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DESCRIPTION
Carpal tunnel syndrome (CTS) was almost unheard of only a generation ago, CTS has rapidly become a bane or curse of modern existence. CTS is one of many injuries called repetitive strain injuries (RSIs), which include trigger finger, nerve spasms, and carpal tunnel syndrome. CTS develops over a period of time due to the repetition of stressful movements of the hand or wrists. It involves damage to the nerve that carries brain signals between the brain and the hands. CTS is the term used to describe a set of symptoms that occur when the median nerve in the wrist is compressed or damaged when the tissues in the tunnel become swollen or inflamed. The median nerve controls the thumb muscles, and is also responsible for sensation felt in the thumb, the palm, and the first three fingers of the hand. The carpal (from the Greek word Karpos, meaning "wrist") tunnel is a very small opening about 1/4 inch below the surface of the wrist through which the median nerve passes.
Not all nerve entrapment problems are in the carpal tunnel area. Though far less common, entrapment of the ulnar nerve, located in the elbow, produces symptoms almost identical to these of CTS. This condition can be very painful and disabling.
FREQUENT SIGNS & SYMPTOMS
Mild numbness and faint tingling to excruciating pain. The tingling is often referred to as feeling similar to the "pins and needles" associated with a limb "falling asleep."
Involves a gradual weakening of the thumb muscles and may progress to crippling atrophy of the thumb muscles.
Burning, tingling, or numbness in the thumb and first 3 fingers (index and middle fingers). (The little finger is spared because it receives its nerve impulses from outside the carpal tunnel).
Symptoms are often intermittent in the beginning, but they become persistent as the condition worsens.
CTS can affect one or both hands.
Symptoms are often worse at night or in the morning, when circulation slows down.
Pain may spread to the forearm and, in severe cases, to the shoulder.
Not all nerve entrapment problems are in the carpal tunnel area. Though far less common, entrapment of the ulnar nerve, located in the elbow, produces symptoms almost identical to those of CTS. This condition can be very painful and disabling. It can also be misdiagnosed as myofascial dysfunction. Myofascial dysfunction stems from the overuse or misuse of muscles. It is not connected with nerve damage.
CAUSES
Carpal tunnel syndrome may have its genesis in either the neck, upper back, and/or shoulders. A visit to a chiropractor or osteopath may help in determining whether this is the case or not.
The median nerve is vulnerable to compression or injury from a number of sources - swelling due to pregnancy or water retention, pressure from bone spurs, inflammatory arthritis, or even tendonitis.
CTS has been associated with repetitive wrist motion injury, which is linked to continuous rapid use of fingers. Once considered an occupational hazard affecting only supermarket checkout clerks and bookkeepers, CTS did not become widely known until 1980s, when personal computers came to dominate the workplace. Today, CTS is commonplace among people who earn a living using word processors or other computerized keyboards extensively. However, it must be noted that repetitive motion by itself has never conclusively been linked to increased pressure on the median nerve. Typing, with the hand in an overextended, or "hyperflexed," position because the keyboard is too high or too low can cause an increase in symptoms that lead to CTS. In other words, the task itself doesn't cause the problem, but the position of the hands during the task does.
Carpal tunnel syndrome has also been linked to strong, steady vibrations that shake the wrist for long periods (such as using a jackhammer or chain saw).
Other people whose occupations have been linked to CTS include assembly line workers, athletes, drivers, hair stylists, musicians, restaurant servers, and writers.
Whatever the cause, an estimated 1.2 million people a year consult a health care provider about the injury.
INCREASED RISK FACTORS
Occupations involving stress and injury to the wrists and repetitive motion of hands and wrists. CTS is commonplace among people who use computers extensively.
Although CTS affects both sexes, women between the ages of 29 and 62 seem to be affected more than any other segment of the population.
People with square wrists (wrists that are about as deep as they are wide) are more disposed to getting CTS than people with wrists that are wider than they are deep.
Other factors that increase the risk of CTS include:
Menopause.
Menstrual cycle.
Pregnancy.
Oral contraceptive (the pill) use.
Raynaud's disease.
Fracture or dislocation of the wrist.
Excess growth hormone production (acromegaly).
Severe kidney failure.
Hypothyroidism (underactive thyroid).
Diabetes mellitus.
Inflammatory (rheumatoid) arthritis.
Tendonitis.
Bone spurs pressure.
Water retention, edema.
TREATMENT
CTS SELF-TEST & DIAGNOSIS
The symptoms of CTS are often similar to those of other disorders, particularly arthritis in the neck. A simple self-test by means of hand flexing, called Phalen's maneuver, can help you determine whether you have carpal tunnel syndrome.
