
Q I have both trigger finger and carpal tunnel syndrome. Can they be treated at the same time? I am a woman in my 50s.
A It is relatively common for trigger finger and carpal tunnel syndrome to occur together in the same hand, accounting for 20–30% of cases. Both conditions can be treated with acupuncture, moxibustion, and pharmacopuncture at a Korean medicine clinic. Since the treatment sites and acupoints partially overlap, simultaneous treatment is possible in a single visit. However, if nerve compression due to carpal tunnel syndrome is severe, the treatment priority is adjusted based on the results of a nerve conduction test.
Detailed Answer
Repetitive gripping movements, diabetes, rheumatism, and hypothyroidism are common risk factors for trigger finger (tendinitis) and carpal tunnel syndrome. When the median nerve is compressed in the carpal tunnel, it is accompanied by sensory abnormalities and weakness in the fingers. Furthermore, a vicious cycle occurs where hypertrophy of the flexor tendons caused by trigger finger further increases pressure within the tunnel. Combined treatment with acupuncture and moxibustion reduces tendon sheath edema, allowing for simultaneous relief of pressure within the carpal tunnel. Korean Medicine Clinic Perspective The co-occurrence of these two conditions is viewed as a result of the simultaneous manifestation of Qi and blood stagnation in the Pericardium Meridian (Jueyin), Large Intestine Meridian (Yangming), and Lung Meridian (Taiyin), as these meridians all pass through the hand and wrist regions. The two conditions manifest simultaneously in a state where liver and kidney weakness, combined with dampness and phlegm in the spleen and stomach, has weakened the entire hand tissue. At Dongjedang, we utilize acupoints around the hand and wrist to regulate both meridians at once, and use moxibustion to sequentially separate adhesions near the A1 pulley and carpal tunnel. When systemic dampness and blood stasis are cleared with herbal medicine tailored to the patient's constitution, the course of both conditions often improves together.
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