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In this blog, we’ll explore how acupuncture can help with Carpal Tunnel Syndrome, a common issue I often see in my clinic in Auckland, New Zealand. I’ve frequently seen great results, helping people avoid surgery. We’ll dive into how acupuncture works for Carpal Tunnel and also look at other Traditional Chinese Medicine modalities like cupping, tuina massage, herbs and yoga. Let’s get started!
Carpal Tunnel Syndrome (CTS) is a condition that affects the hand and wrist, caused by the compression of the median nerve as it travels through the carpal tunnel—a narrow passageway in the wrist formed by bones and ligaments. The median nerve is responsible for providing sensation to the thumb, index, and middle fingers, as well as controlling some of the muscles at the base of the thumb. When this nerve is compressed, it can lead to pain, numbness, and weakness in the hand and wrist.
Carpal Tunnel Syndrome can manifest with various symptoms, which often start gradually and may worsen over time. Common symptoms include:
Carpal Tunnel Syndrome can be caused by various factors, often involving a combination of repetitive strain and underlying health conditions. Common causes include:
Understanding the causes and symptoms of Carpal Tunnel Syndrome can help in finding effective treatment options, and acupuncture provides a holistic approach to managing this condition.
In Traditional Chinese Medicine (TCM), Carpal Tunnel Syndrome (CTS) is often attributed to the stagnation of Qi and blood in the meridians and sinew channels that pass through the wrist and hand. When the flow of Qi (the body’s vital energy) and blood is disrupted, it can lead to pain, numbness, and weakness. One of the primary reasons for this stagnation is the development of ashi points within the muscles, which are similar to what is known as trigger points in Western medicine.
Ashi points can form along any of the meridian pathways and are areas where Qi and blood become stuck, leading to localized tension. These points pull and constrict the surrounding connective tissues, muscles, and tendons, reducing the available space in the wrist and creating nerve compression. Understanding these underlying causes of Qi and blood stagnation is key to effective treatment of CTS.
Repetitive Strain and Overuse
Engaging in repetitive hand and wrist movements, such as typing, sewing, or using a computer mouse, can lead to overuse injuries. These repetitive activities cause micro-traumas and inflammation, resulting in ashi points or trigger points in Chinese medicine. These points create tension in the muscles, fascia, tendons, and ligaments, disrupting the smooth flow of Qi and blood in the wrist area.
External Factors (Wind, Cold, and Dampness)
Exposure to wind, cold, and dampness can invade the body, causing the muscles and tendons in the wrist to contract. This contraction impedes the flow of Qi and blood, leading to stagnation. Cold and damp conditions, in particular, can make the wrist stiff and less flexible, exacerbating the symptoms of CTS.
Emotional Stress and Liver Qi Stagnation
Emotional stress, frustration, and anxiety can cause liver Qi to become stagnant. The liver is responsible for ensuring the smooth flow of Qi throughout the body. When liver Qi is obstructed, it can result in tension and pain in the tendons and muscles, including those in the wrist. Stress-related tension often manifests in the hands and wrists, contributing to CTS.
Injury or Trauma
Physical injuries to the wrist, such as sprains, strains, or direct impacts, can disrupt the flow of Qi and blood. The resulting inflammation and swelling can further block circulation, leading to chronic pain and discomfort. Injuries may also create scar tissue, which can obstruct the normal flow of Qi and blood in the wrist.
Poor Diet and Lifestyle
A diet high in greasy, fatty, or sugary foods can lead to the accumulation of dampness and phlegm in the body, which can obstruct the meridians. This internal dampness hinders the flow of Qi and blood, contributing to the development of CTS. Additionally, a sedentary lifestyle can exacerbate stagnation, as regular movement is necessary to maintain healthy circulation. Poor posture and lack of exercise can weaken the wrist muscles and tendons, further aggravating the condition.
Qi and Blood Deficiency
Chronic illness, poor nutrition, or excessive physical and mental strain can deplete the body’s Qi and blood. A deficiency in these vital substances leaves the tendons and ligaments undernourished and more prone to stagnation and injury. This deficiency can lead to weakness and pain in the wrist, making it more susceptible to developing CTS.
