IF YOU VISIT OUR WEBSITE...

 

It's because you have carpal tunnel syndrome!

 

 

1. WHAT ARE YOUR CARPAL TUNNEL TREATMENT OPTIONS?

 

* In order to avoid ineffective treatment, it is important to ensure that the diagnosis of signs and symptoms of median nerve damage is accurate and that the site and mechanism of median nerve compression have been identified. The chiropractor has all the knowledge necessary to make a proper diagnosis and to direct the patient to the most appropriate interventions.

 

1.1 Possible risks associated with surgery

 

Anesthesia: In Canada, the chance of a healthy person dying from a complication of anesthesia is 1:100,000. Reference 1

Nosocomial infections (e.g. C. difficile): In Quebec, they cause about 90,000 victims and 4,000 deaths each year. Reference 2

Medical errors: On average, 112 Quebec patients die each month as a result of medical errors. Reference 3

Waiting list: It can take a year and a half to two years from the time you first see a doctor to get a prescription to see an orthopedic surgeon and the date of your surgery. Your condition has time to deteriorate significantly and your suffering to be prolonged unnecessarily. Reference 4

 

1.2 Risks of soft laser treatment

 

Non-invasive treatment: very safe and risk-free.

 

This site was designed for anyone who suffers from hand pain, numbness, finger pain, burning sensation in the hands, wrist pain, tingling, arm pain, neck pain, as well as for some patients with carpal tunnel stenosis and finally for those who have undergone wrist surgery but still suffer from pain.

The purpose of this site is to fully inform the thousands of Quebecers who suffer from debilitating pain on a daily basis. Patients, like you, can now be informed about these conditions and the technological breakthroughs of the soft laser.

 

If you or a family member is struggling with one of these debilitating conditions and have had little or no success with your treatments to date, ask yourself the following questions:

 

1. Are you currently dependent on medications that you must take on a daily basis?
2. Are you limited in your daily activities?
3. Have you had repeated injections with little or no relief?
4. Are you considering surgery and are you uncomfortable with this choice?
5. Have all the options been explained to you?
6. Have you ever tried chiropractic or physiotherapy?
7. Have you been forced to miss work because of pain?

 

If you answered yes to any of these questions, have tried every treatment option available and are still suffering...Laser is a viable treatment option and may very well be what you have been looking for. You may have found the treatment that will solve your problem.

 

The Soft Laser was designed by a specialized team of engineers to meet the needs of today's patients, giving doctors the clinical results they want and patients the quality of life they deserve.

 

Are you ready to get started and get rid of that pain, for good? Becoming a new patient at our clinic is simple.

 

2. DEFINITION OF CARPAL TUNNEL SYNDROME OR CARPAL TUNNEL

 

Carpal tunnel syndrome is caused by compression of the median nerve at the wrist as it passes through the carpal tunnel.

Carpal tunnel syndrome is a very common condition. Its incidence is about three times higher in women than in men. In about 70% of cases, it is bilateral with a prevalence in the dominant hand.

3. SIGNS AND SYMPTOMS OF CARPAL TUNNEL

 

Definition: Carpal tunnel syndrome is related to the compression of the median nerve of the wrist. This nerve is responsible for the sensitivity of the thumb and the 2 or 3 neighboring fingers. It is also the motor nerve that controls the muscles at the base of the thumb.

The carpal tunnel, formed by the transverse carpal ligament and the carpal bones. The "carpal tunnel" is in fact a tunnel formed behind by the 8 small bones of the wrist, which have the shape of a gutter; this gutter is closed in front by a very thick ligament, the "anterior annular carpal ligament".

Symptoms: Initially, it is characterized by tingling in the fingers, followed by night-time pain in the hands. Later on, a burning pain and paresthesias on the ventral surface of the hand and fingers with pain radiating from the forearm, appear gradually. In addition, a decrease in the sensation of distribution of the median nerve and atrophy of the muscles at the base of the thumb may occur.

Symptoms may range from minor to severe dysfunction. Moderate cases resolve with avoidance of factors. Once a pregnant woman gives birth, for example, the wrist swelling disappears and the symptoms of carpal tunnel syndrome diminish.

