Pattern screening
Review which fingers are involved, when symptoms appear, whether they travel, and whether neck or shoulder symptoms occur with them.
BookWrist, hand + nerve-path evaluation in Midtown Manhattan
Carpal Tunnel & Wrist Pain Treatment in NYC
Private evaluation at 389 Fifth Avenue for wrist pain, hand numbness, tingling and symptoms often labeled carpal tunnel before the path from the neck to the hand has been examined.
Wrist + full nerve path
389 Fifth Ave
Aetna / BCBS / Cigna / UnitedHealthcare
Why patients book
The symptom may be at the wrist; the source may not be
The median nerve travels from the lower neck through the shoulder region, arm, elbow and forearm before entering the carpal tunnel. Restriction or irritation can occur at more than one point, while small-finger numbness may suggest a different nerve pattern altogether.
Typing alone has not been shown to cause carpal tunnel syndrome, so persistent symptoms deserve evaluation. Read Sinar's guide to wrist pain and hand numbness beyond carpal tunnel for the full explanation.
Services
Care paths for wrist and hand symptoms
Wrist + forearm exam
Assessment of wrist mechanics, forearm tissue, hand function and symptom response to position, movement and load.
BookART / IASTM
Soft-tissue care for the forearm and related structures when restricted tissue or glide is part of the examination.
BookJoint mobility
Chiropractic mobilization for the wrist, elbow, cervical or thoracic region when joint mechanics contribute to the pattern.
BookNerve mobility
Carefully selected nerve-mobilization guidance to address restricted movement along the involved nerve path when appropriate.
BookTesting + referral
Referral for medical evaluation, nerve conduction testing or surgical consultation when weakness, constant numbness or other findings call for it.
BookWhat happens next
First visit sequence
01
Map symptoms
Review distribution, timing, night symptoms, work and phone load, grip changes, trauma and prior diagnoses or testing.
02
Trace the path
Examine the wrist, forearm, elbow, shoulder, neck and nerve response rather than assuming the wrist is the only source.
03
Choose care
Select appropriate manual care and movement guidance, or recommend testing and another provider when indicated.
04
Monitor function
Track numbness, pain, grip, sleep and tolerance for typing, lifting and daily hand use as the plan evolves.
Insurance
Accepted plans visible before booking
Sinar Treatments accepts Aetna, Blue Cross Blue Shield, Cigna and UnitedHealthcare. Workers comp accepted.
Verify your benefits with the office before your first visit.
Frequently asked
Carpal tunnel & wrist pain FAQ
Short answers for patients deciding whether to book a wrist, hand or nerve-path evaluation in Midtown.
Is hand numbness always carpal tunnel syndrome?
No. Different nerve patterns can cause hand symptoms. Examination and nerve testing when needed help identify whether the source is at the wrist or elsewhere along the path.
Can chiropractic and soft-tissue care help?
Sometimes. Manual care may offer limited or short-term relief when tissue, nerve glide or mechanical loading contributes. Durable benefit for carpal tunnel syndrome has not been established.
What does Sinar examine?
The examination can include symptom distribution, neck and shoulder mechanics, forearm tissue, wrist motion, hand function and nerve response to movement.
When are testing or a surgical opinion appropriate?
Constant or worsening numbness, weakness, declining grip, visible muscle wasting, significant trauma or an uncertain diagnosis warrant medical evaluation. Care should not delay indicated testing.
Where is the office, and do you take insurance?
Sinar is at 389 5th Avenue, Suite 302, New York, NY 10016. The practice accepts Aetna, Blue Cross Blue Shield, Cigna and UnitedHealthcare; verify benefits with the office.
389 Fifth Avenue, Suite 302
Book wrist and hand care in Midtown.
Near Bryant Park, Grand Central, NoMad, Murray Hill and Fifth Avenue office corridors.