Category: Blog


Why are my hands numb?

Numbness or tingling in your hands? Maybe you were told that you have carpal tunnel syndrome.  People who have this condition normally have numbness and tingling in their hands which can be worsened by activities such as typing, driving, or even using the phone.  Sometimes these symptoms can be painful and awaken you at night.  It is thought to be secondary to nerve compression at the wrist.  An EMG and ultrasound is typically utilized to help further evaluate this condition.  Conservative treatment usually consists of physical therapy as well wrist splints at night. When this fails, more invasive treatments are needed.  Traditional treatments include surgery as well as cortisone injections.

In the office, we utilize a variety of different treatments from injections to laser therapy. Prolotherapy is particularly effective for pseudo carpal tunnel syndrome.   In this condition, loose ligaments cause structures to move and compress the nerve.  Neural therapy may also be combined with this treatment to help decrease inflammation and free the nerve.  It is also important to address the biomechanical dysfunction that exacerbates your symptoms. Other areas of the body may also need to be treated with different modalities in order to achieve effective relief.


What is Prolotherapy?

Prolotherapy is a type of regenerative medicine that has been around for many years. It involves injections that help strengthen ligaments and tendons.  Ligaments are tissues that help keep body parts together such as our arm and shoulders as well as our spine and pelvis. When ligaments or tissues become loose, we feel pain. At other times, we may feel other symptoms such as numbness or tingling. This therapy is utilized for a variety of chronic conditions which include the following: Lower back pain, neck pain, shoulder pain, elbow, hand, and wrist pain as well as chronic hip, knee, foot pain. 

We utilize a dextrose based solution as well as platelet enriched plasma (PRP) for treatment.  These substances are different in comparison to steroids as they promote natural healing.  Steroids, on the other hand, cause degeneration of tissue which ultimately prevents healing.  Many people are unsuccessfully treated with a combination of steroids and non-steroidal anti-inflammatories which also impair healing. 

Recently, I was down in Honduras for medical mission providing prolotherapy to hundreds of patients for a variety of different chronic painful conditions. The patient’s who had treatments for previous problems years ago remarked how their pain simply went away. Because of this, many of their family and friends would come to the clinic. The Honduran people were very grateful for the therapy that we provided them.  I was happy to be a part of this mission which provided such wonderful care.