Often, the main complaint centers around episodes of paresthesias and numbness of the hand in the evening. Symptoms may occur during activities such as driving or typing. The onset is insidious: patients describe tingling in the fingertips. Symptoms are often relieved by shaking or elevating the hand. In 70% of cases there is nocturnal numbness of the hand; and in 40% of cases, pain with paresthesias.

To the pain and paresthesia is added a sensation subjective finger disability, clumsiness during activities requiring precision such as buttoning a blouse, writing, sewing, unscrewing a cap, turning keys or picking up small objects. Even light objects such as a coffee cup or a piece of clothing can be difficult to handle. Some patients may feel as if their hands are "swollen".

In severe cases, pain in the hand and wrist is described as burning, stabbing pain that can extend to the shoulder, neck, chest. Sensory loss radiates along the median nerve distribution accompanied by muscle weakness, slowing of nerve conduction through the carpal tunnel is characteristic.

Symptoms progressively intensify and in severe cases may lead to muscle atrophy with sensory loss. Symptoms may render the patient disabled and prohibit certain simple tasks making daily life difficult. A disease that is ignored for a long time can cause irrevocable damage.

It is a condition that predominates in women over the age of fifty. The pain is characteristically located on the palmar surface of the first three fingers of the hand, but it can reach the whole hand and even radiate to the front of the forearm.

More than real pain, it is more often a question of tingling, of extremely annoying tingling. The nocturnal recrudescence of these pains is usual, waking up the patient at night, often at the same time. Certain gestures calm the pain, by shaking the hand or by letting it hang outside the bed.

Vasomotor disorders are frequent, with hypersudation or edema of the hand. Initially nocturnal, these painful phenomena persist during the day, thus handicapping the patient in everyday household activities. Bilateral forms are frequent, with a clear predominance of one side.

The examination may be normal, limiting the symptomatology to subjective phenomena; this is stage I. It can show the existence of sensory disorders objectives in the median territory, and particularly in the pulp of the first three fingers; this is stage II. It may reveal the presence of motor disorders in the opposing thumb, with often an amyotrophy of the thenar eminence; this is stage III.

4. CARPAL TUNNEL DIAGNOSIS

4.1 How is it diagnosed?

 

Often, people who suffer from carpal tunnel syndrome seek medical attention. Part of the assessment for carpal tunnel syndrome includes a search for occupational risk factors. The assessment begins with a job analysis and requires a detailed description of all activities in a typical work day. The frequency, intensity, duration and regularity of each operation performed during the work are also taken into account. The diagnosis of carpal tunnel syndrome is confirmed by tests designed to identify the lesions of the median nerve.

 

4.2 Questionnaires

 

Which hand is most involved in work activities?

Is the pain caused by an accidental event?

Questions about previous work activities: Work performed, duration in months, and factors involving the hand or upper limb?

Questions about hand/wrist activities: Frequency of movement and force required to flex, extend, or rotate wrists, apply pressure with fingers or palm, handle small objects, handle, pull, or push heavy objects, use vibrating or impact tools, other activities to be specified?

Questions about co-factors that increase musculoskeletal loading: Wearing work gloves, exposure to cold, and upper extremity abducted or flexed more than 60 degrees?

Questions about the organizational factors of the job: In the course of their work, does the person have to feed a machine tool at a regular rate; does the person work under time or production constraints; does the person have to pay a lot of attention; does the person perceive their work as monotonous; can they change their work pace; do they rotate to other jobs; are there other organizational factors that may have contributed to the problem? If so, what are they?

Questions about sports or household activities involving the hand or wrist: Type of activities, number of hours per week, and others?

 

4.3 Physical examination

 

Carpal tunnel syndrome should be diagnosed and treated promptly as it can be potentially irreversible if the median nerve is compressed too long. A physical examination of the hands, arms, shoulders and neck can help determine if your symptoms are related to your daily activities or an underlying disorder.

It is important before proceeding with the physical examination to take a good medical history and to document the various professional, sports, recreational or domestic activities that could have contributed to the appearance of this syndrome.

