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(908) 325-3000
355 Route 22 E, Ste D Springfield Township, NJ 07081
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Carpal Tunnel Syndrome Treatment in Springfield, NJ

Accurate nerve testing. Conservative treatment. Avoid surgery — get carpal tunnel relief in Springfield, NJ.

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Carpal Tunnel Treatment at Back and Body Pain Relief

About Our Springfield Carpal Tunnel Practice

Back and Body Pain Relief is a multidisciplinary clinic at 355 Route 22 E, Suite D, Springfield Township, NJ 07081. 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, affecting millions of people who perform repetitive hand and wrist activities or who work at desks with poor ergonomic setups. The characteristic numbness, tingling, and weakness in the hand and fingers can significantly impact work performance and quality of life — and the conventional response of splinting, injections, and eventual surgery is not the only option.

Conditions We Treat

  • Carpal tunnel syndrome — compression of the median nerve at the wrist causing numbness and tingling in the thumb, index, middle, and half of the ring finger
  • Cubital tunnel syndrome — ulnar nerve compression at the elbow causing numbness in the ring and little fingers
  • Thoracic outlet syndrome — compression of nerves and vessels at the thoracic outlet causing arm, hand, and finger symptoms
  • Double crush syndrome — nerve compression at multiple levels simultaneously, commonly involving the cervical spine and wrist
  • Pronator teres syndrome — median nerve compression in the forearm
  • De Quervain’s tenosynovitis — irritation of the tendons on the thumb side of the wrist
  • Trigger finger — tendon sheath irritation causing catching or locking of the finger

Our Diagnostic Approach

NCV/EMG testing is the gold standard for diagnosing carpal tunnel syndrome and other nerve compression conditions. It measures the speed of electrical conduction along the median, ulnar, and radial nerves — confirming the diagnosis, locating the site of compression, and grading severity. This allows us to select appropriate treatment and monitor recovery objectively.

Diagnostic ultrasound provides real-time imaging of the carpal tunnel, median nerve, and surrounding tendons — allowing us to visualise nerve swelling, tendon sheath thickening, and structural contributors to compression.

On-site X-ray assesses the wrist and cervical spine for bony contributors to nerve compression.

Dr David Perna DC, CCSP, CCEP

Practice Overseer

Board-certified chiropractor with specialist certifications in sports chiropractic (CCSP) and chiropractic extremity practice (CCEP). Dr Perna has worked with the US Men’s Winter Olympic Bobsleigh team and competes personally in CrossFit and Ironman.

📍 355 Route 22 E, Ste D
Springfield Township, NJ 07081

📞 908-325-3000

🕒 Mon–Fri, 10am–7pm

Schedule an Appointment

🏥 Carpal Tunnel Treatments at Back and Body Pain Relief

Our conservative carpal tunnel treatment plans address both the site of compression and the contributing factors that caused it — providing lasting relief for many patients who might otherwise proceed to surgery.

🦴 Chiropractic Care

Dr Perna’s CCEP certification covers extremity joints including the wrist, elbow, and shoulder. Chiropractic assessment and treatment addresses joint mechanics throughout the upper extremity kinetic chain — including the cervical spine, which 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 address the functional contributors to carpal tunnel syndrome — and are essential for preventing recurrence after symptom resolution.

💥 Shockwave Therapy

Shockwave therapy applied to the carpal tunnel and surrounding structures has emerging evidence for reducing median nerve compression and relieving carpal tunnel symptoms — particularly effective for chronic presentations.

💡 Class IV Laser Therapy

Deep tissue laser 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.

🤲 Medical Massage

Soft tissue treatment addressing the forearm flexors, pronator teres, and transverse carpal ligament — releasing muscular tension and fascial restrictions that contribute to median nerve compression.

🧘 Acupuncture

Acupuncture has clinical evidence for carpal tunnel syndrome — reducing inflammation, improving nerve conduction, and providing pain relief without the risks associated with corticosteroid injections.

⚡ Electric Stimulation

Electrical stimulation supports nerve healing, reduces pain, and improves circulation in the wrist and forearm — used as an adjunct to manual therapy for carpal tunnel symptoms.

💉 Pain Management

Medically supervised pain management for severe or acute carpal tunnel presentations as part of a broader conservative treatment plan.

Carpal Tunnel FAQs

How do I know if I have carpal tunnel syndrome?

Classic carpal tunnel symptoms include numbness and tingling in the thumb, index, and middle fingers — particularly at night or with prolonged hand use. Weakness in grip and the tendency to drop objects can also occur in more advanced cases. These symptoms can also have other causes, which is why NCV/EMG testing is important for accurate diagnosis.

Can carpal tunnel be treated without surgery?

Yes — many cases of mild to moderate carpal tunnel syndrome respond well to conservative care including chiropractic, physical therapy, laser, shockwave, and acupuncture. Surgery is generally considered only for severe cases with significant nerve damage or those that have not responded to adequate conservative treatment.

Do I need a referral?

No referral is needed. Call 908-325-3000 or book online.

Could my neck be causing my hand symptoms?

Yes — cervical nerve root compression can produce numbness and tingling in the hand that closely mimics carpal tunnel syndrome. We use NCV/EMG testing to differentiate between these causes, as the treatment for cervical radiculopathy is quite different from true carpal tunnel syndrome.

How quickly can I expect improvement?

Mild to moderate carpal tunnel often shows meaningful improvement within a few weeks of conservative treatment. More advanced cases take longer, and we use objective NCV/EMG findings to monitor nerve recovery throughout your treatment.

Collaborative Carpal Tunnel Care in Springfield, NJ

Carpal tunnel syndrome and upper extremity nerve conditions frequently involve contributing factors throughout the entire arm, shoulder, and cervical spine. Our team approach means every level of the kinetic chain is assessed and treated in a coordinated plan — giving you the best chance of lasting relief without surgery. Schedule your carpal tunnel evaluation today.

Further Reading

Carpal Tunnel Syndrome Treatments

by | Aug 31, 2021

This post is part of our complete guide to Carpal Tunnel. Browse the guide for more in-depth information on treatments, exercises, and recovery strategies. Pain, numbness, weakness, or other painful symptoms in the arm or wrist is classified as carpal tunnel syndrome...

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