Understanding these TCM perspectives on the causes of Carpal Tunnel Syndrome can help in formulating a holistic treatment plan that addresses both the symptoms and the underlying imbalances.
Acupuncture offers a versatile and effective approach to treating Carpal Tunnel Syndrome (CTS), with various techniques and styles that can be tailored to individual needs. The treatment you receive can vary significantly depending on the practitioner and their chosen method. Here’s a look at some of the common acupuncture approaches used for CTS:
Point Protocol Acupuncture:
In this method, practitioners use a standardized set of acupuncture points known to be effective for CTS. These points are typically located near the wrist and hand, directly targeting the affected area. While this protocol-based approach can be effective, it has its limitations. The primary drawback of this one-size-fits-all protocol is that it often overlooks the importance of addressing points further up the arm, chest, neck, and back, which contribute to tightness in the muscles, tendons, and fascia. These larger muscles can exert a pulling force down to the wrist, exacerbating CTS symptoms.
Balance Method Acupuncture:
This technique takes a more holistic approach, using points on different parts of the body to treat the affected area. For instance, needles might be placed in the ankle or opposite hand to balance the energy flow and alleviate symptoms in the wrist. While the Balance Method can be particularly useful for treating pain and discomfort in a non-localized way, it shares a similar drawback to Point Protocol Acupuncture: it may not adequately address the tightness in the muscles, tendons, and ligaments that contribute to CTS.
Electro-Stimulation Acupuncture:
In this approach, electrodes are attached to the acupuncture needles to deliver a mild electrical current. This stimulation enhances the effects of acupuncture by increasing blood flow and reducing inflammation, making it a powerful option for those with more severe CTS symptoms. However, like the Balance Method, Electro-Stimulation Acupuncture may fall short in addressing the underlying tightness in the muscles, tendons, and ligaments.
Ashi Point Acupuncture:
Ashi points, similar to trigger points in Western medicine, are specific areas of tenderness and muscle tightness. In Ashi Point Acupuncture, needles are inserted directly into these points to release tension, reduce pain, and improve circulation. It directly targets the muscle and tissue issues that contribute to nerve compression. By addressing these underlying causes, Ashi Point Acupuncture can provide significant and lasting relief.
Each of these acupuncture methods has its own strengths, and the effectiveness of treatment can depend on the practitioner’s expertise and the specific needs of the patient.
My main aim is to create space in the carpal tunnel so the median nerve is no longer compressed. I typically use a combination of acupuncture, tuina massage, myofascial release, and a simple yoga program that can be done at home. Here’s what you can expect during a 60-minute session for carpal tunnel pain:
Step 1 Consultation
The session begins with a thorough consultation to determine the root cause of your carpal tunnel pain. Understanding the specific factors contributing to your discomfort is essential for developing an effective treatment plan. During this consultation, I will ask about your medical history, lifestyle, and any specific symptoms you are experiencing.
Step 2 Acupuncture
Based on the consultation, I will select specific acupuncture points aimed at releasing tight muscles, addressing Ashi (trigger) points, and improving the body’s Qi and blood flow. The needles may be left in place for anywhere from a few minutes to 30 minutes, depending on your individual needs and response to the treatment. This process helps to create space by releasing muscles and connective tissue, reducing inflammation, and promoting healing by restoring balance to the body’s energy pathways.
Step 3 Complementary Therapies
After the acupuncture, I will enhance the treatment’s effectiveness with tuina massage and myofascial release. These therapies help further relax the muscles, improve circulation, and reduce tension in the affected areas.
Step 4 Custom Yoga Programs
I often create custom, beginner-friendly yoga programs that you can do at home. These programs are designed to help speed up the recovery process, prevent the recurrence of pain, and support the benefits of acupuncture and massage. The yoga exercises complement the acupuncture and massage by promoting flexibility, strengthening the muscles, and maintaining the space created in the carpal tunnel.
By combining these methods, my goal is to provide a comprehensive treatment that not only alleviates your carpal tunnel pain but also addresses its underlying causes, promoting long-term results.
