Carpal Tunnel Syndrome
(CTS)
The carpal
tunnel is a very small opening just below the base of the wrist,
between the arm and the hand. It allows the median nerve to
pass from the bones and the muscles of the forearm to the palm,
the thumb, and the fingers. Because the opening is so small,
it is vulnerable to pressure and swelling. Inflammation from
overuse, hormonal changes, or arthritis causes the pain and
the numbness of carpal tunnel syndrome (CTS). CTS may begin
as a mild tingling that’s worse in the morning or the
evening and can progress to a crippling, excruciating pain.
CTS has
always afflicted people who consistently use their hands in
a repetitive motion: Knitters, musicians, writers, grocery clerks,
and assembly-line workers have traditionally suffered from the
effects of CTS. But in the last decade, as work has increasingly
centered on the personal computer, CTS has reached near-epidemic
proportions. At least 10 percent of people who work at computers
have CTS, and that number is projected to rise.
The best
way to treat CTS is to prevent it from happening. If you work
at a computer, use a wrist rest to relieve pressure on the carpal
tunnel, and take a break every hour to rotate your hands. If
you think you may already have CTS, see your doctor for a test
called an electromyograph. If the test proves that you do have
CTS, complementary therapies can help relieve your pain. Treatments
include removing the source of pain when possible, improving
circulation, and reducing swelling. Since a vitamin B6 deficiency
has been linked to CTS, complementary treatment also encourages
the consumption of that nutrient. Specific treatments from a
chiropractor, an acupuncturist, or an osteopath can be very
effective in addressing the underlying structural cause of carpal
tunnel syndrome. Surgery for this condition should be avoided,
if at all possible, because of its high failure rate.
** All of
these prescriptions below have been proven effective; level
of effectiveness depends on the individual. Please consult your
doctor when taking any and all supplements.
LifeSource’s
Super Prescriptions – Carpal Tunnel Syndrome |
Super
Prescription #1 Vitamin B6
Take 100 mg three times daily. Studies show that this
vitamin reduces the nerve inflammation that is found with
carpal tunnel syndrome. Also, take a B-complex to prevent
an imbalance of the other B vitamins. |
Super
Prescription # 2 Bromelain - LifeSource
Product
Take 500 mg three times daily between meals. Look for
products standardized to 2,000 M.C.U. (milk-clotting units)
per 1,000 mg or 1,200 G.D.U. (gelatin-dissolving units)
per 1,000 mg. Bromelain has a natural anti-inflammatory
effect. Protease enzyme products also have this benefit. |
Super
Prescription #3 Boswellia (Boswellia serrata)
Take 1,200 to 1,500 mg of a standardized extract containing
60 to 65 percent boswellic acids, two to three times daily.
It acts as a natural anti-inflammatory. |
Super
Prescription #4 Calcium
and magnesium - LifeSource
Product
Take a complex containing 500 mg of calcium and 250 mg
of magnesium twice daily. This reduces muscle tightness
and nerve irritation. |
Super
Prescription #5 White willow (Salix alba)
Take a product standardized to contain 240 mg of salicin
daily or 5 ml of the tincture form three times daily.
This herbal extract reduces pain and inflammation. |
Super
Prescription #7 Ginkgo
Biloba - LifeSource
Product
Take capsules twice daily of a product standardized to
24 percent flavone glycosides. Ginkgo improves circulation. |
Symptoms
Symptoms
can occur in one or both hands.
-
Numbness,
tingling, or pain in the thumb and the first three fingers
-
Pain is worse at night and/or in the morning
-
Weakness of the thumb and the first three fingers
-
-
Pain may radiate to the forearm or the shoulder
-
Continuous
use of the fingers and the hand
-
Constant vibration of the fingers and the hand (as in holding
a jackhammer for long periods of time)
-
Pregnancy or other hormonal changes that cause fluid retention
-
Inflammatory arthritis in the wrist
-
-
TREATMENT
CTS is
often brought on or made worse by pregnancy. If you’re
pregnant or nursing, check with your doctor before taking any
herbs or supplements or making radical changes to your diet.
Diet
Recommended
Food
If you’re
overweight, there’s a good chance you will find relief
from the pain of CTS by following a wholesome diet based on
whole grains, fresh fruits and vegetables, and lean protein
(especially beans and soy). This eating plan will help you lose
weight safely and will take pressure off the carpal tunnel.
Drink a
glass of clean water every two waking hours to combat fluid
retention.
A deficiency
of vitamin B6 may be a cause of CTS, so consume plenty of beans,
brewer’s yeast, and wheat germ. Green leafy vegetables
are good sources of B6 as well.
Green drinks
are also good for reducing inflammation.
Foods to Avoid
Fluid retention
puts pressure on the carpal tunnel, so eliminate sources of
sodium from your diet.
Avoid saturated
fat, which slows circulation.
Other Recommendations
-
Use
a cold compress to reduce swelling.
-
Cigar and cigarette smoke disturbs the circulation. If you
smoke, quit. If you’re exposed to secondhand smoke,
remove yourself from the smoky environment as much as possible.
-
Pregnant women whose CTS is brought on by edema will find
that their symptoms disappear after their babies are born.
-
If your CTS has been caused by overuse of the wrist and the
fingers, stop all repetitive hand motions for a few days.
When you return to your work, you’ll need to alternate
repetitive tasks with other activities. Take a break every
hour to rest and to rotate your wrists, and try to keep your
work environment warm and dry, as cool, humid conditions can
aggravate CTS.
-
If you work on a computer, make sure your screen is two feet
away from your body and slightly below your line of vision.
Also, use a wrist rest. Most employers are now aware of CTS
and will provide ergonomic workspace if you ask for it.
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