Carpal tunnel syndrome occurs when the median nerve, which is located in the carpal tunnel (a narrow passageway in the wrist), is compressed. This compression can be due to a narrowing of the tunnel or thickening of the tendons and surrounding tissue. It is often associated with excessive use of the wrist or fingers, although the exact cause is not always known. Carpal tunnel syndrome is more commonly found in women than in men.
Clinical Signs and Symptoms:
Carpal tunnel syndrome typically presents with tingling sensations or a feeling of pins and needles in the fingers, particularly affecting the index and middle fingers. Some individuals may experience difficulty making a fist, and there may be pain extending from the arm to the shoulder, or swelling of the hand. Symptoms are often more pronounced at night, and the severity can vary among patients.
Perspective on the Disease in Traditional Chinese Medicine:
In Traditional Chinese Medicine, carpal tunnel syndrome is categorized under the condition of “Jin Bi” (筋痹), which translates to “muscle and tendon obstruction.” This condition is considered to result from stagnation of Qi (energy) and blood in the wrist area, often caused by excessive use or injury.
Treatment in Traditional Chinese Medicine:
1. Acupuncture
– Principle of Treatment: Stimulate the tendons to function more smoothly, improve the circulation of Qi and blood, reduce swelling, and relieve pain.
– Primary Acupuncture Points: Da Ling (PC-7), Ba Xie (EX-UE9), Nei Guan (PC-6), Wai Guan (TE-5), and Ashi points (Trigger points).
2. Moxibustion: Burning of dried mugwort (moxa) near the skin or on acupuncture points to warm and invigorate the flow of Qi and blood in the affected area.
3. Cupping therapy: This therapy helps to relax the muscles and stimulates better circulation of blood and Qi (energy). It promotes the healing and recovery process of the affected area, aiding in a faster recovery.
Therefore, the treatment of carpal tunnel syndrome using Traditional Chinese Medicine involves acupuncture, cupping therapy, and moxibustion to stimulate better circulation of blood and Qi. This approach helps relax the affected muscles, reduce pain, and improve movement. Patients can combine this treatment with physical therapy and should follow their healthcare provider’s recommendations and continue treatment for the best results.
Q&A
Q: How many acupuncture sessions are needed to see results for carpal tunnel syndrome?
A: Typically, after the first acupuncture session, patients may experience a 30-50% improvement. It is recommended to continue treatment at least once or twice a week for 5 to 10 sessions. The results depend on the individual, so recovery may occur faster or slower than 5 to 10 sessions.
Q: What behaviors are likely to lead to carpal tunnel syndrome?
A: Individuals who frequently perform repetitive activities that involve bending or flexing the wrist, such as typing on a computer, gardening, housekeeping, or sewing, are at a higher risk of developing carpal tunnel syndrome.
Q: What self-care practices should be followed during treatment?
A: During treatment, it’s important to keep the affected area warm, such as by using warm compresses or soaking in warm water for 10 – 15 minutes. This can help alleviate pain and numbness or prevent the symptoms from worsening. Avoid exposing the affected wrist to cold, as this may exacerbate the condition.
Reference
Acupuncture and Moxibustion Volume 3 (2011). Department of Thai Traditional and Alternative Medicine, Ministry of Public Health, 2011
