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Even more encouraging, a systematic review looking at the efficacy of joint mobilization in CTS found when adjusting the cervical spine combined with the carpals, there can be an improvement in a patients range of motion, sensory function, motor function and pain management (4)

doi: 10.1016/j.jaut.2023.103050

Evidence on the effectiveness of these isnt abundant at the moment but Im not against them

B12 deficiency itself commonly causes fatigue and disrupted sleep patterns, which improve with appropriate treatment

Because B12 symptoms can look like symptoms of other diseases, diagnosing a B12 deficiency can be challenging