The symptoms are mainly sensory (paresthesias) affecting the first three fingers of the hand, but can also have a motor component. They are due to the compression of the median nerve in the carpal tunnel. Painful radiations affecting either the other fingers of the hand or the forearm may also accompany these symptoms. The patient may express the following symptoms:

• Paresthesias nocturnal in the hand (numbness and tingling that usually disappears when the hand is shaken - Flick sign)
• Paresthesias occurring during activities involving the wrist and hand
• Discomfort in the hand, wrist and forearm
• Muscle weakness and clumsiness of the hand

The physical examination should include, in addition to the wrist and hand, the entire upper extremity and cervical region. The examination should include: observation and palpation, provocation tests, evaluation of sensitivity and muscle strength. It may be completed by electrodiagnostic studies.

 

4.4 Observation and palpation

 

Upper extremity: observe for deformities, signs of old fractures, tumors, osteoarthritis; examine analgesic areas; compare the two limbs

 

4.5 Orthopedic and neurological tests

 

Your osteopath may also perform other specific orthopedic tests to try to reproduce the symptoms of carpal tunnel syndrome. One of these tests is called the Tinel and consists of lightly tapping your finger on the back of your wrist to see if there is any tingling or pain in your hand. The test of Phalen is also useful. It involves putting your wrist in maximum flexion and holding it in that position for some time. This maneuver may produce tingling or numbness in the fingers.

 

4.5.1 Challenge tests

 

There are two carpal tunnel provocation tests:

• The intracarpal pressure increase test (the Phalen. Sign of Phalen - The patient places his hands back to back and bends his wrists for one minute. A tingling sensation in the fingers suggests an injury to the median nerve.
• The percussion test of the median nerve (test of Tinel). Sign of Tinel - The doctor lightly hits the median nerve in the wrist. A tingling sensation in one or more fingers suggests an injury to the median nerve.

 

5.5.2 Sensitivity tests

 

There are two categories of tests to assess sensitivity:

Innervation density tests such as;

• The discrimination test between two static points
• The needle stick test

And sensory threshold perception tests such as;

• The Semmes-Weinstein monofilament test
• Tests that evaluate the vibratory threshold.

 

4.5.3 Assessment of muscle strength

 

The following structures should be tested for strength:

• The hand as a whole
• The bidigitale (thumb-index) clamp
• The abductor brevis of the thumb
• The thumb opponent.

 

4.6 Radiology

 

Laboratory tests and X-rays may reveal the presence of diabetes, arthritis, fractures, and other causes that could cause pain in the wrists and hands.

X-rays usually do not reveal anything abnormal unless there is an obvious change in bone structure due to old fractures or arthritic lesions. Blood tests are also normal, unless there are diseases that may contribute to the problem, such as rheumatoid arthritis.

X-rays of the wrists and hands are not always necessary. It allows to detect a narrowing of the canal of post-traumatic osseous origin. However, X-rays of the cervical spine are sometimes requested to rule out a compression upstream or associated with the wrist compression.

 

4.7 Electrodiagnosis

 

This test is usually performed in a specialized department. Sometimes electrodiagnostic tests, such as nerve conduction velocity, are used to help confirm the diagnosis. Electrodes are placed on the forearm and an electrical current is passed through them to determine how fast and to what extent the median nerve transmits nerve messages to the muscles, which can determine if the nerve has been damaged. Carpal tunnel syndrome will slow down the speed of these nerve impulses and point your doctor or chiropractor to this diagnosis. Therefore, nerve conduction tests or an electromyography (EMG) will help determine if the nerves and muscles in your arm and hand show the typical signs of carpal tunnel syndrome.

Electrodiagnostic studies are an essential adjunct to the examination. It allows to confirm the presence of the syndrome and to estimate the severity of sensory and motor damage.

 

4.8 Magnetic resonance imaging (MRI)

 

In more complex forms, magnetic resonance imaging can be used in cases of failed surgery or atypical forms (stress forms or extrinsic compression). Magnetic resonance imaging (MRI) of the wrist finds indications in recurrences: It allows to appreciate the aspect of the anterior annular ligament and the content of the carpal tunnel.

 

4.9 Ultrasonography/ultrasound

 

Ultrasound can confirm tendon inflammation with a thickened tendon and a fluid layer encompassing the tendons.

 

4.10 Conclusion

 

The biological workup shows nothing special. A systematic search for diabetes, a frequent favouring factor, is necessary.

 

5. DIFFERENTIAL DIAGNOSIS OF CARPAL TUNNEL

 

When faced with sensory disorders of the hand that may resemble carpal tunnel syndrome, it is important to make a differential diagnosis.

