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Home/Large Joints and Extremities/Menthol Gel Eases Carpal Tunnel Pain
Large Joints and Extremities

Menthol Gel Eases Carpal Tunnel Pain

November 13, 2014 1 min read Premium comments

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Menthol Gel Eases Carpal Tunnel Pain
Source: Wikimedia Commons and Angel Caboodle
Secondary

A menthol gel, which goes by the name of Biofreeze, reduced hand and wrist pain by 31% according to a study published in Rehabilitation Research and Practice. The study was conducted by researchers from the National Research Centre for the Working Environment in Copenhagen, Denmark, and reported by Rachel Lutz, writing for FCP, Live.

The researchers studied 645 carpal tunnel syndrome (CTS) patients who worked in a slaughterhouse. The participants ranged in age from 18 to 67, worked in the slaughterhouse for at least 30 hours per week, had pain in the shoulder, elbow, forearm, hand, or wrist of an intensity of 3 or more on a scale from 1-10, had “some” work disability and did not participate in resistance training or receive ergonomics instruction during the last year.

The researchers also recruited ten CTS patients who had chronic pain in their arms or hands. They were randomly placed into two groups to either receive Biofreeze or a placebo gel treatment. Researchers applied treatments to the wrists and hands during the work day and 48 hours later. The results showed a 31% reduction in chronic pain in workers with CTS.

The researchers believe topical menthol analgesics could serve as an effective alternative to oral analgesics which have the potential for adverse outcomes. “Topical menthol acutely reduces pain intensity during the working day in slaughterhouse workers with CTS and should be considered as an effective non-systemic alternative to regular analgesics in the workplace management of chronic and neuropathic pain, ” the authors concluded.

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Discussion

14
DS
Dr. Sarah MitchellOrthopedic Surgeon · Mayo Clinic

This is a fascinating development. In my practice we've seen similar outcomes with the revised protocol. The key differentiator seems to be patient selection criteria. Has anyone else noticed the correlation with BMI thresholds?

8
JT
James Thornton, MDSpine Fellow · HSS

Great point. I'd push back slightly on the conclusion, the sample size in the cited study is too small to draw population-level inferences. That said, the directional signal is compelling and worth a larger RCT.

5
RP
R. PatelSports Medicine · Stanford

We implemented a similar approach last year. Early results are promising but we're still gathering 12-month follow-up data. Happy to share our protocol if anyone is interested.

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