- Place the back of your hands together, with the fingers pointing straight down and the wrists at a 75 degree angle, so that your elbows point straight out to the sides. If holding this position for over a minute brings on symptoms, you probably have CTS. If your job or hobby causes you to develop burning sensation, numbness, or clumsiness affecting the first three fingers of one or both hands, chances are that CTS is the culprit. This test is not fool-proof, however. The only truly conclusive test for CTS is electromyography (EMG).
MEDICAL DIAGNOSIS OF CTS
Physical Exam: Your health care provider will perform a physical examination to check for a loss of sensitivity in thumb and all or some of the fingers. There may be weakness on abduction or opposition of the thumb. In serious cases the atrophy may be present.
Phalen's Test: Forearms are vertical while the wrists are fully flexed for 60 seconds. Numbness, tingling or weakness are positive signs of carpal tunnel syndrome (see self-test above).
Tinel's Test: The median nerve at the volar crease (the crease on the wrist on the palm side) is repeatedly tapped.
Nerve Conduction Study: This shows presence and extent of peripheral nerve pathology.
Electromyography (EMG): Involves transmitting electrical impulses through the arm. The nerve impulses that direct motion are nothing more than a very low voltage current. Normal nerve impulse transmission occurs at a speed of approximately 136 meters per second, which is fast enough to appear instantaneous to us. If nerves are damaged or entrapped by swollen tissue, however, they cannot transmit electrical neural impulses at the normal rate of speed. If you are found to have a neurotransmission speed of only 90 to 95 meters per second, nerve damage or compression is strongly suggested.
A recent study suggests that sonography may be just as accurate as the preceding test to determine whether of not you have the prerequisites for CTS. Ultrasound images can show swelling within the carpal tunnel and how much space is available there for the nerve.
Other tests your health care provider may perform include:
- Sedimentation rate test.
- Thyroid function studies.
- Rheumatoid factor tests.
- Uric acid tests.
- Magnetic resonance imaging (MRI) may help define the cause.
- X-ray or CT scan can help reveal heterotrophic calcification.
MINIMIZING RISKS OF CTS
Carpal tunnel syndrome is an occupational hazard for anyone whose job involves making repetitive movements with the hands and/or fingers. In this age of computers, that means virtually anyone who works in an office, as well as assembly line workers, bookkeepers, cashiers, jackhammer operators, musicians, and many others. Spending a great deal of time engaging in a hobby such as knitting and needlework can also cause problems. No matter what your occupation, the following measures are recommended to help you reduce the risk of developing this painful and disabling condition:
- Use your whole hand and all of your fingers when you grip an object.
- Whenever possible, use a tool instead of flexing your wrists forcibly.
- Make sure your posture is correct. For keyboard tasks, sit straight in your chair so that your knees are bent at a right angle and your feet are flat on the floor. Your wrists and hands should be straight and your forearms parallel to the floor. Keep your wrists and hands consistently in a straight line.
- Keep your elbows bent. This lessens the load close to your body and reduce the amount of force required to do your job. Give yourself elbow room to allow you to use as much of your arm as you can while keeping your wrist straight. Use your whole arm while performing tasks in order to minimize the stress on your elbow.
- Adjust your computer screen so that it is about two feet away from you and just below your line of sight.
- Use arm rests that attach to the chair to keep your wrists from flexing too much.
- If the relative positions of your desk, chair, and keyboard do not allow you to keep your wrists straight while keyboarding, the use of a "wrist rest" pad in front of the keyboard is highly recommended to alleviate pressure on the carpal tunnel.
- Slow your rhythm while varying wrist and hand movements.
- Take a break from handwork for a few minutes every hour.
- Shake out your hands periodically throughout the day.
- Perform simple stretching exercises before your daily tasks to improve overall circulation and aid in warming up the muscles. The American Physical Therapy Association recommends these exercises:
1. Resting one forearm on a table, grasp the fingertips of that hand and pull back gently. Hold this position for 5 seconds, then repeat the exercise with the other hand.
2. Press the palms flat on a table, as if doing a push-up. Lean forward to stretch the forearm muscles and the wrists.
- Another recommended gentle exercise is done by rotating the wrist. Move your hands around in a circle for about two minutes, thoroughly stretching the muscles of the hand. This helps to restore circulation and improve the posture of the wrist.
- Do strengthening exercises by placing a rubber band around the fingers to provide resistance, and opening and closing the fingers. Three times a day, do a set of 10 repetitions with each hand.
MEDICAL TREATMENT
Health care providers treat CTS in a variety of ways, most often with a combination of anti-inflammatory medication, splints, and the recommendation that you avoid any aggravating activity.
Rest and elevation may resolve the problem without medical treatment. In the meantime, applying ice packs can reduce swelling, and splinting the affected hand at night can alleviate symptoms. The splint holds the hand in the correct position and ensures that you don't make the problem worse.
