1. Presented for Dr. Ryan Lambert-Bellacov, chiropractor in West Linn, OR

2.  Carpal Tunnel Syndrome (CTS)  A disorder marked by weakness and pain in the hand and wrist. The median nerve, which runs from the forearm to the wrist, becomes pressed or squeezed at the wrist.  The carpal tunnel – a narrow, passageway of ligaments and bones at the base of the hand, it houses the median nerve and tendons. Irritated tendons or other swelling narrows the tunnel, compressing the nerve. Presented for Dr. Ryan Lambert-Bellacov, chiropractor in West Linn, OR

3.  Biological Diabetes Hypothyroidism Rheumatoid Arthritis Osteoarthritis  Biological Diabetes Hypothyroidism Rheumatoid Arthritis Osteoarthritis  Physical Typing/texting on phone Assembly line work (repetitive motion) Tools- involving vibration Sports-involving the wrist  Physical Typing/texting on phone Assembly line work (repetitive motion) Tools- involving vibration Sports-involving the wrist Presented for Dr. Ryan Lambert-Bellacov, chiropractor in West Linn, OR

4.  Symptoms/Signs  Anyone with recurrent or persistent pain  Numbness and tingling  Weakness of the hand Presented for Dr. Ryan Lambert-Bellacov, chiropractor in West Linn, OR

5.  Non-Surgical  Wrist splinting  (NSAIDS)  Corticosteroid injections  Treating underlying biological causes  Chiropractic   Surgical  Open tunnel release- incision up to 2 inches cutting carpal ligament  Endoscopic surgery- 2 incisions (about a ½” in length) use of camera to cut ligament Presented for Dr. Ryan Lambert-Bellacov, chiropractor in West Linn, OR

6.  Processes  The transverse ligament that forms a roof over the median nerve becomes thicker or enlarged  Possible build-up of synovial fluid under lining of the tendon Presented for Dr. Ryan Lambert-Bellacov, chiropractor in West Linn, OR

7.  Avoiding stress on the wrist  Adjust the work area  Proper posture  Exercising to strengthen the fingers, hands, and wrist  Simple common sense  Good nutrition  Avoid smoking  Limit alcohol intake

8.  Simon, Harvey, and Zeive, David. “Carpal Tunnel Syndrome. ” A.D.A.M. (2009): 1-12. Health Source- Consumer Edition. Web. 3 May 2010.  NINDS. National Institutes of Health. “Carpal Tunnel Syndrome Fact Sheet.” NIH Pub. No. 03-4898. MedlinePlus (2009): 1-5. Web. 3 May 2010. Presented for Dr. Ryan Lambert-Bellacov, chiropractor in West Linn, OR