In addition to acupuncture, Traditional Chinese Medicine (TCM) offers a variety of therapies that can be highly effective in treating Carpal Tunnel Syndrome (CTS). These therapies work in harmony with acupuncture to address the root causes of CTS, reduce symptoms, and promote overall well-being. Here’s an overview of some of the key TCM therapies:
Cupping therapy involves placing glass or silicone cups on the skin to create suction. This suction helps to improve blood flow, release tight muscles, and reduce inflammation in the affected area. For CTS, cupping can be applied to the forearm, wrist, and hand, helping to relieve the pressure on the median nerve and alleviate pain. The increased circulation brought about by cupping also promotes healing by delivering more oxygen and nutrients to the tissues.
Tuina massage is a form of Chinese therapeutic massage that uses various techniques to stimulate the flow of Qi (energy) and blood through the meridians. Tuina is particularly effective for treating musculoskeletal conditions like CTS because it helps to relax the muscles, release tension in the tendons and fascia, and improve joint mobility. This massage can be applied directly to the wrist and forearm, as well as to the larger muscle groups in the neck, shoulders, and upper back that may contribute to wrist tension.
Gua Sha involves scraping the skin with a smooth-edged tool to improve circulation and break up fascia adhesions. It is often used to relieve pain and reduce inflammation. In the context of CTS, Gua Sha can be applied to the forearm, wrist, and hand to release tight muscles and fascia, helping to create more space in the carpal tunnel.
Herbal medicine supports CTS treatment both internally and externally. Internally, herbs can be prescribed to improve circulation, reduce inflammation, and nourish the tendons and ligaments. Externally, herbal hand soaks are often recommended. These soaks involve immersing the hands in a warm herbal infusion that can help to relax the muscles, reduce inflammation, and improve circulation. The herbs used in these soaks are tailored to the individual’s needs and can be an effective complement to other TCM therapies.
Yoga therapy incorporates specific poses and stretches designed to strengthen and stretch the muscles of the hand, wrist, forearm, neck, back, and chest. Gentle yoga can improve flexibility, reduce tension in the muscles and tendons, and maintain the space created in the carpal tunnel. Additionally, the mindfulness and relaxation aspects of yoga can help reduce stress, which is a known contributor to CTS.
Qi Gong is a practice that combines gentle movement, breath control, and meditation to balance the body’s energy (Qi). For CTS, Qi Gong exercises can help to improve the flow of Qi and blood through the affected meridians, reduce muscle tension, and promote overall relaxation. Regular practice of Qi Gong can support the healing process by enhancing circulation and reducing stress, which can contribute to the exacerbation of CTS symptoms.
By integrating these TCM therapies with acupuncture according to your individual condition, a comprehensive treatment plan can be developed. Each therapy works synergistically with the others, enhancing the overall effectiveness of the treatment and promoting long-term results.
Carpal Tunnel Syndrome (CTS) can be a challenging condition, but with the right approach, it is possible to find relief and improve your quality of life. Acupuncture, combined with other Traditional Chinese Medicine (TCM) therapies like cupping, tuina massage, Gua Sha, herbal medicine, yoga, and Qi Gong, offers a holistic and effective way to address both the symptoms and underlying causes of CTS. By creating a personalized treatment plan that targets the specific needs of your body, you can alleviate pain, reduce inflammation, and restore balance, ultimately promoting long-term health and well-being. If you’re struggling with CTS, consider exploring these natural, time-tested methods to help manage your condition and support your journey toward healing.
Dean, holding a Bachelor of Health Science, is registered in Acupuncture, Chinese Herbal Medicine, and Tuina Massage with the Chinese Medicine Council of New Zealand. With over 20 years of experience in yoga, he has earned a 1200-hour diploma in yoga and is a certified instructor of Yantra Yoga and the Tibetan Yoga of Movement.
Committed to natural health and healing, Dean takes a holistic approach in his practice, incorporating a wide range of therapeutic methods. His offerings include acupuncture, massage, dietary advice, myofascial release, herbal medicine, moxibustion, cupping, qigong, yoga, and meditation. He practices from his clinic in Auckland, New Zealand, dedicated to providing comprehensive care tailored to the individual needs of his clients