnel Release – Analysis of the pathology in 200 cases during a 2 year period -This retrospective investigation was undertaken to clarify the reasons for persisting or recurrent symptoms in 200 patients who underwent secondary exploration during a 26 month period. In 108 cases, the flexor retinaculum was found to have been released incompletely. In 12 patients, a nerve laceration had occurred during the primary intervention. In 46 patients, symptoms were due to the nerve being tethered in scar tissue. The re-exploration revealed circumferential fibrosis around and within the median nerve in 17 patients and a tumor in the carpal tunnel in four patients. In 13 patients, no specific reason was found for recurrence of symptoms. Source – The Journal of Hand Surgery: Volume 31, Issue 1, February 2006.

Long-term results of carpal tunnel Surgery (Carpal tunnel patients)…30% reported poor to fair strength and long-term scar discomfort, and 57% noted a return of some pre-operative symptoms, most commonly pain, beginning an average of 2 years after surgery. Source – The Journal of Hand Surgery: Volume 20, Issue 4.

The author of the book, Occupation and Disease: How Social Factors Affect the Conception of Work Related Disorders, says that a very large number of the 240,000 carpal tunnel operations performed in the U.S. each year are useless or worse. While doctors claim an 85-95 percent success rate for their surgeries, another expert in the field says that among the patients she has spoken to the rate of satisfaction was closer to one percent. Stephanie Barnes, director of the Association for Repetitive Motion Syndromes in Santa Rosa.

United Press, August 8, 1996: “Many patients are undergoing multiple carpal tunnel surgeries, which can cause complications ranging from excessive scar tissue overgrowth (re- compressing the nerve tunnel) to surgical injuries that leave the fingers totally devoid of sensation.”

When You Have Carpal Tunnel Syndrome This Is What Is Happening:

The protective lining of tendons (called the tenosynovium) swells within the carpal tunnel. Medical research shows that this swelling is caused by a buildup of fluid (called synovial fluid) under the lining. Synovial fluid normally lubricates and protects the tendons.

The transverse ligament, the band of fibrous tissue that forms the roof over the median nerve, becomes thicker and broader.

The swollen tendons and thickened ligament press on the median nerve fibers, just as stepping on a hose slows the flow of water through it. This compression reduces blood flow and oxygen supply to the nerve, while slowing the transmission of nerve signals through the carpal tunnel. Some cases of CTS may be due to enlargement of the median nerve rather than compression by surrounding tissues.

The result of these processes is pain, numbness, and tingling in the wrist, hand, and fingers. Only the little finger is unaffected by the median nerve.

If You Waste Time With Unproven Treatments Your Carpal Tunnel Syndrome               Will Continue To Progress And Your Symptoms Will Get Worse!


  • Braces and Pain Killers Only.

These are for pain management; not treatment of carpal tunnel syndrome.


Pseudoscience relies heavily on subjective validation: Joe Blow puts Jello on his head and his headache goes away. To pseudoscience, this means Jello cures headaches. To science this means nothing, since no experiment was done. Many things were going on when Joe Blow’s headache went away—the moon was full, a bird flew overhead, the window was open, Joe had on his red shirt, etc.—and his headache would have gone away eventually in any case, no matter what. A controlled experiment would put many people suffering from headaches in identical circumstances, except for the presence or absence of the remedy it is desired to test, and compare the results which would then have some chance of being meaningful.

  • Get Cured Fast DVD “Secret Exercises” Produced by Internet Marketers

There are no secret exercises or stretches and if they were a secret how did the internet marketers find out about them? Real therapy takes time; not 3 days to 2 weeks.

  • Herbal Remedies

The herbal products being marketed as treatments for carpal tunnel syndrome and tendonitis have only minimal anti-inflammatory properties (far weaker than Ibuprofen) and take weeks to work into your system. They cannot treat the underlying conditions causing your carpal tunnel symptoms.

  • Homeopathic Remedies

Homeopathic medicine is no more than quackery. Homeopathic remedies are 100% water; nothing more.

  • Kinesiology Tape

wizard3Kinesiology Tape is the poster child for Pseudoscience. This “magic tape” is a fashion statement not a medical treatment; fact is it is only tape. Just because some high profile athletes are wearing the colorful tape when they win many people come to believe that the tape enhanced performance and cured the athlete’s aches and pains. But people forget they also are wearing the tape when they lose. The claim that it can treat carpal tunnel syndrome and tendonitis (along with many other ailments) is nothing more than the clever marketing of pseudoscience.


  • Plastic Arm Rollers

They do not work

  • Copper gloves & bracelets

More pseudoscience.

  • Vibrating Massage Devices

Wrong type of massage; vibration aggravates carpal tunnel symptoms.

  • Vitamin B6

The clinical studies relating to vitamin B6 for the treatment of carpal tunnel syndrome have been hijacked and distorted by the natural supplement industry. Numerous clinical studies only report that Vitamin B6, taken over a 2 year period, showed it to have a minimal effect on carpal tunnel syndrome. It is not a miracle cure.


There is absolutely no scientific evidence that any of the above

are able to successfully treat the symptoms of carpal tunnel syndrome.


What is Wrist Tendonitis?

