Carpal tunnel syndrome is caused by compression of the median nerve in the wrist. The compression can result from thickening or retraction of the anterior carpal ligament, from a bone lesion in the wrist causing deformity (osteoarthritis) or from inflammation in a tendon (tenosynovitis).


The patient feels tingling or numbness, often at night, associated with decreased sensitivity in the first three fingers.


The pressure on the nerve must be released by restoring “local joint plasticity” by hydrating the extracellular matrix, and providing micronutrition in the form of a complex of B-group vitamins, magnesium, and organic silica for its anti-fibrosis action. The chelating action of EDTA can also be harnessed along with local vasodilators.
Percutaneous hydrotomy and mesochelation can thus avoid the need for surgical intervention.