Chief Complaint: pain of upper extremities
Western Diagnosis: RSI
Medical History: A very common referral to our practice by Neurologists and Orthopedics is patients with the diagnosis of CT (Carpal Tunnel). The majority of the times the patients will have a median nerve conduction that is normal. Main complaints: pain and burning of the elbow-hand-fingers, not responding to any of the usual NSAIDs (Not Steroids Anti-Inflammatory Drugs), physical therapy or surgery. The medication usually prescribed will be Ibuprofen 600-800 mgs. 2/3 times a day, Naproxen 500 mgs. 2 times/day or newer drugs like Viox or Celebrex. The secondary effects of these drugs are related to the upper GI: nausea, vomiting, heartburn etc. In many cases the secondary effects are so severe that the patient needs to discontinue the medication.