My father's (in his mid 60's) been doing Paleo for about a year except for a brief 2 months in Oct 2011 but has wrist inflammation for several years severe enough he can't help my Mom with cooking, lift things, basically do normal things. He doesn't want to retire from his job and stop the things he loves doing.
This was NOT computer triggered. Back several years ago when he had OCD (which improved on Paleo, although that might be his new obsession!) he did repetitive behaviors like stapling stacks of papers for his office for maybe an hour or more. He no longer does these behaviors.
His blood numbers are great - even better on Paleo his cardiologist friend and PCP have noted - no low Vitamin D or anything. No other medical issues except mild allergies that improved on Paleo. No prescription drugs.
My father tried acupuncture, Chinese herbals, physical therapy, cortisone injections - everything but surgery but now he feels he's exhausted all alternative methods because while Paleo improved the inflammation, not enough to let him do the things he wants. The cortisone and physical therapy worked partially but only temporarily. He saw no benefit from acupuncture and Chinese herbals.
I'm at my wit's end because he takes good supplementation and eats pastured Paleo. Thanks for your help.
UPDATE: he does have grass-fed dairy (he's had dairy he's entire life) - how long should he go dairy-free to test that out? His milk is raw.
Update 2: He went to at least 3 different hand surgeons. The last one seemed the most honest and told my father to come back when the pain is bad enough. The pain fluctuates between 1-7. It could be osteoarthritis, tendonitis, etc. The doc said to come back when his pain was bad to diagnose it properly.
I recommended bone broth and collagen supplementation. He's already been taking glucosamine for years. Any recommendations on dosages or type of glucosamine - sulfate, etc.?
When I had carpal tunnel, I didn't have as much pain as you've described, but the back of my hand would hurt when I picked anything straight up with my fingers spread (like lifting a bowling ball), and the smallest finger or two would sometimes go numb. A strength test showed that the afflicted hand had about a tenth the squeezing strength of the other. A chiropractor adjusted the bones in my wrist from the palm side, pushing them deeper toward the center. He also adjusted my elbow, and my shoulder, which seemed to be slightly out of socket and also had pain from repetitive movement. I don't know which adjustment(s) were the most important, but I've never had trouble with it again (and I spend a lot of time at the keyboard). He said if I ever felt it coming back, I should massage that area of the wrist, putting some pressure on those bones to encourage them to stay down where they belong. I may have done that some at first, but haven't felt the need to for years.
That was about 20 years ago, so I'm happy with the results, especially considering that people getting carpal tunnel surgery have told me the surgeons say it'll probably give them 5-10 years of relief before they have to work on it again. Over the years, I've actually come around to thinking that many things chiropractors do are quackery or temporary pain relief; but in this case, it made the difference. I don't know how many people with carpal tunnel would get the same relief, but I figure it's worth the $50 to try it if there's a chance it'll save you expensive and painful surgery.
You say he's had PT, was he seeing a hand therapist specifically or just a general physical therapist? I saw a hand therapist when I had tendonitis in my wrist and she was able to identify some structural stuff in my hands that meant that standard bracing made my situation worse and gave me an alternative brace that made a world of difference. A hand therapist has had extensive additional education in the structures of the hands, wrist and fingers above and beyond a conventional PT.
One tip she gave me that I've passed onto a number of my friends with wrist/hand issues is to sleep in your brace. Many people (myself included) curl up their hands and wrists as they sleep, and this impairs circulation and healing and can lead to further inflammation of nerves & tendons. I actually got more out of sleeping in the brace, and then going about my day without the brace (to rebuild strength and flexibility) than I would have gotten just bracing my wrist when doing common tasks.
A good neuromuscular therapist can fix carpal tunnel issues for a few hundred dollars.(And they will fix other "things" during the same hour visits!) The best therapist in Boston is Randy Payne. He works in Somerville. His phone number is 617-926-8175. Don't waste another minute.
I'd recommend HIGHLY It's not carpal tunnel syndrome. Amazing book
people have traveled all over the country to see this woman, Suparna Damany, she is supposed to be really good
Ditto on the Neuromuscular Therapist. I am one in the Atlanta area. Carpal tunnel syndrome or its relative Thoracic Outlet syndrome are no problem for a good NMT. And as shah78 said, we are pretty cheap as well. People just don't know about us. Don't waste another minute.
He could try a lowish carb autoimmune paleo plan. This will cut down any additional inflammation and work to lower insulin and blood sugar, which work to hold in more fluid. I hope he's not eating aspartame.
Vitamin B12 deficiency can give rise to neurological symptoms such as carpal tunnel symdrome.
I supplement with sublingual B12 (as methyl-cobalamin, which has good absorbtion) and symptoms of carpal tunnel and tarsal tunnel (the equivalent thing in the foot) have gone.
Apparently it is possible to have B12 deficiency in the tissues even if blood levels seem to be normal, so I would not rule out B12 before giving it a try.
Here's a set of exercises from Matt Furey, a semi-controversial martial-arts-fitness-self-help author. I don't know if my sore wrists were technically a result of CTS, but these simple exercises permanently ended the pain.
(BTW, this is a torrent for the .avi file, which has been ripped from a DVD. You'll need a torrent client to download.)
im no expert on medicine but from my reading he should at least have a non invasive radiography to see if he has some tissue calcification going in from a previous injury. i hope he is avoiding aspirin or other non steroidal anti inflammatory agents because they always delay healing.