There is No Risk to see what we can do for you — New Patient Special Offer →

Carpal tunnel syndrome — numbness, tingling, and weakness in the hand — often has a double-crush component in the cervical spine that surgical wrist release alone cannot fix. Chiropractic care addresses both sites of nerve compression.
Carpal tunnel syndrome (CTS) occurs when the median nerve is compressed as it passes through the carpal tunnel at the wrist, causing numbness, tingling, and weakness in the thumb, index, middle, and half of the ring finger. The 'double crush' phenomenon — compression of the median nerve at two points along its course — is a significant and often underrecognized contributor to CTS. Cervical nerve root irritation at C5–C6 sensitizes the median nerve proximally, dramatically lowering its threshold for symptomatic compression at the carpal tunnel. Addressing both sites — the cervical spine and the wrist — produces significantly better outcomes than wrist treatment alone.
Dr. Foss evaluates and treats both the cervical spine and the wrist. SOT cervical corrections at C5–C6 decompress the nerve roots contributing to the double crush mechanism. Wrist and carpal bone adjustments restore normal carpal tunnel geometry, reducing pressure on the median nerve. Myofascial release of the forearm flexors and the pronator teres — another entrapment site — is incorporated. Thoracic outlet evaluation rules out brachial plexus compression. Most CTS patients avoid surgery with this comprehensive, multi-level approach.
At Pura Vida Chiropractic, Dr. Foss uses Sacro-Occipital Technique (SOT) — a gentle, category-based system that addresses the spine, pelvis, and craniosacral rhythm as one integrated unit. SOT restores proper biomechanics, reduces nerve interference, and creates the neurological environment your body needs to heal itself.
For many patients, combining spinal correction with regenerative therapies produces faster and more lasting results. Depending on your condition, Dr. Foss may incorporate one or more of the following:
Patented unfocused shock waves spread over a broad treatment area to reduce inflammation, increase blood flow, and activate stem cells — promoting cellular regeneration and long-term pain relief.
Photobiomodulation with a 10–15W Class IV laser delivers therapeutic light energy deep into tissue, reducing inflammation, blocking pain signals, and speeding healing at the cellular level.
Pura Vida Chiropractic is a family-friendly, bilingual (English/Spanish) clinic serving San Antonio, TX. Dr. Dan Foss is trained in Sacro-Occipital Technique (SOT), a comprehensive chiropractic system that addresses the whole body — not just the area of pain. We combine hands-on spinal correction with the latest regenerative technology to help patients resolve the root cause of their condition rather than masking symptoms.
We are insurance friendly with most insurance plans including Blue Cross Blue Shield of Texas, UnitedHealthcare, Humana, Aetna, Ambetter, Oscar Health, Community First, and Molina Healthcare. New patient appointments are available promptly.
Schedule your new patient appointment with Dr. Foss at Pura Vida Chiropractic in San Antonio, TX. We'll identify the root cause and build a personalized care plan.
Book Your AppointmentChat with us on WhatsApp
Typically replies within minutes