Welcome, today, we’ll explore pressure points that can help alleviate Carpal Tunnel Syndrome (CTS), a condition that many people struggle with daily. In my previous post on acupuncture for Carpal Tunnel Syndrome, I discussed how acupuncture and Traditional Chinese Medicine (TCM) offer significant relief. In this post, we’ll look at both acupuncture meridian points and Ashi points—tender areas I’ve found to be the most effective in my practice. My goal is to help educate you on the importance of focusing on the whole body rather than just the hand and wrist, so you can see how releasing different parts of the body can contribute to relieving CTS symptoms. Let’s get started!
First, it’s crucial to understand what we’re doing and why. In my previous post, I mentioned that pain in Carpal Tunnel Syndrome often results from the constriction of the median nerve. To alleviate this pain, we need to create space. Generally, this involves releasing the tightness in the muscles and fascia that, in turn, causes tightness in the tendons and compresses the nerve. By addressing these underlying issues, we can effectively reduce pain and improve function.
In my previous post, I explained the different treatment methods using acupuncture and massage. The most common method found online and in many clinics is Point Protocol treatments, which focus on acupuncture points located on meridian channels on the wrist and forearm. For Carpal Tunnel, these points typically include:
While these points can offer short-term relief by moving Qi (energy) in the channels, they often fall short in providing long-term pain relief. The reason is that they do not address the underlying tightness and compression causing the issue. To effectively treat Carpal Tunnel Syndrome, we must go beyond the hand and lower arm, looking at the whole arm, neck, chest, back, and abdomen. Constrictions and Ashi points (trigger points) in these areas contribute to reduced space in the carpal tunnel, exacerbating symptoms. By focusing on releasing these Ashi points and addressing the entire body, we can achieve more lasting results.
There are two main types of points used in acupuncture: specific points located on meridian channels and Ashi points (trigger points). Meridian points have defined locations along specific channels in the body, each with its own function. Ashi points, on the other hand, are tender spots that can be found anywhere on the body. While they may sometimes correspond to meridian points, they often do not. Ashi points are typically more associated with sinew channels, which involve the muscles, tendons, and connective tissues that can cause pain and tension throughout the body.
Gentle yoga, when done correctly, is excellent for relieving Carpal Tunnel Syndrome. It helps by releasing tension in the muscles and connective tissue, which, as illustrated in the images of the sinew channels, can create space in the carpal tunnel. This space alleviates the compression of the median nerve, reducing pain and discomfort. Yoga’s focus on mindful movement and stretching promotes flexibility and relaxation, making it a valuable practice for managing and preventing Carpal Tunnel Syndrome.
The following pictures illustrate the six main meridian and sinew channels. To effectively treat pain and tension, palpate along these sinew channels, focusing on areas with tightness, ropiness, and tenderness in the muscles and connective tissue. Releasing these Ashi points can provide significant relief. Begin with the largest muscles in the chest, neck, shoulder, and upper back, then gradually work your way down the arm to the hand. This method helps address the root causes of discomfort. In the images I also show the most common points on the meridians used in acupuncture and acupressure point prescriptions. But it is so important to release the bigger muscles and sinew channels for lasting results.
HT 5 Tongli: Activates the channel to alleviate pain and calms the mind and emotions
HT7 Shenmen: Local point for pain and calms the mind and emotions
SI 4 Wanggu: Local point for pain, reduce swelling and inflammation
SI 5 Yanggu: Local point for pain, reduce swelling and inflammation
SI6 Yanglao: Activates the channel and alleviates pain
PC4 Xinmen: Invigorates the bllod and dispels stasis
PC6 Neiguan: A local point for wrist pain
PC 7 Daling: A local point for wrist pain
SJ 4 Relaxes sinews and relieves pain and swelling
SJ 5 Clears heat and inflammation, activates the channel to relieve pain
SJ 9 A local point on the forearm that is often tight
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