The Villages, Florida
Carpal Tunnel Syndrome Treatment
in The Villages, FL
A hand that goes dead at three in the morning, in a week you cannot take time off from. We examine the wrist and the neck at 929 US-441 #404 in Lady Lake, because the nerve can be squeezed at either end. First visit $47.
- Lady Lake office
- Non-surgical, drug free
- 22 years in practice
- $47 new-patient exam
Medically reviewed by Dr. Justin Bergin, DC Updated September 18, 2026
Whose wrists come through the door at Lady Lake?
Hands are the exception at this office. The wrists that come through the door at Lady Lake tend to belong to people still clocking in, not to people who have finished working.
They drive in from the working towns around the retirement community rather than from inside it: Lady Lake, Leesburg, Wildwood, Summerfield, Oxford and Fruitland Park.
What are those hands doing all week?
Kitchen work, trade work, packing and assembly, hairdressing, landscaping, long days on a keyboard. That is one half of the list.
The rest arrive with hands busy in a different way. A golf grip held for four hours, a pickleball paddle, a sewing machine, a morning of pulling weeds. Each loads a wrist much as a shift does.
Does the story change between the two groups?
Both groups tell the same story. The hand dies at night, gets shaken back, and one day a cup goes on the floor.
Dr. Justin Bergin, DC examines the wrist and the neck at the first visit, because a median nerve can be squeezed in two places.
Carpal tunnel syndrome is pressure on the median nerve where it passes through a narrow tunnel at the wrist, producing numbness, tingling and weakness on the thumb side of the hand. Care at the Lady Lake office is non-surgical and drug free, and it includes a cervical examination, since the same nerve can be compressed in the lower neck. Where the findings point at a hand surgeon instead, you are told so at the first visit, which is $47.
This page covers The Villages specifically. The neutral carpal tunnel syndrome page covers the clinical picture for both offices.
Symptoms
What The Villages patients describe when they call this office.
- Numbness in the thumb, index and middle fingers
- Waking at night with a hand that feels dead
- Shaking the hand over the side of the bed
- Tingling on the wheel or the cart steering bar
- Grip that has quietly lost its strength
- Dropping small things without warning
- Burning across the palm after a shift
- Fumbling buttons, keys and jar lids
- The muscle at the base of the thumb looking flatter
Common causes
Hands that work for a living
Gripping, twisting and vibrating tools, repeated packing motions, long hours on a keyboard. The tissue in the tunnel swells with the load and the nerve pays for it.
Hobbies that grip for hours
A golf club held through eighteen holes, a pickleball paddle, a quilting machine, a long morning in the garden. The wrist does not know whether the load was paid for or chosen.
The tunnel you were born with
Some people simply have a narrower tunnel than others, which is why this runs in families and why two people doing identical work end up in different places.
Fluid retention and hormonal change
Pregnancy and thyroid conditions raise fluid volume in the tissues and cut the space in the tunnel. Cases starting in pregnancy often settle after delivery.
Diabetes and a contributing neck
Diabetes leaves peripheral nerves less tolerant of pressure and can produce numbness on its own. A nerve root irritated in the lower neck does the same thing from the other end.
How we treat it at our Lady Lake office
Care targets the tissue crowding the nerve and the pressure it is under, and treats the neck as well as the wrist where the examination shows both are involved. Nothing is injected and nothing is cut. Dr. Justin Bergin, DC maps sensation and tests grip at the start, so the reassessment is a comparison rather than an opinion.
Neuromed electroanalgesia for the night pain
Neuromed applies targeted electrical stimulation to the abnormal signalling behind the burning and the night waking. It suits a sensitized nerve, and anyone who would rather not take a daily tablet for a local problem.
Cold laser over the tunnel and forearm
Low-level light applied across the tunnel and into the forearm, aimed at the inflamed tendon sheath taking up room the nerve needs. It is painless and you can go straight back to work.
Forearm, wrist and nerve gliding work
Manual work through the forearm flexors, the ligament across the front of the wrist and the planes the nerve travels in, plus gliding drills you repeat at home. Where the neck contributes, the same approach runs through the shoulder and lower neck.
Cost, insurance and financing
Cost follows what the examination finds, because a wrist problem alone and a wrist plus neck problem are different amounts of work. Your first visit is $47 and covers the consultation, examination, X-rays where they would change the plan, and the report of findings.
The one published price
Consultation, Exam, X-Rays (If Needed) & Report of Findings: Only $47
What affects the cost
- Whether a cervical contribution sits alongside the compression at the wrist
- How far the process has already gone, which decides what is realistic
- Whether laser and Neuromed are indicated or manual care alone is enough
What a course includes
- Sensory mapping, grip and pinch testing, wrist and cervical examination, and the report of findings
- Retesting of grip and sensation against your own baseline at the reassessment
Payment:
Chiropractic and manual care bill insurance, and the front desk at this office verifies your benefits before the first visit. Cold laser and Neuromed are self-pay and quoted in advance. If you carry Medicare or a Medicare Advantage plan, coverage varies by plan and by service, so the desk checks your policy rather than telling you what is typical. Payment plans are available for self-pay care.
Our Lady Lake office
Chiromed Wellness Centers929 US-441 #404
Lady Lake, FL 32159
- Monday8:30am to 1:00pm and 2:30pm to 6:30pm
- TuesdayBy appointment
- Wednesday8:30am to 1:00pm and 2:30pm to 6:30pm
- Thursday8:30am to 1:00pm and 2:30pm to 6:30pm
- FridayBy appointment
- Saturday and SundayClosed
Dr. Justin Bergin, DC performs the examination personally at this office, 22 years into practice. Full office details are on our Lady Lake office page.
What we are near
Which building on US-441 is Suite 404 in?