Definition of wrist tendonitis:

Wrist_TendonitisThe term “tendonitis” generally means that one or more tendons are inflamed. This inflammation can occur almost anywhere in the body you have tendons. The term “wrist tendonitis” is a term commonly used to describe tendonitis that’s focused at the wrist joint. Other common locations are denoted by names like shoulder tendonitis, elbow tendonitis, ankle tendonitis, and knee tendonitis.

The tendons of the wrist, as with all tendons, are thick cords that connect muscles to bones. Tendons are natural stress points when muscles perform work, and like all stress points are prone to damage. Tendons can become injured suddenly or gradually. If a sudden stretch pulls them too hard, as when lifting a heavy weight, tendons can overload and become damaged. On the other hand, if stretched subtlety and often, as with repetitive motions, the damage to tendons can also be quite severe.

How to Tell the Difference Between Carpal Tunnel Syndrome & Wrist Tendonitis:

self_testKnowing the Difference between Carpal Tunnel Syndrome and Wrist Tendonitis is the First Step in Proper Treatment. This is a quick self-test which can show whether you have carpal tunnel syndrome or wrist tendonitis.

Of course, these are not definitive tests, nor are they final diagnoses. But they are the same tests your doctors performs in the office, and will give you a general direction for what’s causing your symptoms; carpal tunnel syndrome or wrist tendonitis.

Begin Self-Test – Wrist Tendonitis Vs. Carpal Tunnel Syndrome:

If you answer YES to any of these tests, then you may have Carpal Tunnel Syndrome instead of Wrist Tendonitis.

1. With your fingers straight, flex your left wrist gently and as far as possible (i.e., bring your fingers as close to your wrist as you can). Then hold this position for 1 minute. (This is the Phalen maneuver.) Do your symptoms appear or get worse? Do you feel numbness?

2. Next, with your hand straight, lightly tap the skin over your wrist-crease. Tap left to right, and back again (This is the Tinel test.) Does it result in a tingling or “pins-and-needles” in the hand?

3. Now, with your hand straight, using your opposite thumb apply firm pressure to the entire width of your wrist-crease for 30 seconds. Relax one minute, and then apply firm pressure on the palm of the wrist-crease for 30 seconds. (This is the Durkan test.) Do either of these make your symptoms appear or get worse? Do you feel numbness?

If you answered NO to the above questions, then try the following test. If you answer YES to this test, then you may have writ tendonitis.

1. Use two fingers to tap your flexor tendons just below your wrist-crease. These are the rope-like structures on the palm side (not the back side) of your forearm. Tap each tendon all along its length, half way to your elbow. Tap several times up and down on each tendon. Then tap vigorously all around your forearm. Does any of that reproduce your symptoms or make them worse?

Now repeat the above for the extensor tendons (on the back side) of your forearm. Does it reproduce your symptoms or make them worse?

2. Next, on the flexor surface (palm side) of your forearm, use your opposite fingers to carefully follow each individual muscle of your forearm (starting at the elbow) to its tendon as it courses through your lower forearm and all the way into your wrist. Then follow the tendon back to the muscle again.

Now repeat the above for the extensor tendons (on the back side)of your forearm.

As you course up and down the tendons, you might feel a “hot spot” – which is a point of tenderness. Tendonitis usually will involve one or two tendons. The tenderness will likely be in the wrist area, either in the hand (front or back) or just as the tendon enters the wrist. The tenderness may also extend well into the hand and all the way to the fingers.

If you experience such hot spots, you likely have tendonitis. And if those hot spots are on the extensor side (palm side) it can be confused with carpal tunnel syndrome.

How to Treat Wrist Tendonitis:

Most cases of occasional wrist tendonitis (Brought on by extended repetitive motions, such as prolonged keyboard and mouse use) can be treated without visiting the doctor. Occasional Wrist Tendonitis is defined as occurring 1 to 2 times a year and not last more than a few days.


There are 3 steps you can take at home before seeing a doctor.

  1. Immobilize the Wrist
    Placing the wrist in a splint or a cast is the first treatment step. Wrist tendonitis is due to recurrent irritation of the tendon and its sheath. By resting the tendon, the inflammation should decrease.
  2. Apply Ice
    Ice is one of the best methods of reducing inflammation and swelling. Ice also promotes blood flow to the area. You should apply ice intermittently throughout the day. Do not apply ice directly to the area, wrap the ice pack in a towel.
  3. Anti-Inflammatory Medications
    Non-steroidal anti-inflammatory medications will help control symptoms of pain, but more importantly they help in the treatment of wrist tendonitis to decrease inflammation and swelling of the soft-tissues. These treatment medications will decrease the inflammatory response which is the cause of the pain.

Warning: Prolong use of OTC NSAIDs such as ibuprofen and acetaminophen is extremely dangerous. Over 100,000 hospitalizations and 16,000 deaths per year are caused by the extended daily use of these drugs.

If you suffer from wrist tendonitis more than 2 x’s per year your real problem may be the onset of carpal tunnel syndrome and you need the Carpal Rx.



Copyright 2014: The Carpal Rx is a product of Carpal Pain Solutions, Inc. All rights reserved. All information contained on this website is the property of Carpal Pain Solutions, Inc. and may not be reproduced without written permission. For more information, contact Carpal Pain Solutions, Inc. at
Information provided on this website and the content of articles & videos is not to be construed as medical advice. If you suspect that you have carpal tunnel syndrome, repetitive strain injury, wrist tendonitis or any other condition addressed within this publication you should consult with a qualified health care provider for a proper diagnosis of your symptoms.