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Carpal Tunnel Protocol

     

There is a LOT you can do to Treat CTS

     

"Carpal tunnel syndrome (CTS) is a relatively common disorder characterized by pain, tingling, numbness, or changes in sensation in the hands, wrists, or fingers. CTS results from irritation or compression of the median nerve, which travels from the wrist into the hand through a canal called the carpal tunnel. Several integrative interventions, including B vitamins and acetyl-L-carnitine, may decrease the pain caused by CTS and improve hand function."   Carpal Tunnel Syndrome

"Many clinical studies agree that the curcumin in turmeric has anti-inflammatory effects, including a significant beneficial effect in relieving rheumatoid arthritis and carpal tunnel syndrome. Turmeric is packed with antioxidants including vitamins A, C and E which have been shown to prevent cataracts."   Prevention   Note you must use curcumin AND turmeric concurrently to get the max benefits of curcumin

"There is some evidence that by decreasing inflammation flax may help with carpal tunnel syndrome."   Prevention

"Several lines of evidence suggest that inflammation likely plays a role in the pathophysiology of CTS. For example, in one study, tenosynovial fluid samples from individuals with CTS were found to contain greater concentrations of inflammatory cells and elevated markers of oxidative stress compared to samples from people without CTS "   Kim, Koh 2010; Buckley 2011

"CTS is more common in women than men, and there is an apparent correlation with female sex hormones, although the exact nature of the relationship remains unclear (Kim, Hann 2010; Ferry 2000). The age of peak incidence of CTS in women is 40-60 years, which coincides with menopause (Mattioli 2008; Ashworth 2013b). An early observational study found that 17 of 53 (32%) women whose ovaries had been removed (oophorectomy) had CTS. In contrast, only 10% of premenopausal women in this study had CTS"   Note this implies IMO women over 40 should explore and possibly treat for postmenopausal hormone problems

"CTS appears to occur frequently in individuals with hypothyroidism (low thyroid hormone levels) (Kececi 2006). A study of over one million patient records found that hypothyroidism was correlated with CTS, and more so in individuals under the age of 39 compared to older people (Tseng 2012)."

"General aerobic exercise such as walking, swimming, and bicycling may be useful for reducing CTS symptoms. A study of 30 adults with CTS found that participation in a supervised aerobic exercise program for 10 months reduced pain, tightness, and improved fine motor skills (Nathan 2001). In one preliminary trial, yoga was found to relieve some CTS signs and symptoms more effectively than splinting (Garfinkel 1998)."   Note IMO get on a daily walking program and gently "shake out" the affected body part as you are walking

"A small, uncontrolled trial found that vitamin B6 supplementation for at least 12 weeks greatly improved CTS symptoms in four subjects with laboratory signs of vitamin B6 deficiency (Ellis 1981). The same research team later studied seven CTS subjects, finding that all had significant blood deficiencies of vitamin B6. A double-blind, crossover study of these seven CTS subjects reported that daily supplementation with 100-150 mg B6 for 10-12 weeks resulted in marked improvement in CTS symptoms compared to the placebo phase of the trial (Ellis 1982). Another study found that among 137 men who did not take dietary supplements, a lower blood level of vitamin B6 was associated with a significantly higher prevalence of CTS symptoms such as tingling, wrist/hand pain, and nocturnal awakening (Keniston 1997). Several additional trials have reported that supplementation with 50-200 mg/day of vitamin B6 resulted in fewer CTS symptoms, less pain, and better nerve conduction (Gaby 2011; Bernstein 1993)."

"ALA has shown promise for the treatment of CTS. In a study of 112 individuals with moderate CTS, subjects were treated with either 600 mg ALA plus 360 mg gamma-linolenic acid (GLA) (an anti-inflammatory omega-6 fatty acid found in borage seed oil, evening primrose oil, and black currant seed oil) or a combination of three B vitamins (100 mg B1, 150 mg B6, and 500 mcg B12) daily. After 90 days of treatment, the ALA/GLA group improved significantly in both symptoms and functional scores, while those given B vitamins exhibited slightly improved symptoms."    Di Geronimo 2009

"Acetyl-L-carnitine is another compound found to be effective in oral and injectible forms, in both animal and human trials, for a variety of neuropathies (Memeo 2008; Flatters 2006; Chiechio 2006; De Grandis 2002; Youle 2007). Acetyl-L-carnitine promotes peripheral nerve regeneration and has pain-relieving effects in patients with many types of nerve pain of the extremities. Acetyl-L-carnitine improves the efficiency of a number of energy-intensive biochemical processes essential for nerve repair."    Memeo 2008; De Grandis 1998