 

5.1 Central nervous system disorders

• Transient cerebral ischemia
• Sclerosis in plate

 

5.2 Peripheral nervous system disorders

• Cervical radiculopathy (C6, C7)
• Syndrome of the thoracic outlet
• Syndrome of Raynaud
• Compression of the median nerve for example by the muscle pronator round to the forearm
• Systemic diseases such as diabetes and alcoholism
• Taking medication
• Exposure to toxic substances such as lead, solvents, pesticides and plastics

 

Carpal tunnel syndrome is often difficult to diagnose. 25% patients with nerve disorders pose a problem of differential diagnosis (false positives) with other diseases such as Raynaud also.

It is difficult to determine whether the primary cause is due to an occupational or medical problem, as many conditions, including obesity and other diseases, can contribute.

A positive diagnosis is suggested by the work history, confirmed by the presentation of appropriate symptoms, by physical examinations (the Phalensign of Tinel) and confirmed by electromyogram or by the defects of the conduction of the median nerveThe X-ray of the cervical spine should also be taken.

The most common ones are C6-C7 nerve root damage, the thoracobrachial crossing and the peripheral neuropathies; syndrome pronator round (The compression of the median nerve elbow) or interosseous nerve previous.

 

6. CAUSES OF CARPAL TUNNEL

 

Carpal tunnel syndrome is related either to a retraction of the anterior ligament (container), or more often to an increase in volume of the flexor tendons (synovitis or inflammation of the content).

This results in a compression and a progressive loss of the conduction of the median nerve. In the final stage, the chronic compression of the nerve can eventually laminate it and destroy it completely, irreversibly.

 

 

There are multiple factors that favor the appearance of carpal tunnel syndrome: repeated trauma to the palmar surface of the wrist, bone anomalies protruding into the canal, hormonal changes in women, kidney dialysis, obesity (especially in young patients), etc. There also seems to be a genetic predisposition.

This syndrome is most often found in women.

In women, the cause is usually hormonal, which is why this syndrome is more common in pregnant women and women nearing menopause.

 

 

In humans, the cause is almost exclusively mechanical, typically the worker frequently using a jackhammer or other vibrating tools.

The forms of carpal tunnel syndrome of occupational origin are numerous in Quebec. Injuries attributable to repetitive work or poor workstation design, such as carpal tunnel syndrome, have been recognized by the CSST, the courts and the Canadian Centre for Occupational Health and Safety.

 

 

It is more and more frequently observed in people working on a non-ergonomic computer workstation (keyboard, mouse, poorly adapted seat position...). In this case, it is sufficient to review the configuration of the workstation to remedy it.

Other causes are more rare: tenosynovitiscompression by the flexor muscles during rheumatoid arthritis, infectious causes, algodystrophiesamyloid deposits (during hemodialysis).

The syndrome is more frequent in cases of diabetes, hypothyroidism myelomaof sarcoidosis...

A significant number of carpal tunnel syndromes have no known cause (idiopathic).

Some people have a narrower carpal tunnel than others, which makes the compression of the median nerve more likely. In other cases, carpal tunnel syndrome may develop because of an injury to the wrist that causes inflammation of the tunnel and compression of the blood vessels that supply the median nerveThe most common causes are overactivity of the pituitary gland, hypothyroidism, diabetes, inflammatory arthritis, mechanical problems in the wrist, poor work ergonomics, repeated use of vibrating hand tools, and water retention during pregnancy or menopause.

In addition, this syndrome may be associated with repetitive occupational trauma (CUMULATIVE TRAUMATIC DISORDERS); wrist trauma; AMYLOID NEUROPATHY; RHUMATOID ARTHRITIS; ACCROMEGALIA; other diseases.

 

7. CARPAL TUNNEL REGRESSION

 

When the carpal tunnel syndrome is related to a general pathology (e.g. diabetes), the treatment of this pathology is imperative in first intention and the regression of the symptoms will be of medium to long term.

Similarly, the syndrome occurring during pregnancy usually regresses after delivery without any intervention.

