What's News at Tulsa Spine and Rehab
Does your wrist hurt? Maybe your fingers have been tingling or feeling a little bit numb. You may have Carpal Tunnel Syndrome. That’s when the median nerve in your wrist gets pinched. Typically the onset is caused by cumulative or repetitive activities. The three fingers where you feel the numbness are the third, fourth and fifth digits. It occurs with patients that have repetitive type injuries with computer keyboards or guitars – jobs or actions where they are using their hands over and over again. Over time that nerve gets irritated just like a nerve in your back gets irritated like your sciatic nerve. And once its gets irritated it can produce numbness, tingles and pain down into your fingers.
It’s not part of our normal treatment protocol to shoot x-rays on you as a new patient when you walk in the door. In fact, 12 years ago I sold my x-ray unit. We don’t have x-ray on site. I believe that x-ray is a very important diagnostic tool. I also think another very important diagnostic tool is my physical examination and my history taking. So throughout those two things, if I make a determination you have clinical findings and so forth that leads me to believe, or I might be a bit suspicious that you have something going on, sure I’m going to send you out for x-ray. I want to rule something nasty out. Is there a fracture, a dislocation? And then more so if my exam leads me to believe that you might have a disc problem. MRI is a phenomenal diagnostic tool to determine is there disc disease, is there a herniation, is there a bulge? It helps me diagnose the soft tissues and so forth. But absolutely not, I do not shoot x-rays on every single patient that walks in the door. I’ll take you through a very specific history examination, and at that time I’ll make a determination what’s best for you. Is it x-ray, is it MRI? Can we get into treatment that day? We’ll figure it out from there.
Dr. Riles shares a fantastic drill for working on your mobility between your shoulder blades.