If CTS develops as a result of the edema of pregnancy, it usually clears up of its own accord once the baby arrives and the excess fluid of pregnancy disappears.
Treatment may include pain management techniques. Anti-inflammatory medications such as ibuprofen (Advil), naproxen (Aleve) and many others can help relieve pain and bring down swelling.
MoonDragon's Health Therapy: Pain Control
Sometimes corticosteroid injections in the wrists are used. This treatment is controversial, however, and should not be used unless the pain from CTS is debilitating, since the injections themselves are a source of considerable discomfort.
Potassium-sparing diuretics may be used, if needed.
If weakness develops in the thumb, it is an indication that the median nerve has sustained some amount of damage, and surgical treatment may be recommended. This surgery involves cutting the transverse carpal ligament, a thick, fibrous band that covers part of the carpal tunnel. The surgeon can make either a small incision or a relatively large one. A small incision, usually done endoscopically, causes minimal scarring, but it affords the surgeon a very limited area view, which increases the risk of damage to other important structures in the wrist. A larger incision reduces the risk of peripheral damage, but a more prominent scar is usually the result, and the scarring itself may cause some pain and disability. A splint or cast must be worn for two to four weeks following surgery. Long-term results with this technique are mixed and surgery should be used as a last resort.
A less invasive type of surgery, called the endoscopic technique, has become popular. This procedure takes only 10 minutes and the incision, made in the palm, is tiny. Most people return to work within a few days.
Many health care providers maintain that surgery for CTS is too often performed unnecessarily. A second opinion should always be obtained before surgery is agreed to. However, if the second health care provider confirms that surgery is unavoidable, it is best not to put the operation off for too long, as the delay may result in permanent nerve damage.
The numbness, tingling, and pain of CTS usually subsides within a few days after surgery, but some people find that it takes as much as 2 years for the symptoms to resolve. When this happens, it is often because the median nerve has sustained some damage and a long time is needed for any nerve regeneration to occur. If surgery is necessary and is put off for too long, the thumb may be permanently weakened and the mobility of the affected hand may be diminished.
A new treatment for CTS involves the use of a low energy ("cold") laser to penetrate tissues, stimulate nerves, and increase microcirculation in the affected area.
Additional information about repetitive strain injuries is available from:
National Institute for Occupational Safety & Health (NIOSH)
Centers for Disease Control & Prevention (CDC)
1600 Clifton Road
Atlanta, GA 30333, USA
Tel: 404-639-3311
Public Inquiries: 800-CDC-INFO
Website: WWW.cdc.gov/NIOSH/
HERBAL & HOLISTIC RECOMMENDATIONS
HERBS
Wintergreen Oil aids in pain relief and circulation to the muscles.
HerbalRemedies: Wintergreen Oil, Alternative Health & Herb, 2 oz.
HerbalRemedies: Wintergreen Essential Oil, NOW Foods, 100% Pure, 100% Natural, 1 fl. oz.
Marshmallow root soothes and softens tissues and promotes healing.
Skullcap relieves muscle spasms and pain.
Aloe Vera, Devil's Claw, Yarrow, and Yucca are helpful for restoring flexibility and reducing inflammation.
An herbal combination of Tumeric, Devil's Claw, Capsicum, Ginkgo, Hawthorn, and Boswellia can dramatically improve CTS.
Capsicum relieves pain and is a catalyst for other herbs.
Butcher's Broom and Boswellia both helps relieve and reduce inflammation and swelling.
Cornsilk and Parsley are natural diuretics that help to keep swelling down.
Ginkgo Biloba, taken in either tea or capsule form, is beneficial for improving circulation and also aids nerve function.
Gravel Root tightens and soothes tissues and acts as an antiseptic.
St. Johnswort stimulates circulation and helps to restore local nerve impulse transmission.
CT Cream from Biomax Laboratories contains both herbal and pharmacological agents, including arnica extract, camphor, vitamin B-6, and choline bitartrate. It is said to reduce inflammation and improved the health of the nerves.
Other creams for Carpal Tunnel include:
Venaforce from Bioforce, which contains standardized extract of horse chestnut, helps improve circulation.
Rhus Toxicodendron (Rhus Tox) is a homeopathic remedy that helps in any conditions where stiffness exists in a joint when it is first used. This substance is also helpful in soothing restlessness at night and in injuries caused by overuse of joints.
Zhen Gu Shi, a potent Chinese liniment for inflamed joints, is good for easing CTS symptoms. It is also sold in many Asian markets.
RECOMMENDATIONS
Consume foods that contain or lead to the production of oxalic acid in moderation only. These include asparagus, beets, beet greens, eggs, fish, parsley, rhubarb, sorrel, spinach, Swiss chard, and vegetables of the cabbage family. Large amounts of oxalic acid can promote joint problems.
