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Avoid activities that reproduce sharp pain Reduce gripping intensity and duration by 50% or more Use tools with padded grips or larger handles Take frequent breaks during repetitive tasks Ice after activities that cause mild discomfort Gradually increase gripping activities as pain allows Introduce light resistance exercises for forearm muscles Continue using protective equipment and ergonomic modifications Monitor for any return of sharp pain as a warning sign Progressive return toward normal activities Increase resistance and duration incrementally Maintain stretching and strengthening exercises Address any technique or equipment factors that contributed to original injury Work-related considerations deserve attention for those whose occupations involve repetitive hand use

Protocols vary some clinicians dose once daily before bed

Here's what the evidence actually shows

doi: 10.1177/0269881109359096

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doi: 10.1016/S1046-5928(03)00015-9