There are 10 almond-sized bones of the wrist called the “carpal bones”.  At the deepest level, these bones are held together with dozens of ligaments.  However, they are also bound together with a tissue analogous to the PLANTAR FASCIA, called the Palmar Fascia (sometimes called the Palmar Aponeurosis).

As you can see, the Palmar Fascia plays a big part in holding the hand and wrist together.  But it does not stop there.  There is a thick band of tissue that surrounds the wrist like a wristband.  This ligament-like tissue is called Retinaculum.  On the palm side, it is specifically called The Flexor Retinaculum.

The Flexor Retinaculum is also known as the Transverse Carpal Ligament.  The Flexor Retinaculum attaches to carpal bones on the thumb side (scaphoid and trapezium), and stretches across the wrist to attach to two carpal bones on the pinky side (pisiform and hamate).  The Flexor Retinaculum is actually tight enough to cause a slight “bowing” of the hand.  In the bowed area, between the carpal bones and the Flexor Retinaculum you’ll find a “tunnel”. 

This is a tunnel that you have certainly heard of.  It’s called the Carpal Tunnel.  There are several anatomical structures that run inside the Carpal Tunnel.  They include several muscle tendons, blood vessels, and most importantly for those who suffer from Carpal Tunnel Syndrome, the Median Nerve.

As you can see, there a lot of things that must pass through the confined space of the Carpal Tunnel.  This is not usually a problem.  However, repetitive activities of just about any sort, can sometimes cause an “irritation” or “compression” of the Median Nerve as it travels through the Carpal Tunnel.  OK; we have learned a lot of anatomy.  I know, however, that the question on everyone’s mind is, “How do you treat the blasted stuff?”

Although the scientific literature says that the only treatment scientifically proven to help Carpal Tunnel Syndrome is Carpal Tunnel Surgery, I would strongly disagree.  There are a variety of things that you can do, and I always tell people to try the least invasive, easiest, and cheapest things first.

Information on all of these things, including Tissue Remodeling, Cold Laser, and B-Vitamins (BE WARNED THAT MOST ARE A PETROLEUM BY-PRODUCT), as well as Video Testimonials can be found at my clinic’s extensive CARPAL TUNNEL PAGE.


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