Eat half of a fresh pineapple daily for 1-3 weeks, until relief is achieved. Pineapple contains bromelain, an enzyme that fights inflammation, reduces pain, and aids healing. Only fresh pineapple is effective. Bromelain is also available in Supplement Form
Avoid salt and all foods containing sodium. They promote water retention and may aggravate carpal tunnel syndrome. They will also counteract any diuretics that your health care provider may recommend.
If you engage in repetitive mechanical tasks, try to reduce the impact on your wrists and hands. See Minimizing Risks for CTS above.
If possible, stop all repetitive finger movements for several days and see if any improvement occurs. If it does, try to rearrange your schedule so that you spend less time in CTS-stimulating activities. If possible, alternate tasks rather than performing a single task for long periods. Fortunately, employers have become more mindful of the possibility of repetitive motion injuries and are often more understanding than they might have been only a few years ago. Many now try to have their employees rotate tasks they perform so that the risk of injury is reduced.
Maintain ideal weight, and lose weight if necessary. Excess weight results in extra pressure on the carpal tunnel. Losing weight has brought relief to many people with CTS.
Use a splint to help prevent flare-ups. Splints are cloth covered metal or plastic braces that attach to the forearm with an elastic bandage (an Ace bandage or the equivalent) or hook and loop fasteners (Velcro). These devices are available at a medical supply store, and many pharmacies. If you cannot find one that fits properly, have one custom-made. Be sure to apply and wear the splint properly. If you don't, its effectiveness may be reduced or it may even aggravate the problem. Cock your wrist back slightly so that your thumb is parallel to your forearm. Your hand should be approximately the same position as if you were holding a pen. This position keeps the carpal tunnel as open as possible. Wear the splint as much as possible for several days to see if your symptoms are reduced. Splinting is often very helpful for those who have suffered a repetitive motion injury that results in CTS.
Avoid taking supplements that contain iron. They are suspected of aggravating pain and swelling in joints.
Keep your workplace warm and dry. Cool and/or damp conditions tend to aggravate CTS.
NUTRITIONAL SUPPLEMENTS
Unless otherwise specified, the following recommended doses are for adults over the age of 18. For a child between 12 and 17 years, reduce the dose to 3/4 the recommended dose. For a child between 6 and 12 years old, use 1/2 the recommended dose, and for a child under 6, use 1/4 the recommended dose. See Carpal Tunnel Supplements & Products for more helpful recommendations.
NUTRIENTS Supplement Suggested Dosage Comments Essential Zinc 50 mg daily.
Do not exceed a total of 100 mg daily from all supplements.Needed for repair of all tissues and enhances healing. Use zinc gluconate lozenges or OptiZinc for best absorption.
Zinc Ionic Mineral Supplement, Fully Absorbable, 100 +/- ppm, 16 fl. oz.,
Colloidal Silver & Zinc Lozenges, Silva Solution, 90 Lozenges,
Zinc Lozenges W/ Echinacea & Vitamin C, Nature's Way, 23 mg, 60 Lozenges,
Zinc Ionic Mineral Supplement, Fully Absorbable, 100 +/- ppm, 16 fl. oz.,
Zinc (Chelated), 100% Natural, Nature's Way, 30 mg, 100 CapsCoenzyme Q-10 30-90 mg daily. Improves tissue oxygenation.
CoQ10, Vegetarian Coenzyme, NOW Foods, 30 mg, 60 VCaps,
CoQ10, Now Foods, 400 mg, 60 SoftgelsCoenzyme A As directed on label. Supports the immune system's detoxification of many dangerous substances. Works well with CoQ10.
Pantethine (Coenzyme A Precursor), Highly Active Form of Vitamin B-5, 300 mg, NOW Foods, 60 Softgels,
Lecithin Granules
Or
Capsules1 tablespoon 3 times daily, before meals.
1,200 mg 3 times daily, before meals.Supplies choline and inositol for nerve function. A fat emulsifier.
Lecithin Vegetarian Granules, NOW Foods, 97% Phosphatides, Identity Preserved Non-GE, 1 lb,
Lecithin Liquid, NOW Foods, Vegetarian, 16 fl. oz.,
Lecithin Concentrate, Nature's Way, 400 mg, 100 SoftGelsVitamin B Complex 100 mg of each B vitamin daily, with meals 3 times daily (amounts of individual vitamins in a complex will vary). B vitamins work best when taken together and are essential in nerve function.
Ultimate B (Vitamin B Complex), Nature's Secret, 60 Tabs,
Vitamin B-100 Complex, w/ Coenzyme B-2, Nature's Way, 631 mg, 100 CapsPlus Extra
Vitamin B-1 (Thiamine)50 mg daily 3 times daily for 12 weeks. B vitamins work best when taken together. Increases the uptake of vitamin B-6 and improves tissue oxygenation.
