The overuse epidemic of the computer age, is a compression of the median nerve at the wrist, leading to numbness, tingling and pain in the hand. The median nerve passes through the carpal tunnel at the wrist and into the palm where it sends branches that control feeling to the thumb, index, middle and half of the ring finger
Other things that can cause symptoms suggestive of carpal tunnel syndrome include weakness in the annular ligament of the elbow, or referred pain from the cervical vertebrae to the thumb, index and middle fingers. A problematic annular ligament when pressed may be a trigger point to the carpal tunnel distribution in the hand. Once the annular ligament is injected with Prolotherapy or trigger point therapy, it is often deactivated and the symptoms of carpal tunnel syndrome disappear.
Traditional methods of treating CTS include wearing a splint at night or injections of cortisone to reduce swelling. If these measures are not successful, then carpal tunnel release surgery, which sections the transverse carpal ligament and relieves pressure on the median nerve, may be performed. Surgery should be the treatment of last resort.
Prolotherapy to strengthen the annular ligament will often cure chronic elbow pain.