In other cases :

In stage I, where the symptoms are purely sensitive and subjectiveIn some cases, it is possible to immobilize the hand and wrist with an orthosis, at least at night, with prescription of painkillers and/or anti-inflammatory drugs, but their action is usually very transient and in many cases, will require more permanent therapeutic means, such as the soft laser therapy or surgery in some cases.

 

 

However, if you use local corticosteroid infiltrations (cortisone, prednisone), you should know that in many cases the effect of relieving symptoms will only be temporary and will only reduce the inflammation of the nerve that is squeezed in the canal. It is not recommended to inject more than three times a year (Reference 4) and there are risks inherent in these injections, in particular the possibility of developing type II diabetes, even after only one injection (Reference 123) .

In stages II and III, with sensory and motor disorders objectivesthe indication of a soft laser therapy is strongly recommended and the indication for surgery may be mandatory if no other treatment has succeeded in resolving the problem.

The results of surgery are generally excellent, provided that the nerve has not been damaged by prolonged compression and that the differential diagnosis has been done rigorously; eliminating other probable causes, notably cervical radiculopathy (C6, C7) which can mimic the symptoms of carpal tunnel syndrome. However, surgery has many disadvantages including loss of work due to recovery, possible permanent scarring and the risks inherent in any surgery including infections (Reference 5) and side effects of anesthetics (Reference 6), to name a few.

 

 

Before considering surgery, it would be beneficial to attempt to address this debilitating condition with soft laser therapy. It has no side effects and in many cases (84% of efficacy) (Reference 7), achieves total relief of carpal tunnel symptoms within a period of more or less six weeks, without having to take time off work and suffer the accompanying loss of income.

 

Bibliographic references of the regression

1. Diabetes Quebec: Hyperglycemia.

2. Medicine and health: Effects of cortisol and cortisone

3. Diabetic Leagues of France

4. Medicine and Health: Carpal tunnel syndrome

5. Association for the Defense of Victims of Nosocomial Infections

6. Canadian Society of Anesthesiologists.

7. Naeser MA, Photomed Laser Surg. 2006 Apr;24(2):101-10

 

8. THE SOLUTION TO CARPAL TUNNEL: LASER THERAPY

 

8.1 The definition

 

Synonyms of the soft laser: cold laser, low level laser, low level laser therapy, LLLT, photo bio-stimulation, light therapy, phototherapy, soft laser therapy.

 

The word "laser" stands for "light amplification by stimulated emission of radiation".

The soft laser is neither harmful nor dangerous and can never be.

The light rays penetrate the tissues at a shallow depth (5 centimeters) without damaging them, nor cutting them, nor even heating them. They energize the tissues they pass through.

The soft laser therefore has an anti-pain, anti-inflammatory, antispasmodic, healing and anti-oedematous action.

 

8.2 Technology

 

 

This technology is called the soft laser. Unlike lasers used in surgery or aesthetics, the soft laser does not emit any heat and is completely safe since it cannot damage the tissues of the treated area. On the contrary, the concentrated beams of light emitted by the device penetrate 5 centimeters under the skin and allow for cell regeneration, reduced inflammation and pain relief.

 

In the late 1960s, researchers introduced the concept of low-intensity laser biostimulation (soft laser) to produce non-thermal effects in human tissue.

The first experimental application of low-intensity (soft) lasers was described in 1968, when researchers used a ruby-argon laser on ulcers that would not heal.

Later, research demonstrated the effectiveness of laser to accelerate wound healingIt can be used to reduce pain, reduce inflammation of tissues in both humans and animals.

To treat chronic pain with the biostimulation effect of the soft laser, the laser beam must reach a certain depth in the tissue to irradiate the affected area.

Laser wavelengths between 820 nanometers and 840 nanometers have a very low absorption rate in human tissue, which allows for deeper penetration of the laser light.

 

 

The 830 nm laser beam is also well absorbed by the subcellular organelles, causing them to function normally.

The output power of the low-intensity laser also affects the depth of beam penetration, and has been shown to be effective in treating human tissue.

Clinical research has shown that the soft laser with a wavelength of 830 nm and an output power between 60 milliwatts (mW) and 90 mW is optimal for the treatment of chronic pain.

After examining damaged cells in detail, researchers realized that dysfunction of the nervous system, the lymphatic system, or the circulatory system contributed to cell dysfunction. The soft laser is effective in large part because it emphasizes the interdependence of the nervous, circulatory and lymphatic systems.

