Acupuncture Treatment for Carpal Tunnel Syndrome

Background: Carpal tunnel syndrome is due to the entrapment of the median nerve within the carpal tunnel resulting in tingling, numbness, pain, weakness, and electrical sensations within the median nerve distribution. The distribution of the median nerve is typically the thumb and first 2 or 3 fingers. Objective: To demonstrate the incorporation of various acupuncture techniques in the treatment of carpal tunnel syndrome. Design and Patient: Case report of a 62-year-old woman reporting pain and weakness upon gripping in both hands in the distribution of her palm, thumb, and first 2 fingers on the palmar side. Intervention: Acupuncture was performed using the wrist barrier points PC 4, SI 6, LU 6, LI 9; LI 4 was added to create a French Energetic input. Myofascial release was also performed on the pronator quadratus muscle and interosseous ligament. Main Outcome Measure: Decrease in pain and weakness symptoms. Results: After the first session, the pain had decreased by 70% and the patient reported normal grip strength. Pain reduction persisted at 70% at 6 months. Conclusions: Acupuncture may quickly open energy blockages and release myofascial spasms contributing to carpal tunnel syndrome symptoms.