Carpal Tunnel Syndrome

Condition Description

A group of symptoms and caused by compression of median nerve in the carpal tunnel

Common Symptoms

• Numbness and tingling primarily in the first 3 fingers, aching and pain in the anterior wrist and forearm, and clumsiness or weakness of the hand
• Tingling or pain may be severe enough to cause one to wake up in the middle of the night
• One sign pain may be CTS is if symptoms are subside upon shaking the hand
• Muscular atrophy of the hands in severe cases
• Finger stiffness and sensitivity to cold

Underlying Causes

• Occupations involving repetitive movements of the wrist
• Obesity
• Hypothyroidism

Traditional Approach

• Wrist splints
• Diuretics like hydrochlorothiazide if there is significant edema
• Non-steriodal anti-inflammatory drugs (NSAIDs) for pain like Ibuprofen (Advil), and Celecoxib (Celebrex)
• Corticosteroid injection in the carpal tunnel like Methylprenisolone Acetate (Depomedrol), Dexamethasone (Decadron), and hydrocortisone
• Surgery (one-time or multiple may be required)

EHAC Approach

• Most cases will respond to magnesium and vitamin B6 supplementation
• Test for and treat any hypothyroidism
• If applicable, manage obesity and reduce weight