Although it is possible for damaged cells to heal themselves without the aid of the soft laser, the use of the low intensity laser can accelerate the tissue healing process. A good example of how the soft laser accelerates the healing process can be demonstrated in cases of acute soft tissue trauma. Such an injury involves several elements of the tissue layers beneath the epidermis, including muscle, nerve, lymphatic and vascular tissues. The body's natural response to soft tissue trauma is to contain the injury with local inflammation: Inflammation is due to increased blood flow into the capillaries. Classically, inflammation is manifested by four main signs: redness, heat, swelling and pain. The inflammatory mechanism involves a large number of substances present in the blood, among others many hormones, such as prostaglandins, histamine, supplements, cytokines participate in the inflammation. This excessive swelling prevents proper circulation in the damaged tissues and results in two types of pain: The first type of pain is caused by the actual trauma of the injured tissues, while the secondary pain comes from the swelling itself.

The soft laser therapy targets the lymphatic system first, as it maintains fluid balance in the body, and the infrared laser light also helps to improve the reabsorption of edema. With the soft laser, swelling is reduced and mobility of the treated area is restored.

 

Bibliographic references

1. Mester, E., Szende, B., and Gartner, P. (1968). The Effect of Laser Beams on the Growth of Hair in Mice. Radiobiol. Radiother. 9 (5), 621-6.

2. Mester, E., Spiry, T., Szende, B., and Tota, J.G. (1971). Effect of Laser Rays on Wound Healing. Am.-J.-Surg. 122 (4), 532-5.

3. Mester, E.(1966).The use of the laser beam in therapy, Orv Hetil. 1966 May 29;107(22):1012-6

4. Mester E, Szende B, Tota JG. (1969). Effect of low intensity laser radiation, repeatedly administered over a long period, on the skin and inner organs of mice. Radiobiol Radiother (Berl). 1969; 10(3):371-7.

5. Nakaji S, Shiroto C, Yodono M, Umeda T, Liu Q. (2005). Retrospective study of adjunctive diode laser therapy for pain attenuation in 662 patients: detailed analysis by questionnaire. Photomed Laser Surg. 2005 Feb;23(1):60-5.

 

8.3 Special Report

 

 

• The soft laser beam does not overheat the tissue and therefore cannot damage it, making the treatment very safe.
• The soft laser is more effective than electrical stimulation (Stim) or ultrasound.
• It is easy to use.
• It has been used in Europe and Asia for over 35 years.
• It is approved the FDA in the United States for several applications including pain and inflammation relief as well as for its effectiveness in the treatment of carpal tunnel syndrome, and this for only 5 years.
• It is successful in relieving conditions that do not respond to other treatment modalities.
• It helps patients without the use of drugs or surgery, eliminating the risk of side effects.
• The soft laser treatment is imperceptible and therefore painless for the patient and takes only 5 to 15 minutes, depending on the case.
• It is effective for the treatment of muscle spasms or pain, arthritis or other joint pain.
• It also reduces muscle tension and improves blood and lymphatic circulation.
• It is used for the treatment of many conditions including: neck pain, back pain, shoulder pain, elbow pain (tennis elbow or epicondylitis), wrist pain (carpal tunnel syndrome), hip pain, knee pain and foot pain.

 

8.4 Benefits of the soft laser therapy

 

• Relieves acute and chronic pain
• Increased speed, quality and tensile strength of tissue repair
• Increased blood supply
• Stimulates the immune system
• Stimulates nerve function
• Develops collagen and muscle tissue
• Allows the development of new healthy cells
• Promotes healing
• Reduces inflammation

 

8.5 Physiological effects of soft laser :

 

• Accelerated tissue and bone repair
• Increased collagen production
• Increased vasodilation
• Increases cell metabolism
• Increased microcirculation
• Increased pain threshold
• Reduction of inflammation
• Increased lymphatic response
• Increased enzymatic response
• Reduction of swelling

 

8.6 Our laser in brief :

 

• Approved by the FDA for the treatment of carpal tunnel syndrome
• Patented technology
• Reimbursed by group insurance
• Non-invasive
• Reduces inflammation
• Stimulates the functioning of the nervous system
• Based on 12 years of clinical research

 

8.7 Dedicated professionals

 

Our members are dedicated to helping patients who suffer from severe pain caused by carpal tunnel syndrome.