"Omega-3 fatty acids may also be useful in treating CTS, although the evidence is sparse. A case report told of a 47-year-old auto mechanic whose CTS improved dramatically after being treated with 3000 mg eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) daily for 8 months. The patient was able to avoid surgery and continue full-time work. Omega-3 fatty acids may block pain receptors involved in neuropathic pain."    Ko 2010

"Serratiopeptidase is a protease (protein-dissolving enzyme) derived from a bacterium found in silkworms. Serratiopeptidase possesses anti-inflammatory action that has been reported to be comparable to that of the NSAID diclofenac sodium (Voltaren) (Jadav 2010). One study reported that 10 mg of oral serratiopeptidase given twice daily for 6 weeks was associated with significant clinical improvement in 13 of 20 (65%) CTS subjects. Significant improvement in median nerve conduction velocity was also noted. No adverse side effects were reported."    Panagariya 1999   Note see the Serrazimes® protocol for information on how to get these benefits

"A small study (involving 20 patients) done over a period of six weeks and published in the Journal of the Association of Physicians in India, found that Serrapeptidase may help improve carpal tunnel syndrome. No significant side effects were observed.4."   Note see the Serrazimes® protocol for information on how to get these benefits

"If there is noticeable inflammation in carpal tunnel syndrome, or if another inflammatory condition such as rheumatoid arthritis is causing symptoms to be even worse, salmon can be helpful, explains Elena Tovar, RD, a clinical dietitian at Montefiore Medical Center in New York City."   Note IMO ASSUME and treat for Inflammation; the salmon supplies Omega 3 and DHA and EPA

     

Inflammation and CTS

"Carpal tunnel syndrome (CTS) is a relatively common disorder characterized by pain, tingling, numbness, or changes in sensation in the hands, wrists, or fingers. CTS results from irritation or compression of the median nerve, which travels from the wrist into the hand through a canal called the carpal tunnel. Several integrative interventions, including B vitamins and acetyl-L-carnitine, may decrease the pain caused by CTS and improve hand function."   Carpal Tunnel Syndrome

"Many clinical studies agree that the curcumin in turmeric has anti-inflammatory effects, including a significant beneficial effect in relieving rheumatoid arthritis and carpal tunnel syndrome. Turmeric is packed with antioxidants including vitamins A, C and E which have been shown to prevent cataracts."   Prevention

"There is some evidence that by decreasing inflammation flax may help with carpal tunnel syndrome."   Prevention

"Several lines of evidence suggest that inflammation likely plays a role in the pathophysiology of CTS. For example, in one study, tenosynovial fluid samples from individuals with CTS were found to contain greater concentrations of inflammatory cells and elevated markers of oxidative stress compared to samples from people without CTS "   Kim, Koh 2010; Buckley 2011

Clearly treating for inflammation is called for in treating CTS.

    

Omega Fatty Acids and CTS

"There is some evidence that by decreasing inflammation flax may help with carpal tunnel syndrome."   Prevention   Note flax also supplies a LOT of CTS healing such as the complete Omega essential fatty acid complex. Flax is a super panacea.

"ALA has shown promise for the treatment of CTS. In a study of 112 individuals with moderate CTS, subjects were treated with either 600 mg ALA plus 360 mg gamma-linolenic acid (GLA) (an anti-inflammatory omega-6 fatty acid found in borage seed oil, evening primrose oil, and black currant seed oil) or a combination of three B vitamins (100 mg B1, 150 mg B6, and 500 mcg B12) daily. After 90 days of treatment, the ALA/GLA group improved significantly in both symptoms and functional scores, while those given B vitamins exhibited slightly improved symptoms."    Di Geronimo 2009

"Omega-3 fatty acids may also be useful in treating CTS, although the evidence is sparse. A case report told of a 47-year-old auto mechanic whose CTS improved dramatically after being treated with 3000 mg eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) daily for 8 months. The patient was able to avoid surgery and continue full-time work. Omega-3 fatty acids may block pain receptors involved in neuropathic pain."    Ko 2010   Note deep ocean fatty fish such as Salmon are a great way to get your Omega Fatty Acids to include EPA and DHA

    

Vitamin B6 and Carpal Tunnel

"It  [Vitamin B6]  is also required in myelin sheath  formation.43 "   Learn more about Vitamin B6

"Vitamin B-6 (pyridoxine), can act as a natural therapeutic agent for nerve compression injuries when taken in 100 mg doses two or three times a day. (At doses higher than 300 mg daily, B6 has caused nerve damage in a few individuals; discontinue use if your symptoms are progressing.)."    Doctor Weil MD on Carpal tunnel   Note IMO stay under 200 mg/day and get LOTS of NATURAL B6 in Green Leafy Vegetables especially Spinach

