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Home Chiropractic Research Carpal Tunnel Syndrome Clinical Commentary: Pathogenesis of Cumulative Trauma Disorders

Clinical Commentary: Pathogenesis of Cumulative Trauma Disorders

Dr. Susan MacKinnon professor of surgery at Washington University School of Medicine in St. Louis in a study of 64 patients with repetitive stress disorders of whom 34 had wrist surgery it was discovered that wrist pain or discomfort was not the only symptom the patients complained of. Most patients had multiple problems, especially muscle imbalance. The high failure rate of surgery has caused her to rethink the cause of CTS: "Unnatural postures for extended periods creating pressure on the nerves in the neck, leading to neurological and other symptoms...even when extremity surgery improves the peripheral symptoms such as numbness in the hands, other associated problems like neck stiffness and shoulder pain persist," her article states.

Mackinnon S.   J Hand Surg [Am]. 1994 (Sep);19 (5): 873-883