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Posted in Peptides Hand, Wrist & Elbow||By Don Buford, MD

Do you have numbness and pain in your hands? Has your grip weakened over time? Do you have difficulty with buttons or other finite tasks? Do you wake up in the middle of the night with numbness and pain in your hands? If you answered yes to any of these questions, you might have carpal tunnel syndrome. You may have several options when it comes to treatment, one of them being orthobiologics.

What is carpal tunnel syndrome?

The carpal tunnel is the small space in your wrist where a group of tendons and the median nerve pass into the hand from the forearm. This nerve can get pinched or narrow due to an injury or illness but, most often, it’s something else entirely.

Carpal tunnel syndrome is generally caused by repetitive motion of the wrist and hand, such as from typing. But anything that constricts or irritates the median nerve can lead to carpal tunnel syndrome. Some risk factors associated with the condition include obesity, arthritis, diabetes, and even being female.

Orthobiologics as a treatment option for carpal tunnel syndrome

It’s easy to ignore the early symptoms of carpal tunnel syndrome. But once the condition progresses to the point where you are in constant pain or can’t do normal activities, you’re going to have to take some action. You have several treatment options.

Some conservative measures include taking anti-inflammatory medication, wearing wrist braces, and getting cortisone shots. If these measures don’t provide relief, your doctor may recommend surgery, which is called a carpal tunnel release.

But there’s another approach that can make a difference with carpal tunnel syndrome - orthobiologics. These are natural substances, such as blood components, cells, and growth factors, that can speed up the healing process of damaged tendons, ligaments, muscles, and bones. The material is taken from your own body and redistributed to the areas where it will do the most good. In many patients, this is in the wrist where there is damage or deterioration that is causing pain and limiting function.

Platelet Rich Plasma (PRP) for carpal tunnel syndrome

If you are considering orthobiologics for wrist pain, platelet-rich plasma (PRP) therapy is worth considering. With PRP, your own blood is collected and placed into a centrifuge machine to separate out the plasma and platelet components. 

Every patient’s needs and goals are different. Recently published studies have shown that platelet-rich plasma can help minimize patients; pain and discomfort from carpal tunnel syndrome.  Before having repetitive steroid shots, consider the natural alternative!

Common questions

Do peptides like BPC-157 help carpal tunnel syndrome?
There is no published human evidence that they do. The registered trial most often cited for BPC-157, NCT02637284, has no peer-reviewed, publicly posted human safety results, and the FDA placed BPC-157 in Category 2 for compounding over safety concerns and a lack of adequate human data. No controlled human study supports a peptide for carpal tunnel specifically. Platelet-rich plasma does have published studies behind it.
How do I know it is carpal tunnel and not something else?
The pattern is distinctive: numbness and pain in the hand, a grip that has weakened over time, difficulty with buttons and other fine tasks, and waking in the middle of the night with numbness. Carpal tunnel syndrome is compression of the median nerve where it passes through the wrist. Risk factors include obesity, arthritis, diabetes and female sex. Examination with ultrasound separates it from other causes.
Is PRP an alternative to carpal tunnel release surgery?
It is worth considering before repeated steroid shots, not a replacement for surgery in every case. Published studies show platelet-rich plasma can reduce the pain and discomfort of carpal tunnel syndrome. PRP is made from your own blood, spun to separate the plasma and platelet fractions. Whether it fits depends on how far the nerve compression has progressed, which is what the evaluation determines.

Find out if you're a candidate

Sadly, carpal tunnel syndrome isn’t something that will just “go away” without some type of therapy. Whether you require surgical intervention or wish to stick to more conservative measures, you owe it to yourself to see if you might be a candidate for orthobiologics.

Dr. Buford of Texas Orthobiologics is the expert in regenerative medicine in the Dallas/Fort Worth area. If you’re suffering from ongoing wrist pain, contact our office at (877) 777-8883, or request an appointment today for a consultation to learn more about orthobiologics and its applications for carpal tunnel syndrome.

Don Buford, MD is a board certified orthopedic surgeon. That matters here because the same physician who can offer you an orthobiologic injection can also tell you honestly when an injection is not the right answer and an operation is. A clinic that cannot perform the surgery has no way to make that comparison.

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Don Buford, MD

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