"From Neck Pain to Hand Numbness – A Case of Cervical Disc and Carpal Tunnel Syndrome Improved with Upper Cervical Chiropractic and IMS Treatment"
— A Case Report of a Late 50s Housewife with Chronic Pain from Repetitive Household Tasks —

by Son PMR(Physical medicine & Rehabilitation ) & Chiropractic Clinic in Seoul

A woman in her late 50s visited our clinic complaining of persistent pain extending from the neck to the arm, along with numbness in her hand. She had been performing repetitive household chores for years, often involving prolonged arm and wrist use. Her symptoms worsened over time, interfering with sleep and daily life.

Clinical assessment revealed signs of cervical disc degeneration, along with symptoms suggestive of carpal tunnel syndrome. This case illustrates the classic example of a “double crush syndrome,” where minor compression in the cervical spine, combined with entrapment at the wrist, leads to more severe peripheral nerve symptoms than either condition alone.

Integrated Treatment Approach and Outcomes

The patient received a combined treatment plan including:

  • Upper cervical chiropractic adjustments

  • Intramuscular stimulation (IMS)

  • Myofascial release therapy

  • Stretching exercises and posture correction

After a series of sessions, the patient reported a significant reduction in both pain and numbness.

Why Did This Approach Work?

  1. Restoration of Cervical Alignment and Nerve Function
    Adjusting the upper cervical spine (C1, C2) helped relieve central tension on the spinal cord and nerve roots, thereby improving autonomic balance and reducing referred symptoms to the arms and hands.

  2. Release of Tension in Neck and Shoulder Muscles
    IMS and soft tissue therapy targeted overactive muscles like the upper trapezius, scalene, and sternocleidomastoid, reducing mechanical pressure on nerves.

  3. Indirect Relief of Wrist Pressure
    Improving cervical and shoulder mobility and posture often reduces compensatory tension at the distal limb, including the carpal tunnel.

  4. Improved Nerve Mobility and Tissue Elasticity
    Regular stretching and posture correction enhanced the mobility of peripheral nerves, reducing entrapment symptoms and supporting long-term recovery.

In cases where cervical disc issues coexist with carpal tunnel symptoms, treatment should not be limited to the wrist alone. A comprehensive, system-based approach addressing the cervical spine, shoulder girdle, and upper extremity is essential.

At Son Cheolho Rehabilitation Clinic, we specialize in integrated care combining chiropractic and modern rehabilitative techniques to restore function and improve quality of life. 

👍Consultation and Appointment Information

Son PMR & Chiropractic Clinic( 2nd floor, 229-1 Gucheonmyun-Ro, Gangdongu, Seoul, South Korea) 

by  Dr Son MD & DC 
Contact: 02-482-8875 in Seoul( +82-2-482-8875)

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