“Vitamin B6 functions as an analgesic and can help ease pain,” says Kim Larson, RDN, a national spokesperson for the Academy of Nutrition & Dietetics. “Many people feel that it reduces their symptoms of carpal tunnel syndrome.” If you want to take vitamin B6 as a supplement, don’t take more than 200 milligrams per day. If you prefer to get your vitamin from food, try making a fresh spinach salad, spinach pie, or an omelet filled with spinach."   Note Natural B6 is also found in green leafy vegetables, spinach, chicken, oranges, bananas, cauliflower, and cantaloupe

"Mild deficiencies in vitamin B6 are relatively common. Sources of this vitamin include potatoes, milk, cheese, eggs, fish, carrots, spinach, and peas. Vitamin B6 is useful in treating general deficiency and neuritis. Patients with CTS receiving benefit from pyridoxine therapy are thought to have an underlying deficiency or neuropathy. More studies are needed to assess the effectiveness of vitamin B6 in CTS, but the supplement may be useful in patients with an underlying deficiency."   Learn more about Vitamin B6

"CTS patients may be deficient in vitamin B6 and B12, and studies have found improvement in CTS symptoms, including less pain and better nerve conduction, with vitamin B6 and B12 supplementation."   Carpal Tunnel Syndrome

A lot of controversy surrounds Vitamin B6 as a treatment for CTS. I think there is no controversy that a deficiency of B6 can be a major factor in CTS. Vitamin B6 may very well IMO help your CTS. IMO take 100 mg/day as a supplement and get LOTS of Natural B6 from foods especially Green Leafy Vegetables and Spinach.

    

Serrazimes® and CTS

"For the millions of Americans who take anti-inflammatory medications to relieve pain and to promote cardiovascular health,1 there is a supplement that shows great promise. The name of this supplement is Serrapeptase and doctors in Europe have been prescribing it to treat everything from pain to atherosclerotic plaques. Serrapeptase, technically called Serratio Peptidase, is a proteolytic enzyme, which means that it chops up or digests protein. It is produced by bacteria in the gut of silkworms and is used to digest their cocoons. When this enzyme is isolated and coated in the form of a tablet, it has been shown to act as an anti-inflammatory and a pain-blocker, much like aspirin, ibuprofen and other nonsteroidal anti-inflammatory drugs (NSAIDs). What’s more, preliminary research indicates that Serrapeptase may even help inhibit plaque build-up in arteries, thereby preventing atherosclerosis (hardening of the arteries) and a resulting heart attack or stroke. Therefore, much like aspirin, this naturally derived enzyme may work to prevent inflammation, pain, heart attack and stroke. Unlike aspirin and other over-the-counter (OTC) NSAIDs, Serrapeptase has not been shown to cause ulcers and stomach bleeding."   Serrapeptase:

"Serratiopeptidase is a protease (protein-dissolving enzyme) derived from a bacterium found in silkworms. Serratiopeptidase possesses anti-inflammatory action that has been reported to be comparable to that of the NSAID diclofenac sodium (Voltaren) (Jadav 2010). One study reported that 10 mg of oral serratiopeptidase given twice daily for 6 weeks was associated with significant clinical improvement in 13 of 20 (65%) CTS subjects. Significant improvement in median nerve conduction velocity was also noted. No adverse side effects were reported."    Panagariya 1999   Note see the Serrazimes® protocol for information on how to get these benefits

"A small study (involving 20 patients) done over a period of six weeks and published in the Journal of the Association of Physicians in India, found that Serrapeptidase may help improve carpal tunnel syndrome. No significant side effects were observed.4."   Note see the Serrazimes® protocol for information on how to get these benefits

"Serratiopeptidase was given twice daily for six weeks in a clinical trial and was associated with significant clinical improvement in 65% of CTS subjects. Significant improvement in median nerve conduction velocity was also noted."   Carpal Tunnel Syndrome

Serrazimes® is a supplement derived from enzymes to replace Serratiopeptidase. Serrazimes® has been widely used with good success in Europe for decades. The above evidence shows it should be used in your CTS treatment program.

Always take Serrazimes®  on an empty stomach; otherwise it will be used to digest any food in your stomach and not enter  your blood stream.