Vitamin B-1 / Thiamine HCl (Hydrochloric Acid), 100% Natural, Nature's Way, 100 mg, 100 CapsAnd
Vitamin B-6 (Pyridoxine)50-100 mg twice daily for 12 weeks. You can begin with 50-100 mg twice daily until symptoms improve. Then gradually lower dose by 25 mg weekly. Do not exceed this high dose amount, or nerve damage may result. A potent diuretic and relieves nerve disorders. Note: If you take any of the B vitamins individually, take the vitamin B complex at a different time of day.
Vitamin B-6 / Pyridoxine, Nature's Way, 100 mg, 100 CapsHelpful Manganese As directed on label. Beneficial to nerves.
Manganese Ionic Mineral Supplement, Fully Absorbable, 30 +/- ppm, 16 fl. oz.,
Grape Seed Extract As directed on label. Contains powerful oligomeric proanthocyanidins. A powerful antioxidant and anti-inflammatory.
Grape Seed (Grapeseed) (Vitus vinifera), 100% Pure, NOW Foods, 16 fl. oz.Kelp
Or
Seaweed1,000-1,500 mg daily with meals.
As directed on label.A rich source of important vitamins, minerals, and trace elements. Beneficial to nerves.
Kelp Supplement, Nature's Way, Certified, 650 mg, 100 Caps,
Kelp Seaweed, Norwegian, NOW Foods, 100% Natural, 550 mg, 250 Caps,
Kelp Seaweed, Norwegian Powder, 4 oz. BulkMulti-Vitamin & Multi-Mineral Complex As directed on label. All nutrients are needed in balance for healing and for general nutritional supplementation. Use a formula without iron.
Super Multi-Vitamin & Multi-Mineral, Pure Vital Earth, 32 fl. oz. (98% Bio-Available for Absorption), Damage Control Master Formula, High Potency, Multi-Vitamin & Mineral, 60 Packets (30 Day Supply)Primrose Oil
Or
Kyolic EPAAs directed on label. contains essential fatty acids necessary for nerve function.
Barlean's Primrose Oil, With Gamma Linolenic Acid (GLA), 1300 mg, 120 SoftGels,
Vitamin A 25,000 IU daily. If you are pregnant, do not exceed 10,000 IU daily. For healing and protection of all tissues. Important antioxidants.
Vitamin A, 10,000 IU, 100% Natural, Nature's Way, 100 SoftgelsNatural Beta-Carotene
Or
Carotenoid Complex (Betatene)25,000 IU daily.
As directed on label.For healing and protection of all tissues. Important antioxidants.
Beta Carotene (Natural Dunaliella Salina), Nature's Way, 100% Natural, 25,000 IU, 100 Softgels,
Multi-Carotene Antioxidant, Nature's Way, 60 SoftgelsVitamin C With Bioflavonoids 1,000 mg 4 times daily. Important in healing and a potent antioxidant. Aids in reducing swelling.
Vitamin C Liquid w/ Rose Hips & Bioflavonoids, Kosher, Natural Citrus Flavor, Dynamic Health, 1000 mg, 16 fl. oz.,
Ester C With Bioflavonoids, Nature's Way, 1000 mg, 90 Tabs,
Vitamin C 1000 With Bioflavonoids, Nature's Way, 100% Natural, 1000 mg, 250 VCaps,
The Right C, Nature's Way, 1000 mg, 120 TabsVitamin D 400 IU daily. Essential for repair and healing of inflamed tissue.
Vitamin D, NOW Foods, 2000 IU, 120 SoftGels,
Vitamin D, NOW Foods, 1000 IU, 180 SoftGels,
Dry Vitamin D, Nature's Way, 100% Natural, 400 IU, 100 CapsVitamin E Start with 100-200 IU daily and increase slowly, adding 100 IU each week until the dosage is 400 IU daily. Consult your health care provider if you are taking anticoagulant medication. An important antioxidant. Use d-alpha-tocopherol form.
Ester E Natural Vitamin E, California Natural, 400 IU, 60 Softgels,
Vitamin E, 400 IU, 100% Natural, NOW Foods, 100 Gels,
Vitamin E-1000, NOW Foods, 1000 IU, 100 Gels,
Vitamin E, d-alpha-tocopherol, 400 IU, 100 Softgels
Selenium 200 mcg daily. Do not exceed a total daily intake of 800 mcg daily from all sources, including diet. If you are pregnant, do not exceed 40 mcg daily. Deficiency has been linked with heart disease. Destroys free radicals in the heart. An important antioxidant. Caution: If you have high blood pressure, limit your intake to a total of 400 IU. If you are taking a blood thinner, consult with your health care provider before taking vitamin E.
