bioRxiv2024 September 26
Vitamin D IV push is a therapy where vitamin D is delivered directly into the bloodstream through an intravenous line, bypassing the digestive system for faster and more complete absorption
Common causes / risk factors * Repetitive hand use (typing, manual work) * Pregnancy * Diabetes * Hypothyroidism * Rheumatoid arthritis * Obesity Symptoms (classic pattern) * Numbness & tingling in: * Thumb, index, middle, and half of ring finger * Pain (may radiate to forearm) * Weak grip * Thenar muscle wasting (late sign) * Symptoms worse at night Clinical tests * Phalens test wrist flexion reproduces symptoms * Tinels sign tapping over wrist causes tingling Diagnosis * Mostly clinical * Nerve conduction studies confirm severity Management Conservative (mildmoderate) * Wrist splint (especially at night) * Activity modification * NSAIDs * Steroid injections Definitive * Surgical decompression (release of flexor retinaculum) * Permanent nerve damage if untreated LOAF muscles affected by median nerve * Lumbricals (1st & 2nd) * Opponens pollicis * Abductor pollicis brevis * Flexor pollicis brevis Dr
Studies as early as 1998 validate the use of correct oral treatment as being equally effective as injections, with a conclusion that stated: In cobalamin deficiency, 2,000mcg of cyanocobalamin administered orally on a daily basis was as effective and may be superior for raising blood B12 levels as 1,000mcg administered intramuscularly on a monthly basis
Bianchi G, Giusti A, Pioli G, Barone A, Palummeri E, Girasole G
It's crucial to address the common issues that may arise when your plan doesn't go as intended
