Carpal Tunnel Syndrome Treatment in New York City
Advanced nerve testing. Conservative treatment. Avoid surgery — get carpal tunnel relief at Back and Body Medical in Midtown Manhattan.
Carpal Tunnel Treatment at Back and Body Medical
About Our NYC Carpal Tunnel Practice
Back and Body Medical is a multidisciplinary clinic at 133 E 58th St, Suite 708, New York, NY 10022. We diagnose and treat carpal tunnel syndrome and related nerve compression conditions using advanced nerve conduction testing and a range of conservative treatments — offering a genuine alternative to corticosteroid injections and surgery for many patients.
Carpal tunnel syndrome is the most common nerve compression condition, particularly prevalent in New York City’s workforce of desk workers, musicians, chefs, and manual labourers. The characteristic numbness, tingling, and weakness in the hand can significantly impact your ability to work and perform daily tasks — and the conventional response of splinting, injections, and surgery is not the only option.
Conditions We Treat
- Carpal tunnel syndrome — median nerve compression at the wrist causing numbness in the thumb, index, and middle fingers
- Cubital tunnel syndrome — ulnar nerve compression at the elbow
- Thoracic outlet syndrome — nerve and vessel compression at the thoracic outlet
- Double crush syndrome — nerve compression at multiple levels, commonly cervical spine and wrist simultaneously
- De Quervain’s tenosynovitis — thumb-side wrist tendon irritation
- Trigger finger — tendon sheath irritation causing catching or locking of the finger
Our Diagnostic Approach
NCV testing is the gold standard for diagnosing carpal tunnel syndrome — measuring nerve conduction speed along the median, ulnar, and radial nerves, confirming the diagnosis, locating compression, and grading severity. This allows objective treatment selection and monitoring of recovery.
On-site X-ray assesses the wrist and cervical spine for bony contributors to nerve compression.
Dr Shan Sivendra MD
Medical Doctor & Practice Director
Practicing in New York since 1995. Certified acupuncturist. Director of House Physicians at St. Barnabas Medical Center. Board-certified with a focus on pain management and conservative rehabilitation.
📍 133 E 58th St, Ste 708
New York, NY 10022
🕒 Mon–Fri, 10am–7pm
🏥 Carpal Tunnel Treatments at Back and Body Medical NYC
Our conservative carpal tunnel treatment plans address both the site of compression and the contributing factors — providing lasting relief for many patients who might otherwise proceed to surgery.
🦴 Chiropractic Care
Assessment and treatment of the wrist, elbow, shoulder, and cervical spine — addressing joint mechanics throughout the upper extremity kinetic chain. Cervical spine involvement frequently contributes to carpal tunnel-like symptoms through double crush mechanisms.
🏃 Physical Therapy
Nerve gliding exercises, tendon gliding, wrist and forearm strengthening, and ergonomic correction addressing the functional contributors to carpal tunnel syndrome — essential for preventing recurrence.
🖐 Active Release Techniques (ART)
Specific soft tissue release of the forearm flexors, pronator teres, and transverse carpal ligament — freeing the median nerve from adhesions and restrictions along its entire pathway.
🔧 Graston Technique
Instrument-assisted mobilisation of the forearm and wrist — breaking down fascial restrictions and scar tissue contributing to median nerve compression.
💡 Class IV Laser Therapy
Reduces inflammation in and around the carpal tunnel, promotes nerve healing, and provides drug-free symptom relief — a valuable conservative option before considering injections or surgery.
🧘 Acupuncture
Clinical evidence for carpal tunnel syndrome — reducing inflammation, improving nerve conduction, and providing pain relief without the risks of corticosteroid injections.
💉 Trigger Point Injections
Medically supervised pain management for severe or acute carpal tunnel presentations as part of a broader conservative plan.
⚡ Electric Stimulation
Supports nerve healing, reduces pain, and improves circulation in the wrist and forearm — used as an adjunct to manual therapy.
Frequently Asked Questions
How do I know if I have carpal tunnel syndrome?
Classic symptoms include numbness and tingling in the thumb, index, and middle fingers — particularly at night or with prolonged hand use. Grip weakness and dropping objects can occur in more advanced cases. NCV testing is important for accurate diagnosis as these symptoms can have other causes.
Can carpal tunnel be treated without surgery?
Yes — many mild to moderate cases respond well to conservative care including chiropractic, physical therapy, ART, laser, and acupuncture. Surgery is generally considered only for severe cases with significant nerve damage that haven’t responded to adequate conservative treatment.
Could my neck be causing my hand symptoms?
Yes — cervical nerve root compression can closely mimic carpal tunnel syndrome. NCV testing differentiates between these causes as the treatment approaches differ significantly.
Do I need a referral?
No referral needed. Call 212-371-2000 or book online.
Coordinated Carpal Tunnel Care in Midtown Manhattan
Carpal tunnel and upper extremity nerve conditions frequently involve contributing factors throughout the arm, shoulder, and cervical spine. Our team approach means every level is assessed and treated in a coordinated plan. Schedule your carpal tunnel evaluation today.