Although carpal and cubital tunnel syndromes as well as a thoracic outlet syndrome can be individual issues, they can also be part of the double crash syndrome also known as multiple compression syndrome, very complex both in terms of diagnosis and therapy. Namely, the nerve can be pinched in two (double) or more (multiple) places at the same time giving the feeling that there are issues with more different nerves.
A neck hernia results in pinched nerve roots in the hand, causing the lower parts of the nerves to be more sensitive, thus, more susceptible to damages in other places. The interaction between central and periphery nerves (metabolism, nerve impulses, circulation) can cause further damage resulting in higher level lesions. Also, in case of a bottleneck syndrome with only one nerve pinched, due to inflexibility, it is very likely that the nerve will be damaged in more distant places. The most common symptoms include numbness, tingling, shaking or a burning pain in the neck or shoulder muscles as well as the elbow area. Pain cannot be easily localized and does not necessarily indicate the place of the lesion. For some patients, muscular strength can be preserved; however, some may experience significant weaknesses, sometimes even more severe conditions such as muscular atrophy. Depending on the severity of the damage, pain can occur occasionally, at the end of the day or be there constantly.
In case of a double crush syndrome, chiropractic treatments are proved to be helpful. They can remove obstacles to elasticity, enabling optimal nerve mechanics. They include adjustments of the spine and upper extremities and other specific muscle release techniques. Active Release Technique (ART) is proved to be one of the most effective chiropractic treatments when it comes to a double crush syndrome. By employing a lighter touch than in other treatments, your entire nerve path is checked, so the cause of your pain is identified and clearly diagnosed. Trapped nerves can be released even after the first treatment, allowing your body to heal itself.
In more severe cases, to be able to appropriately diagnose the issue, your chiropractor may send your records to a neurologist which will not only reduce mistakes, but also decrease the chance of the issue returning. Once the problem disappears, a professional chiropractor will recommend the right type of training and exercises together with stretching that should be performed at specific times during the day.
So, in the case of described symptoms, before trying surgery, make sure you visit a chiropractor who can offer comprehensive programs which can further provide complete solutions in the long run.