Natural Cures Guide

Back in the days before computers, carpal tunnel syndrome seemed to seemed to happen only to dairy farmers and needleworkers. Now that so many of us are “mousing and keyboarding”–without even stopping our typing long enough to hit a carriage return–this disorder of a nerve in the wrist affects thousands of people.

Carpal tunnel syndrome involves the compression of the median nerve, which passes between the bones and the ligaments of the wrist through what is called the carpal tunnel. When this nerve is repeatedly compressed, it can react by swelling. Typical symptoms include a tingling when the wrist is tapped, or increased pain at night, especially if the wrists are bent. The thumb and any of the next three fingers might be affected. The disorder can occur in one or both hands.

Hairstylists, carpenters, food service workers, and anyone else who uses repetitive hand motion in their work may also be at risk. Pregnancy may also play a role because of the fluid retention that moms-to- be experience. Sometimes the tendons of middle-aged women thicken, narrowing the tunnel and causing pressure on the nerve.

If carpal tunnel is severe enough, doctors may use a steroid injection to alleviate inflammation, although this approach doesn’t cure the condition. Sometimes the only course of treatment is surgery to free the affected nerve.

HERBAL REMEDIES

Turmeric (Curcuma longa)

This common kitchen spice contains a substance that can lower prostaglandin levels and reduce inflammation. Typical dosage: one 300-milligram capsule (standardized to 95 percent curcumin, the active ingredient) one to three times per day; or 10 to 30 drops of tincture up to three times per day; or up to 1 teaspoon of powdered spice per day in food.

Boswellia (Boswellia serrata)

This tree resin can block the production of leukotrienes and prostaglandins, two body chemicals that favor inflammation. It has a long tradition of use in Ayurvedic medicine for various types of joint, nerve, and muscle pain. Typical dosage: 300 to 350 milligrams in capsules two or three times per day (look for products that contain 65 percent boswellic acid).

Ginkgo (Ginkgo biloba)

Concentrated extracts of compounds from this tree’s leaves increase blood flow and reduce swelling. Ginkgo also protects nerves and helps them heal. Typical dosage: 60 milligrams of extract in capsules or tablets standardized to 24 percent flavone glycosides, two or three times per day.

SUPPLEMENTS FOR SUPPLENESS

If you’re risk for developing carpal tunnel syndrome, you may want to check you intake of the following nutrients:

* Vitamin B6. Clinical data strongly suggest that a vitamin B6 deficiency may contribute to carpal tunnel syndrome. While 25 milligrams of vitamin B6 is considered adequate, some treatments for carpal tunnel syndrome involve taking 200 milligrams for two or three weeks, then half that dose for another one or two weeks. Results are not usually seen for a month–sometimes six weeks. Caution: Discuss your dosage with your doctor, because high doses of vitamin B6 can be toxic. This vitamin also works best in combination with others, so a doctor’s advice is doubly crucial.

* Vitamin C with bioflavonoids. This broad-spectrum nutrient is vital to tissue repair and healing and it can contribute to reducing inflammation. Vitamin C also plays a significant role in connective tissue regeneration. Typical dosage: 1,000 milligrams with each of three meals.

* Bromelain. Anyone who requires surgery for carpal tunnel syndrome should take bromelain for its ability to lessen swelling and inflammation. If you choose not to undergo surgery, bromelain helps prevent further tissue inflammation. Typical dosage: 5oo milligrams one to three times per daily.

* Grapeseed extract. Also known as pycnogenol, this compound contains powerful compounds that inhibit swelling and inflammation. Added bonus: It’s good for your heart. Typical dosage: 500 milligrams two or three times per day.

CARING FOR HARDWORKING WRISTS

In addition on taking herbs internally, there’s great deal you can do to prevent carpal tunnel syndrome or to treat a mild case before it worsens. You can apply herbs topically, or you can try wearing a wrist splint through the night or while working. Take frequent breaks, stretching your wrist and neck muscles when you do. Many doctors advise consulting a physical therapist for and individually tailored exercise program that takes into account the severity of your condition. One exercise suggested by American Physical Therapy Association involves resting your forearm on a table or desk. With the other hand, grab the resting hand’s fingertips. Pull back gently for 3 to 5 seconds. Repeat for the other hand.

Other ways to take the burden off your wrists:

* Hydrotherapy. Alternating between cold and hot packs may bring some pain relief, although the effect is usually only temporary.

* Acupuncture or acupressure. Either technique may help stimulate circulation and relieve pain. Consult a qualified practitioner trained in these disciplines.