★ 5.0 Star Rated, 288+ Reviews on Google ›12465 Ocean Hwy, Pawleys Island, SC
★ 5.0 Star Rated, 288+ Reviews on Google ›12465 Ocean Hwy, Pawleys Island, SC
★ 5.0 Star Rated, 288+ Reviews on Google ›12465 Ocean Hwy, Pawleys Island, SC
Home › Conditions › Carpal Tunnel
Conditions We Treat
Carpal Tunnel Care in Pawleys Island, SC
Not every case of hand numbness is carpal tunnel, and that distinction changes the treatment.
Wrist, or neck?
True carpal tunnel syndrome involves compression of the median nerve at the wrist. But the same nerve travels from the cervical spine, and compression anywhere along that route can produce similar hand symptoms.
Examination establishes where the compression actually is. Treating a wrist when the problem is in the neck is a common reason symptoms persist.

Symptoms
- Numbness or tingling in the thumb, index and middle fingers
- Symptoms that wake you at night
- Weakness of grip or dropping objects
- Aching that travels up the forearm
Conservative care first
Where appropriate, care may include treatment of the wrist itself, the cervical spine, or both, supported by Summus laser therapy to reduce inflammation around the nerve. Dr. Fico will refer for a surgical opinion where that is genuinely warranted.
Common Questions
Frequently Asked Questions
Not necessarily. Conservative care helps many patients, particularly where the compression is not solely at the wrist. Dr. Fico will refer you for a surgical opinion where that is genuinely warranted rather than as a last resort after months of care.
Many people sleep with the wrist bent, which narrows the tunnel further. Night symptoms are one of the more characteristic features of true carpal tunnel syndrome.
It can be. The median nerve travels from the cervical spine, and compression anywhere along that route produces similar hand symptoms. Examining both is the only way to tell.
Meet Your Chiropractor
Dr. Neil Fico, D.C.
Dr. Neil Fico has cared for patients on the Grand Strand for nearly 30 years. Pawleys Island is both where he practices and where he lives, and he personally evaluates every new patient who walks through the door.
His approach is integrative: corrective chiropractic adjustments, Summus laser therapy and DRX9000 spinal decompression, chosen to relieve the pain and correct what is causing it. If chiropractic care is not right for your condition, he will tell you.
New Patient Special
Start With A $49 First Visit
Before any treatment plan, Dr. Fico sits down with you to find out what is actually causing the pain. That first visit, the consultation, full exam and X-rays if you need them, is $49 instead of $250.
- One-on-one consultation with Dr. Neil Fico
- Complete orthopedic and neurological exam
- Digital X-rays if clinically indicated
- Sit-down report of findings and care plan
No obligation to start treatment. If chiropractic care is not right for your spine, Dr. Fico will tell you and point you where to go next.
Prefer to talk first? Call (843) 979-CARE (2273). Mon and Wed 8am to 12:30pm and 2pm to 6pm, Tue and Thu 9am to 12:30pm and 2pm to 6pm, Fri 8am to 1pm.
LIMITED TIME OFFER
New Patient Special
Initial Consultation, Exam & X-Rays
$250 ValueONLY $49
Receive an initial consultation, chiropractic exam and X-rays, if needed, for only $49.

Skilled. Compassionate. Preferred.
Alternative treatment including chiropractic care for Pawleys Island, Litchfield Beach, Murrells Inlet, Garden City, Georgetown, Surfside Beach, Myrtle Beach and the wider Grand Strand. Dr. Neil Fico specializes in non-surgical, non-invasive pain relief.
Contact Us
12465 Ocean Hwy
Pawleys Island, SC 29585
Mon & Wed: 8am to 12:30pm, 2pm to 6pm
Tue & Thu: 9am to 12:30pm, 2pm to 6pm
Fri: 8am to 1pm
Sat & Sun: Closed
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This website is for informational purposes only and is not intended as medical advice or a substitute for professional healthcare.
Tap to Call(843) 979-CARE (2273)