carpal tunnel syndrome

Brief Description

Carpal Tunnel Syndrome is a condition characterized by tingling, numbness, pain, and weakness in the hand, often worsening at night or during repetitive hand movements. It is caused by compression of the median nerve within the carpal tunnel—a narrow passageway in the wrist. Contributing factors include repetitive hand motions, prolonged computer use, hormonal changes (e.g., pregnancy or menopause), and conditions like diabetes or hypothyroidism.

From a TCM perspective, CTS falls under the category of "Bi Zheng (痹证)" or obstruction syndrome. It is often caused by Qi and Blood stagnation in the wrist and hand, exacerbated by repetitive strain or Cold-Damp invasion. Deficiencies in Qi, Blood, or Kidney essence can make individuals more susceptible, delaying recovery if not addressed.

Unlike surgical approaches, which may involve risks and lengthy recovery, TCM offers non-invasive therapies, particularly acupuncture, that effectively reduce pain, improve circulation, and restore hand function. With early intervention, many cases of CTS can be resolved without the need for surgery.

Common Misconceptions

  • Surgery is the only solution: Many believe that surgery is inevitable, but TCM provides effective, non-invasive alternatives that address the root causes and symptoms.
  • Rest alone can resolve CTS: While rest is helpful, untreated Qi and Blood stagnation can prolong symptoms or lead to recurrence.
  • Only the wrist needs treatment: Localized pain often reflects systemic imbalances that must be addressed for lasting relief.
  • Wrist braces are enough: While braces provide temporary support, they do not resolve the underlying compression or stagnation causing CTS.

TCM Diagnosis

Typical Tongue

Typical Pulse

TCM Pathogenesis

In TCM, Carpal Tunnel Syndrome is caused by a combination of external and internal factors:

Qi and Blood Stagnation: Repetitive hand motions block the flow of Qi and Blood in the wrist, causing pain and numbness. Cold-Damp Invasion: Prolonged exposure to cold or damp environments obstructs the meridians in the wrist, exacerbating symptoms. Deficiency Patterns: Kidney Essence Deficiency: Weakness and tingling, especially in chronic cases. Qi and Blood Deficiency: Insufficient nourishment leads to weakness and prolonged healing.

TCM Treatment

General Principle

Unblock Qi and Blood: Use acupuncture to relieve compression and restore circulation in the wrist. Dispel Cold-Damp: Warm and unblock the meridians to reduce pain and improve mobility. Strengthen Deficiencies: Address underlying Qi, Blood, or Kidney essence deficiencies to promote long-term recovery and prevent recurrence.

Unique Therapies We Apply

  • Acupuncture: Acupuncture is highly effective in relieving CTS symptoms by reducing inflammation, releasing nerve compression, and improving circulation. Key points include: Da Ling (PC7): Clears Heat, unblocks the carpal tunnel, and alleviates pain. Lao Gong (PC8): Regulates the Pericardium channel and improves nerve function. He Gu (LI4): Promotes Qi flow and reduces pain in the wrist and hand. Ba Xie (Extra Points): Local points to relieve numbness and tingling in the fingers.
  • Herbal Formulas: Jing Fang, 经方 formulas tailored to individual patterns: Xue Fu Zhu Yu Tang (血府逐瘀汤): Removes Qi and Blood stagnation. Gui Zhi Tang (桂枝汤): Disperses Cold-Damp and warms the meridians. Bu Zhong Yi Qi Tang (补中益气汤): Tonifies Qi and supports recovery in deficient individuals.

Treatment Plan

  • Acute Phase (0-2 Weeks): Focus: Relieve pain and numbness, reduce inflammation, and improve circulation in the wrist. Frequency: Acupuncture 2-3 times per week
  • Chronic Phase (2-8 Weeks): Focus: Address underlying deficiencies, unblock Qi and Blood, and restore hand function. Frequency: Acupuncture 1-2 times per week

Precaution

  • Avoid Overuse: Limit repetitive wrist motions and take regular breaks during activities like typing or lifting.
  • Keep the Wrist Warm: Protect the wrist from cold exposure, especially in cold-damp weather.
  • Early Treatment: Seek acupuncture promptly to avoid progression to chronic stages or the need for surgery.

Summary

Carpal Tunnel Syndrome can often be resolved without surgery when treated early with Traditional Chinese Medicine. Acupuncture, particularly at points like Da Ling (PC7) and Ba Xie, effectively relieves pain, reduces inflammation, and restores function. Combined with herbal therapies and lifestyle adjustments, TCM addresses both symptoms and root causes, offering a safe and lasting solution to CTS. By promoting systemic balance and wrist health, TCM empowers patients to recover fully and avoid invasive procedures.

TCM Dr. Ma

The Traditional Chinese Medicine treatment approaches outlined above are derived from my clinical experience, and I acknowledge there may be areas not fully covered or that require further refinement over time.

This content is intended to provide a learning reference for professionals and enthusiasts in Traditional Chinese Medicine and to help patients gain a better understanding of their conditions and common misconceptions.

However, I must emphasize that this information does not constitute specific treatment guidance. All TCM treatments must be tailored to the individual through thorough diagnosis by a qualified practitioner. Non-professionals should not attempt self-treatment based on this information, as any treatment conducted without professional supervision may carry potential safety risks.