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July 1, 2010

Active Release Technique
Athletic Injuries & Carpal Tunnel Syndrome
By Dr. William Booker, D.C. and Dr. Ed Beck, DC

WHAT IS CARPAL TUNNEL SYNDROME (CTS)?
e Mayo Clinic defines Carpal Tunnel Syndrome as “a vague aching in your wrist that can extend to your hand or forearm. Other symptoms include: tingling or numbness, pain radiating or extending up the arm from the wrist, or a sense of weakness in your hands or fingers.

Dr. William Booker D.C.
Dr. William Booker D.C. holds a Doctorate of Chiropractic from the Cleveland College of Chiropractic, Los Angeles. He completed his undergraduate studies at the University of Virginia, where he graduated with a major in psychology and a minor in Biology. After completing his internship in Philadelphia, Dr. Booker relocated to Arlington to open the first Capitol Rehab inside of Gold’s Gym. Dr. Booker established Capitol Rehab-Arlington as the flagship for what would be the eventual opening of eight additional Capitol Rehabs located throughout Virginia, West Virginia and Maryland.

THE CAUSE OF CARPAL TUNNEL SYNDROME (CTS)
Most commonly, Carpal Tunnel Syndrome has been linked to pressure on the median nerve, a nerve that originates in the neck and passes down the arm, as it passes into the wrist. “Generally speaking, Carpal Tunnel has loosely been associated with any pain, weakness or sensation involving the wrist and hands.”

WHY TRADITIONAL TREATMENTS HAVE NOT PRODUCED LONG TERM BENEFITS IN MANY CARPAL TUNNEL PATIENTS?
Traditional therapy for Carpal Tunnel has been broken into two categories: — Non-Surgical — Surgical Non-surgical methods typically include wrist splinting, anti-inflammatory drugs, and corticosteroids. Surgery usually involves cutting into the carpal ligament, and releasing any nerve pressure in the wrist caused by the carpal ligament. But according to most critical medical literature, surgery only produces long-term benefits in only 50-60% of patients. So why have the traditional methods of treating Carpal Tunnel Syndrome achieved such mediocre results? As mysterious as Carpal Tunnel Syndrome may seem, there are two very basic reasons for mediocre results achieved with medication and surgery.

Capitol Rehab of Arlington : 801 N. Quincy, Suite 130 : Arlington, VA 22203 : 703.527.5492 : @capitolrehab : drbooker@capitolrehab.com

Active Release
Athletic Injuries & Carpal Tunnel Syndrome
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1. Carpal Tunnel Syndrome is a mechanical problem, not a chemical problem. Essentially, CTS is caused by a physical entrapment of the nerve, usually by a tightened or restricted ligament or muscle. Drug therapy, and/or chemical intervention rarely create any lasting changes in these tight or restricted muscles. 2. Perhaps more important: Sensations in the hand, wrist or forearms can be caused by several nerves, not just the median nerve, and the entrapment can occur in several different places including the neck, shoulder, elbow and/or wrist. To assume the only entrapment arises in the wrist ignores several other locations, and numerous possibilities for the cause of the problem.

WHAT SHOULD MY DOCTOR LOOK FOR IF I THINK I HAVE CTS?
Treatment of Carpal Tunnel Syndrome begins with a proper assessment of any and all nerve entrapments of the arm and hand. Your doctor must be able to assess entrapments of the following regions: 1. Radial Nerve 2. Ulnar Nerve 3. Median Nerve Radial Nerve Entrapment Usually produces sensations into the back of the hand along the thumb and the first two fingers. e radial nerve can become entrapped in up to 7 different locations through the shoulder (axilla), elbow, forearm and hand. Ulnar Nerve Entrapment Usually involves the little finger, part of the 4th digit and along the inside of the forearm. Entrapments can occur in up to 6 different locations through the shoulder (axilla), elbow, forearm and hand. Median Nerve Entrapment Usually involves the palm of the hand along the thumb and first 2-3 fingers. Entrapments can occur in up to 5 different locations through the shoulder (axilla), elbow, forearm and hand. Once a proper diagnosis of the nerves and affected regions has been determined, a non-invasive, soft tissue technique, like Active Release can effectively reduce the adhesions along the involved nerve.

Dr. Edward Beck, D.C.
Dr. Beck received his doctorate in chiropractic from Palmer Chiropractic College in Davenport, IA. He completed his Bachelors of Science degree from Concordia University in Exercise Science majoring in Adapted Physical Activity. While at Concordia he volunteered with different organization from the YMHA to the Golden Age Association. After completion of his doctorate degree he worked in Winamac, Indiana with a practice specializing in the Gonstead system of chiropractic. Dr. Beck has completed many hours of certification from the Gonstead seminar based in Chicago, IL.

WHAT IS ART OR ACTIVE RELEASE?
ART is a patented, state of the art approach developed by Dr. Michael Leahy for treating soft tissues, in particular, repetitive stress and overuse injuries, like CTS.

WHY DOES ACTIVE RELEASE WORK?
When a person has a biomechanical flaw or an overuse syndrome involving the wrist, hand and arm, a repetitive stress injury of the soft tissues can occur. e end result is the production of a tough, thick scar tissue to the affected area. As scar tissue develops, muscles become weaker, tendons become irritated and nerves
Capitol Rehab of Arlington : 801 N. Quincy, Suite 130 : Arlington, VA 22203 : 703.527.5492 : @capitolrehab : DrBooker@CapitolRehab.com

Active Release
Athletic Injuries & Carpal Tunnel Syndrome
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can become entrapped. ART uses a movement based massage technique that: • Breaks up the scar tissue • Increases the functional range of motion • Increases circulation of the damaged area

WHAT SHOULD I DO IF I THINK I HAVE CARPAL TUNNEL SYNDROME?
It is recommended that you identify a provider who is trained in Active Release Technique, ideally one who incorporates a functional rehabilitation program. In order to achieve long-term results, the patient must be instructed on home care and self-care exercises that address how to strengthen weakened muscles as well as how to release the overactive muscles as well. If you continue to experience pain and discomfort, consider a second opinion from an integrated practice that incorporates the best in physical therapy, chiropractic and rehabilitation. For more information feel free to visit us at our website, www.CapitolRehabofArlington.com. You may also call us directly at 703.527.5492 or send an email to DrBooker@CapitolRehab.com. Dr. Bill Booker is a chiropractor certified in Active Release Technique and is a member of the International Society of Clinical Rehabilitation Specialists. Dr. Edward Beck is a chiropractor certified in Active Release Technique.

Capitol Rehab of Arlington : 801 N. Quincy, Suite 130 : Arlington, VA 22203 : 703.527.5492 : @capitolrehab : DrBooker@CapitolRehab.com