The address is 929 US-441 #404, Lady Lake, FL 32159, on North US-441 just above the CR 466 junction.
Suite 404 is the door you want, and parking is ground level right outside. There is no garage and no stairs.
Is a golf cart a realistic way to get here?
Golf carts turn up here and the routes shift, so call ahead and the front desk will give you the current one.
Spanish Springs Town Square is the closest of the three squares, Lake Sumter Landing a straightforward drive, and Brownwood Paddock Square the longest.
Which towns do hand patients drive in from?
Patients come from Lady Lake, Leesburg, Wildwood, Summerfield, Oxford and Fruitland Park as well as from The Villages itself, across Sumter, Lake and Marion counties.
Leesburg is about ten miles south east and the Lake-Sumter State College campus there is a short drive. UF Health The Villages Hospital is close by. We are not affiliated with the college or the hospital.
Which days does the Lady Lake office treat?
Treating days are Monday, Wednesday and Thursday, 8:30 AM to 1:00 PM and 2:30 PM to 6:30 PM. A course of care here is planned around those three days.
Our Lady Lake office is a short drive from the Lake-Sumter State College campus in Leesburg, and we serve the same tri-county community. We are not affiliated with the college.
ChiroMed is an independent practice. Naming nearby hospitals, colleges or landmarks describes where we are, not who we are affiliated with. There is no affiliation, partnership or endorsement of any kind.
- Lady Lake
- The Villages
- Leesburg
- Wildwood
- Summerfield
- Oxford
- Fruitland Park
Independent background: Carpal Tunnel Syndrome, MedlinePlus, National Library of Medicine.
Patient experience at our Lady Lake office
Does any review here mention a hand or a wrist?
Lady Lake is the newer of the two ChiroMed offices and its review file is still short. Nothing left there mentions a hand, a wrist or nerve care, so no review is offered as proof of it.
What can be stated about hand and wrist care instead?
What can be stated is 22 years of practice, a grip measurement taken on day one, and an honest referral out when the numbers say a surgeon is the better answer.
Carpal Tunnel Syndrome in recent research
These sources are independent of this practice and none of them endorses it. They are listed so the reasoning behind the care can be checked rather than taken on trust.
- Surgical versus non-surgical treatment for carpal tunnel syndrome
The evidence behind the point at which surgery outperforms conservative care, which is the line this examination is built to find.
- Splinting for carpal tunnel syndrome
Reviews night splinting and finds short-term symptom benefit on low certainty evidence, which is why it is one part of a plan here rather than the whole plan.
What to expect
Your first visit, step by step
The first appointment at Lady Lake looks at both ends of the median nerve, not just the end that hurts. Dr. Justin Bergin, DC records grip strength and a sensory map so there is a baseline to test the plan against, and tells you at that visit whether conservative care is still the right call.
Get in touch
Book at our Lady Lake office
Choose The Villages on the form and the Lady Lake desk calls you back during office hours. Leave a message after hours and they call back the next open day.
- 1
Send the form
Two minutes. Tell us what hurts and which office is closer.
- 2
We call you back
A real person, during office hours, to find a time that works.
- 3
Exam and answers
History, orthopedic and neurological testing, imaging on site when it changes the plan.
- $47 consultation, exam, X-rays if needed and report of findings
- Payment plans available on the self-pay programs
- Booking for our Lady Lake office
The Villages questions
Tap a message for the honest answer. Call The Villages (352) 915-7150
I still work. Can I be seen outside the middle of the day?
This office treats Monday, Wednesday and Thursday, 8:30 AM to 1:00 PM and again from 2:30 PM to 6:30 PM, and the late afternoon block is the one that suits a working week. Tuesday and Friday are by appointment, and we are closed Saturday and Sunday. Tell the front desk what your week looks like when you call. The treating days at the Lakeland office are listed separately.
My hand goes numb on the wheel and on the cart. Is that carpal tunnel?
It fits the pattern, because holding a grip with the wrist bent raises the pressure inside the tunnel and a cart or a steering wheel does exactly that for a sustained stretch. What settles it is which fingers go numb. Genuine carpal tunnel spares the little finger, so numbness that includes it is pointing somewhere else and needs a different examination.
Could my hand problem actually be coming from my neck?
Often, and it is the reason the neck is examined here on every hand case. The median nerve begins as nerve roots in the lower neck, and a nerve already irritated up there tolerates much less pressure at the wrist. Neck or shoulder blade pain alongside the hand symptoms is a clue, so is numbness reaching above the wrist, and so is a hand that never fully responded to wrist-only treatment.
How do I know whether I need surgery instead?
Two findings shift the answer. Numbness that is constant rather than coming and going, and visible loss of bulk in the muscle at the base of the thumb. Either one means a hand surgeon, and carpal tunnel release is a well established operation. Waiting while that thumb muscle wastes is a poor trade, and you will be told so at the examination rather than started on a plan.
Does Medicare cover carpal tunnel care at this office?
Coverage varies by plan and by service. The chiropractic and manual portion bills insurance and the front desk verifies your benefits, Medicare and Medicare Advantage included, before your first visit. Cold laser and Neuromed are self-pay and are quoted to you in advance, so you know which part is which before anything is scheduled.
Where do I park, and can I reach you by golf cart?
Parking is ground level directly outside Suite 404, no garage and no stairs. Golf carts come here regularly, and because the routes along the north end of US-441 and around CR 466 change, call (352) 915-7150 before your first visit and the front desk will talk you through the current one.
Same-week appointments
The Villages care, without the drive.
Call (352) 915-7150 or book online. Dr. Justin Bergin, DC performs the examination personally.
Consultation, Exam, X-Rays (If Needed) & Report of Findings: Only $47