 

8.8 Now there is hope!

 

Professionals have come together to provide a medical breakthrough: non-surgical, drug-free soft laser care for patients suffering from severe pain caused by carpal tunnel syndrome.

The goal of our professionals also includes improving physical capacity, functional performance and returning their patients to their activities of daily living.

 

8.9 Treatment

 

 

8.9.1 What is the duration of the treatment?

 

The duration of the soft laser treatment depends on the severity and history of the injury or disease. The treatment is given in small amounts over time. Improvements are usually noted within a short period of time. In addition, the soft laser therapy does not require preventive or maintenance care once the problem is resolved, as is often the case with other types of care. The standard treatment protocol for carpal tunnel syndrome is two (2) visits per week for six (6) weeks.

 

8.9.2 How is the treatment performed?

 

After the initial consultation, the soft laser treatments are performed in the professional's office on the treatment table. The laser is applied to the target areas. The treatment requires light skin contact (in most cases). Although some patients often experience an almost imperceptible tingling sensation, no pain is involved. The treatment lasts from 5 to 15 minutes for each area.

 

8.9.3 See these videos of a soft laser treatment for carpal tunnel syndrome

 

 

 

8.9.4 See this video of a surgery for carpal tunnel syndrome

 

 

8.10 Fees

 

 

The recommended treatment protocol is 12 treatments. However, many patients will achieve satisfactory results more quickly. Therefore, there is no no obligation to complete the full protocol.

 

Since each patient and each condition is unique, please contact us either by phone (450-934-4747) or by email to learn more.

 

8.10.1 Health Insurance

 

The Quebec Health Insurance Plan does not pay for soft laser treatments.

 

8.10.2 Group Insurance

 

Part of your fees are covered by your group insurance: each case is different.

 

8.10.3 CSST and SAAQ

 

We are registered providers with the CSST and the SAAQ. In this regard, you may be reimbursed for a portion ($32.00/visit) of your soft laser treatments, under certain conditions:

• You will need to obtain a prescription from your treating physician for care Chiropractic.
• The officer in charge of your file will have to approve your care

 

8.10.4 To learn more about fees:

Click here

 

8.11 Prescription by a physician

 

Except for treatments under the SAAQ or CSST, the soft laser treatment does not require a prescription from your doctor.

 

 

 

 

8.12 No two carpal tunnel syndromes are alike!

 

The treatment of carpal tunnel syndrome is very complex due to the individualized nature of each patient's pain and/or symptoms. A treatment option that relieves pain for one patient may not work for another. However, by working with one or more types of spine and musculoskeletal specialists, patients can find the best combination of treatment options that will relieve their pain. This way, they will avoid surgery.

 

 

9. How to become a patient?

 

9.1 Your test results

First, you should make sure you have your test results and diagnosis, if you have already consulted a doctor or other specialist for your condition.

 

9.2 Your first visit

 

At your first visit, we will first file your test results and review them in more detail before beginning your care.

We will also assess your condition and possibly complete your examination by suggesting an X-ray of your cervical spine, to confirm the diagnosis in suspected cases and to exclude other pathologies such as neuropathies, radiculopathies and other deficiency syndromes.

Finally, we will explain in detail the treatment protocol for laser therapy.

 

9.3 Laser treatments

 

We will begin your treatment at the first visit. The recommended treatment protocol for carpal tunnel syndrome is an average of twelve (12) laser treatments, with two (2) visits per week, depending on the severity of the patient's condition.

 

Bibliographic references

1. Canadian Society of Anesthesiologists.

2. Association for the Defense of Victims of Nosocomial Infections

3. Medical errors. LCN

4. Wait Times and Health Care in Canada

 

Carpal Tunnel Synonyms: CTS (Carpal tunnel syndrome), CTS (Carpal tunnel syndrome), carpal tunnel, CC syndrome, TC syndrome, carpal tunnel syndrome, median nerve compression neuropathy in carpal tunnel, carpal tunnel syndrome.

Synonyms of the soft laser: cold laser, low level laser, low level laser therapy, LLLT, photo bio-stimulation, light therapy, phototherapy, soft laser therapy.