Selenium Supplement, Yeast Free, NOW Foods, 200 mcg, 180 Caps,
Selenium Ionic Mineral Supplement, Fully Absorbable, 50 +/- ppm, 16 fl. oz.,
Ionic Selenium, Trace Minerals, 300 mcg, 2 fl. oz.,
Selenium, 100% Natural, Nature's way, 200 mcg, 100 CapsCalcium 300-500 mg twice daily. Strengthens the nervous system.
Calcium Ionic Mineral Supplement, Fully Absorbable, 700 +/- ppm, 16 fl. oz.,
Liquid Calcium W/ConcenTrace, Orange Vanilla, Trace Minerals, 1000 mg, 32 fl. oz.,
Cal-Mag Pre-Chelated Calcium & Magnesium, Vital Earth, 240 GelcapsMagnesium 200-250 mg twice daily. Magnesium needed to balance calcium.
Magnesium Ionic Mineral Supplement, Fully Absorbable, 350 +/- ppm, 16 fl. oz.,
Just An Ounce Calcium & Magnesium Liquid, Almond Flavor, 16 fl. oz.,
Calcium & Magnesium Mineral Complex, 100% Natural, Nature's Way, 500 mg / 250 mg, 250 CapsPotassium 99 mg daily. If you symptoms are worse during pregnancy, menstrual cycle, or menopause take as long as you have symptoms. Natural diuretic reduces bloating and water retention due to hormonal changes. Use chelate, asparate, or citrate forms.
Potassium Ionic Mineral Supplement, Fully Absorbable, 340 +/- ppm, 16 fl. oz.,
Potassium Chelate, 100% Natural, Nature's Way, 99 mg, 100 Caps,
Potassium Chloride Powder, NOW Foods, Vegetarian, 8 oz.Bromelain 500 mg daily.
1/2 fresh pineapple daily for 1 to 3 weeks.Reduces inflammation and swelling; speeds healing. Use fresh pineapple only.
Bromelain 2000 GDU Supplement, NOW Foods, 500 mg, 90 Tabs
CARPAL TUNNEL SYNDROME SUPPLEMENTS & PRODUCTS
Information and supplements for Carpal Tunnel Syndrome, a specific group of symptoms that occur in the nand and forearm.
Aloe Vera Juice, Pure Aloe Force, Organically Grown Unprocessed Whole Raw Aloe Vera, 33.8 fl. oz.
The magnificent Aloe plant, that is designed to be self-sufficient & thrive in the desert, feeds us in unique ways with its 250+ naturally occurring constituents including: enzymes, amino acids, essential fatty acids, vitamins, minerals, glycoproteins, sterols, growth factors, & all sizes of uniquely complex Aloe polysaccharides and mannans.Aloe Vera Juice, Herbal Aloe Force, Organically Grown Unprocessed Whole Raw Aloe Vera, 33.8 fl. oz.
Herbal Aloe Force Re-Natures the cells, tissues, glands, organs and all systems of the body to function as originally designed.Arth-X-Platinum, Natural Arthritis Supplement for Bone & Joint Pain & Stiffness, Trace Minerals, 90 Tabs
Arth-X Platinum is the most complete and effective dietary supplement and may be a good Natural Arthritis Treatment for you to support and aid in the relief of bone and joint pain and stiffness.Boron Ionic Mineral Supplement, Fully Absorbable, 20 +/- ppm, 16 fl. oz.
WaterOz Ionic Boron is a pure liquid Boron supplement. WaterOz Ionic Boron is pure liquid Boron. Boron is essential to bone metabolism and calcification of bones, and helps prevent osteoporosis, arthritis, and tooth decay. Boron is necessary for cartilage formation and repair; it affects calcium, magnesium, and phosphorus levels. Memory and brain function can be improved with boron.Calcium Ionic Mineral Supplement, Fully Absorbable, 700 +/- ppm, 16 fl. oz.
WaterOz Ionic Calcium is a pure liquid Calcium supplement. Calcium is one of the most essential of the major biochemical elements needed in human nutrition. It is needed in every organ of the body, including the brain. Calcium is called the "knitter" because it promotes healing or knitting everywhere in the body. It is valuable for tone, power, strength, longevity, vitality, and endurance, healing of wounds, counter-acting acids, and helping regulate metabolism.CAL/MAG/ZINC, Calcium Magnesium Zinc Supplement, 90 Tablets
This unique Calcium Magnesium Zinc Supplement formula perfectly balances calcium, magnesium, and zinc with over 70 minerals and trace elements found in ConcenTrace for maximum absorption and utilization by the body.Comfrey Leaf Powder, 100% Organic, 4 oz. Bulk
One of the most well-known healing plants, especially for its ability to heal tissue and bone.CoQ10, All Natural Hypoallergenic, Nature's Way, 60 mg, 60 Softgels
CoQ10 is vital for cellular energy production and is a powerful antioxidant and free radical scavenger.Co-Q10 Liquid, Trace Minerals, 4 fl. oz.