By extension other Proteolytic Enzymes such as Bromelain have demonstrated help for CTS

     

Proteolytic Enzymes such as Bromelain as Treatment for CTS

"Chopped, diced, or sliced, fresh pineapple may ward off carpal tunnel syndrome symptoms, says Gardner. “Pineapple has an enzyme in it called bromelain that can break down inflammation,” she explains. “You could also take the enzyme in a concentrated pill, but don’t take the pill if you are on aspirin, blood thinners, or antibiotics. As an added health bonus, pineapple also acts as an aid to digestion, and it’s a good source of vitamins, too. Try making a fruit salad with pineapple, papaya, unsweetened coconut, and blueberries. Spark the flavor with fresh ginger, which also has anti-inflammatory properties."    Carpal Tunnel    Note be sure to include the CORE of any fresh pineapple you use. All the Bromelain is in the CORE

"Bromelain (500 mg 3x between meals). An enzyme found in pineapple [Core only], bromelain has a natural anti-inflammatory effect. Bromelain extract comes from the core of a pineapple. It’s a proteolytic or anti-inflammatory enzyme. It works very well when taken in combination with supplements like turmericboswellia and ginger. All can help relieve some of that pressure in the carpal area. They also have benefits for other areas of the body (including achy joints)."   Doctor Axe ND

Proteolytic Enzymes such as Bromelain have demonstrated help for CTS. This is due IMO to the digestion inflammation products.

Always take Proteolytic Enzymes on an empty stomach; otherwise it will be used to digest any food in your stomach and not enter your blood stream.

IMO Proteolytic Enzymes and Serrazimes® should be part of any treatment for CTS.

    

Doctor Axe ND On Carpal Tunnel

You might not associate a poor diet with problems like carpal tunnel syndrome. But, the truth is that the quality of the foods you eat directly impacts inflammation levels throughout your whole body. Your ligaments, joints and tissue are all affected. You want to eat plenty of anti-inflammatory foodsThis means lots of fresh fruits, vegetables and omega-3 foods. Omega-3 foods include wild-caught fish. You can also try taking a fish oil supplement."   Doctor Axe ND

Doctor Axe ND On Carpal Tunnel

Here are the top foods for carpal tunnel relief, plus a bit about why they are beneficial:

  • Whole fruits and vegetables. Your body needs antioxidants, electrolytes and other nutrients from fruit and vegetables to help fight inflammation and heal. 

  • Consuming colorful plant foods rich in potassium and magnesium, and low in sodium, can flush excess fluid from areas to reduce swelling.

  • Water. Drink at least about 8 ounces of water every 2 hours to keep your body hydrated, help decrease fluid retention and relieve pain.

  • Foods high in B vitamins. Vitamin B6 deficiency may make carpal tunnel syndrome more likely. Make sure to include sources of B vitamins like green leafy vegetables, beans or wild meats in your diet.

  • Green smoothies, fresh juices or powdered drinks. Any green drink that includes a variety of highly nutritious grasses and sea vegetables can help heal injured tissue and lower free radical damage.

  

On the other hand, here are problematic, inflammatory foods you’ll want to avoid if you have carpal tunnel syndrome:

  • Added sugar. Sugar can increase inflammatory responses and even pain.

  • Too much salt/sodium. Fluid retention increases swelling, so limit your sodium intake from processed, canned, frozen or packaged foods.

  • Foods high in saturated fat. Avoid saturated fat from sources. These include bacon, sausage, cheese or other high-fat processed meats, as saturated fat can slow circulation.

  • Alcohol. More than moderate amounts of alcohol (about 1 drink per day) will increase systemic inflammation, increase swelling, and can reduce the amount of B vitamins in the body, which are critical for healing.

  • Processed grains, especially those containing gluten. Eating lots of processed flour/grain Products may make symptoms worse.

      

Supplements & Essential Oils:

For quick relief, one of the first things you can do right away is take several high-quality supplements.

Vitamin B6. Vitamin B6 reduces nerve inflammation. Research has shown that vitamin B6 and vitamin B12 benefits are wide-ranging.  They are the most effective vitamins to help address carpal tunnel, support your nervous tissue, and help it heal and regenerate. Specifically, I’d recommend a B Complex that includes both vitamin B6 and vitamin B12.

Bromelain (500 mg 3x between meals). An enzyme found in pineapple [Core only], bromelain has a natural anti-inflammatory effect. Bromelain extract comes from the core of a pineapple. It’s a proteolytic or anti-inflammatory enzyme. It works very well when taken in combination with supplements like turmericboswellia and ginger. All can help relieve some of that pressure in the carpal area. They also have benefits for other areas of the body (including achy joints).

Magnesium complex. Calcium and magnesium are electrolytes that help reduce muscle tension. Magnesium helps relax your blood vessels and the muscular tissue that can compress nerves in the delicate carpal area. Restore the levels of electrolytes in your body by taking a magnesium supplement.

Ginkgo biloba (120 mg 2x daily). This herb helps improve circulation, and has additional benefits like supporting high energy levels, too.

Doctor Axe ND    Note Doctor Axe has presented some very good ideas above on CTS IMO

     

 

 

 

 

This File was last updated on 05 February 2020 01:48 PM

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