Ganglion Cysts and Trigger Finger; Better non surgical options offered by your chiropractor.
Dominoes; you tap one and away they go until one affects another which affects another. You may be wondering why an article on Ganglion Cysts and Trigger Fingers is discussing Dominoes? Kinetic chains, which work similar to dominoes in concept, are a series of joints where the action of one affects another which affects then another is the reason people experience Ganglion Cysts and Trigger fingers. When the kinetic chain functions poorly, it affects the next joint in the chain which then affects the next joint etc. Kinetic chains consist of the ankle, knee and hip, whose actions can adversely affect the shoulder, elbow and wrist.
Common medical wisdom believes that Ganglion Cysts and Trigger Fingers just occur to nice people, and they can be corrected surgically, or with injection, and if you have had these types of problems and experienced these types of problems, you may have found out that they come back.
Is the Ganglion Cyst and Trigger Finger the problem or the symptom? From our chiropractic point of view, we suggest that you need to look past where the problem occurs, and take a broader look at body mechanics. One of the most common symptoms is a weak handshake, or weakness in part of the hand as you attempt to shake someone’s hand. A handshake is a great way to understand whether the lower kinetic chain including the core muscles are functioning properly. A weak handshake means the forces developed from the ground up are not being distributed properly, are likely affecting the pelvis, are creating problems in the shoulder, elbow and wrist in the way we distribute these forces resulting in a weak handshake, possible nerve adhesion issues such as carpal tunnel syndrome for example, or ulnar neuropathy and of course, Ganglion Cysts and Trigger Fingers. Since the kinetic chains are compromised, a weak handshake is present, usually in conjunction with wrist or hand pain which is blamed on the Ganglion Cyst or Trigger Finger. To understand these concepts better, it is suggested you read the book Cheating Mother Nature, what you need to know to beat chronic pain which is available on Amazon.com.
An example of this is a woman who visited our office a few weeks ago, who was recommended by her doctor who had her Ganglion Cyst resolved by her chiropractor who looked at all her problems and resolved the cyst in her wrist. The older woman who had performed Yoga for years and was a dancer was finding it painful in her wrist which she had blamed solely on the ganglion. Upon examination, it was noticed she had flat feet, with foot flare on the right, her pelvis was quite distorted with secondary distortion in the shoulders and she had a weak grip with pain. During her evaluation, her feet were taped in neutral ( the most efficient position for the feet to be in for healthy kinetic chain function), which immediately improved her stance (markedly reduced distortion in the pelvis) and she noticed her grip strength had improved and the wrist was less painful. After working on the lower back, shoulder, arm, forearm and Ganglion Cysts, he had markedly improved grip strength, the Ganglion had diminished in size and her legs and hips felt much looser than what she was used to with a better sense of balance (very important for a dancer).
Methods used by todays sports chiropractor to resolve these conditions.
1. Most people who suffer from these types of problems have gait asymmetries. Foot orthotics and the right types of shoes can make a huge difference in how a person feels and functions.
2. Myofascial Release Treatment (including Active Release Techniques, a trademarked style of Myofascial Release) is quite helpful, since the fascia (connective tissue surrounding the muscular tissue) is what tightens rather than the muscle. Since an asymmetrical body style will load the pelvis asymmetrically, the myofascia will tighten according to those forces and torque the pelvis. This is why many of these people are also typically feeling tight or stiff all the time (many people to do Yoga regularly are really trying to manage this). Myofascial release to the upper kinetic chain if the thought process is correct, will improve function, can resolve Ganglion Cysts as well as Trigger Fingers non surgically. Often instrument assisted soft tissue methods such as Graston Technique are quite helpful in resolving the restrictions found that create the trigger fingers, both in the hand and the forearm.
3. Spinal and extremity manipulation – These are methods chiropractors are known for which can help improve function and mobility and resolve many kinetic chain problems people experience.
4. Pelvic stability exercises to improve function of the pelvis. Core stability is essential for proper function of the lower and upper body.
Combining these methods will resolve most of these problems and their underlying mechanical causes for most people. The added benefit is that many people who have problems such as trigger finger or Ganglion cysts also suffer from back, shoulder and knee and foot problems as well. A well rounded approach such as this will resolve the trigger finger and Ganglion cysts while also improving other areas of the body that while maybe not symptomatic now, are likely due to poor function to become symptomatic later on. In other words, the chiropractic approach or holistic way of treating this can help prevent a return of the original problem and prevent other problems as well.
What do you think? As always, I value your opinion.