Liquid Co-Q10 is an all-natural, enzymatic, dietary supplement providing assistance to the body's cells by helping to maintain and protect against oxidative stress for increased cell integrity and energy.CoQ10, Vegetarian Coenzyme, NOW Foods, 30 mg, 60 VCaps
A coenzyme for several key steps in the production of energy within each cell, and an antioxidant important in its clinical effects. It is these two properties make CoQ10 one of the best supplements available today.Dermovin, Superior Natural Pain Relief Cream, Life Flo, 2 oz.
Life-Flo's Dr Golinsky's Dermovin is a Superior Natural Pain Relief Cream comprised of natural nutritional products that are effective in providing quick relief in both short term and long term care to degenerative joints as well as common aches and pains.Ginkgo Biloba Extract Standardized, 60 mg, 120 VCaps
Supports circulation to the brain as well as the extremities. This is achieved by maintaining healthy blood vessel tone and reducing blood viscosity. Additionally, Ginkgo biloba is a proven free radical scavenger and antioxidant.Ginkgo Biloba Herbal Tea, 20 Tea Bags
Ginkgo Biloba Herb Tea is used to improve cerebral vascular flow and oxygenation, and to enhance memory, mental clarity and alertness.Grape Seed Extract, Standardized, Nature's Way, 100 mg, 30 Caps
Nature's Way Standardized Grape Seed Extract are technically and scientifically advanced herbal product.Hydrogen Peroxide & Ozone By Conrad LeBeau
Reveals documented details of the use of hydrogen peroxide as a successful treatment for many disorders, including arthritis, cancer and AIDS.Kelp Seaweed Norwegian, NOW Foods, 100% Natural Acophyllum Nodosum, 550 mg, 250 Caps
Norwegian Kelp seaweed contains nearly thirty minerals which nourish the glands, especially the thyroid and pituitary. Kelp, also known as seaweed, grows in the rich ocean beds, far below surface pollution levels.Manganese Ionic Mineral Supplement, Fully Absorbable, 30 +/- ppm, 16 fl. oz.
WaterOz Ionic Manganese is a pure liquid Manganese supplement. Manganese, also called the "brain mineral," is important in the utilization of all mental facilities/functions.MSM Supplement (Methylsulfonylmethane), 1000 mg, 120 Caps, Pure Lignisul with Free 4 oz. Lotion
Buy MSM Supplement caps and get a 4 oz. Lotion free. MSM supplement plays a beneficial role in connective tissue and joint flexibility, immune health, arthritis, osteoporosis, rheumatoid arthritis, inflammation, pain, hair, skin, nails, athletic injuries, acne, wrinkles and allergies.MSM Supplement (Methylsulfonylmethane), Pure Lignisul, 1000 mg, 120 Caps
With many benefits, MSM plays a beneficial role in connective tissue and joint flexibility, immune health, arthritis, osteoporosis, nails, fibromyalgia, muscle soreness, athletic injuries and allergies.MSM Supplement (Methylsulfonylmethane), Pure Lignisul, 500 mg, 250 Caps
MSM is a non toxic physiologically active sulphur compound that may be helpful for connective tissue, cartilage, tendons, mucous membranes, nails, hair, and skin damage and repair.MSM Supplement (Methylsulfonylmethane), Pure Lignisul With Glucosamine, 500 mg/500 mg, 120 Caps
MSM with Glucosamine provides nutritional support for healthy joints by lubricating, nourishing, and easing inflammation in damaged tissue and cartilage.MSM Liquid (Methylsulfonylmethane), Pure Lignisul, 16 fl. oz.
MSM is a non toxic physiologically active sulphur compound that may be helpful for connective tissue, cartilage, tendons, mucous membranes, nails, hair, and skin damage and repair.MSM Supplement (Methylsulfonylmethane), Pure Lignisul With Vitamin C, 875 mg/100 mg, 120 Caps
MSM with Vitamin C offers support for allergies, connective tissue, joint flexibility, immune function, arthritis, osteoporosis, digestive disorders, circulation,bruising, carpal tunnel syndrome, and antioxidant protection.MSM Lotion (Methylsulfonylmethane), 15%, 8 fl. oz.
MSM Lotion contains methylsulfonylmethane, a form of sulfur, which may be helpful in treating skin disorders including acne, psoriasis, eczema, dermatitis, dandruff, scabies, diaper rash, and certain fungal infections.MSM Lotion (Methylsulfonylmethane), With Aloe, 15%, 4 fl. oz.
