Safe and effective non-surgical options for Ganglion Cysts and Trigger Finger.

Safe and effective non-surgical options for Ganglion Cysts and Trigger Finger.

Dominoes; you tap one and away they go until one affects another which affects another. Why is an article on Ganglion Cysts and Trigger Fingers is discussing Dominoes? Fascio-kinetic chains, which work similar to dominoes in concept, are a series of joints and their surrounding fascia where the action of one joint affects another which affects then another.  People develop Ganglion Cysts and Trigger fingers because a similar mechanism exists in the arms and the legs.

When the fascio-kinetic chain functions poorly, each joint in succession is then affected. Fascio-kinetic chains consist of the ankle, knee, and hip, whose actions can adversely affect the shoulder, elbow, and wrist. Many experts now understand that these chains are connected via the fascial system, as discussed in the book Anatomy Trains.

Conventional medicine believes that Ganglion Cysts and Trigger Fingers just occur to nice people like you, and they can be corrected surgically, or with injection.  If you have experienced these types of problems, you may have found out that they come back over time, or the procedure may have exposed your risks such as infection.

Is the Ganglion Cyst and/or Trigger Finger the problem or the symptom? Our chiropractic holistic point of view suggests 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 or painful 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 is functioning properly. A weak handshake often means the forces developed from the ground up are not being distributed properly and are likely affecting the pelvis. The result is a poorly functioning core that creates problems in the shoulder, elbow, and wrist. The way we distribute these forces through the fascio-kinetic chain can result in a weak handshake, carpal tunnel syndrome, or ulnar neuropathy and of course, Ganglion Cysts and Trigger Fingers.

When the kinetic chains are working poorly, they affect the pelvis and a weak handshake is often 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

A  woman was referred to our office by her internist a few weeks ago to have her ganglion cyst treated. 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, she 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).

Why you should see your chiropractic sports physician first for ganglion cysts and trigger finger

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 (the 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 the function of the pelvis. Core stability is essential for the 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 holistic chiropractic 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.

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