MSM lotion with aloe vera supports healthy skin, helping to keep it moisturized and smooth throughout the day.MSM Powder (Methylsulfonylmethane), Pure Lignisol, 4 oz.
MSM plays a beneficial role in allergies, connective tissue and joint flexibility.Power Wrap, Right Wrist Wrap, Universal, Black, 1 Each
Get a custom fit with the PowerWrap every time with our exclusive Positive Tensioning System.Power Wrap, Left Wrist Wrap, Universal, Black, 1 Each
Get a custom fit with the PowerWrap every time with our exclusive Positive Tensioning System.The Miracle of MSM: The Natural Solution for Pain By Stanley W. Jacob, M.D., Ronald M. Lawrence M.D. & Martin Zucker
Learn how to stop the pain of numerous ailments with MSM. How much, when, with what food and in what form to relieve pain in its many forms. Helpful against pain and allergies, this supplement is safe, natural and side-effect-free.Ultimate B (Vitamin B Complex Formula), 60 Tabs
Superbly formulated, Ultimate B, vitamin B Complex Formula, is a synergistic blend of herbs, superfoods, and enzymes made of 33% food ingredients for easy absorption.Vitamin A, 100% Natural, Nature's Way, 10,000 IU, 100 Softgels
Nature's Way vitamin A is 100% natural from fish liver oil. It contains no artificial ingredients or preservatives.Vitamin C 1000 with Bioflavonoids, 100% Natural, 1000 mg, 250 VCaps
Nature's Way Vitamin C with Bioflavonoids provides antioxidant protection for many of the body's important enzyme systems.Vitamin C 500 with Rosehips, 100% Natural, 500 mg, 250 VCaps
Nature's Way Vitamin C with Rosehips offers a rich whole plant source of vitamin C and provides antioxidant protection for many of the body's important enzyme systems.Wrist Brace With Thumb Loop, Universal, Black, Core Products
Good for carpal tunnel and other repetitive motion disorders. Cool, ventilated, 3" (8 cm) elastic construction features thumb loop for easy application. Wide range hook-and-loop closure. One size fits most; fits either wrist.Wrist Brace With Thumb Loop, Universal, White, Core Products
Good for carpal tunnel and other repetitive motion disorders. Cool, ventilated, 3" (8 cm) elastic construction features thumb loop for easy application. Wide range hook-and-loop closure. One size fits most; fits either wrist.Zinc Ionic Mineral Supplement, Fully Absorbable, 100 +/- ppm, 16 fl. oz.
WaterOz Ionic Zinc is a pure liquid Zinc supplement. Zinc moves through all the fluids in the body, it creates a defense against infection-causing bacteria and viruses trying to enter the body and stops bacterial and viral replication.Zinc Lozenges With Echinacea & Vitamin C, Nature's Way, 23 mg, 60 Lozenges
Nature's Way Zinc lozenge boosts cold season defense with zinc, widely recognized as an important nutritional support during the cold season, and echinacea pupurea, clinically shown to support the immune system, and Vitamin C, a vitally important vitamin for general health maintenance.
HerbalRemedies: Carpal Tunnel Information
HerbalRemedies: Carpal Tunnel Supplements & Products
HerbalRemedies: Bursitis Information
NOTIFY YOUR MIDWIFE OR HEALTH CARE PROVIDER IF...
You have CTS that does not improve despite the above measures.
You have any increase in pain, swelling, inflammation or other signs of infection.
You have any unexpected or unusual symptoms. Some people may have sensitivity, allergies, or other health conditions which would prevent them from using certain medications, herbs, nutritional supplements, or other treatments.
HELPFUL CTS LINKS
NINDS-NIH: Carpal Tunnel Syndrome
Wikipedia: Carpal Tunnel Syndrome
Orthopedic Connections: Carpal Tunnel Syndrome
CTS Place: The Carpal Tunnel Syndrome Home Page MedicineNet: Carpal Tunnel Syndrome Symptoms, Causes, Diagnosis, & Treatment
Endoscopic Carpal Tunnel Syndrome Medline: Carpal Tunnel Syndrome Carpal Tunnel Syndrome Prevention Tips
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HELPFUL PRODUCTS & FURTHER EDUCATION
Prescription for Nutritional Healing: The A-To-Z Guide To Supplements
-- by Phyllis A. Balch, James F. Balch - 2nd Edition
Prescription for Nutritional Healing: The A-To-Z Guide To Supplements
-- by Phyllis A. Balch, James F. Balch - 4th Edition
Prescription for Herbal Healing: The A-To-Z Reference To Common Disorders
-- by Phyllis A. Balch
The Complete Guide to Natural Healing
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