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Rapid response to:

Practice Clinical Updates

Acquired triggering of the fingers and thumb in adults

BMJ 2017; 359 doi: (Published 30 November 2017) Cite this as: BMJ 2017;359:j5285

Rapid Response:

Re: Acquired triggering of the fingers and thumb in adults

It may be of interest to the authors that they could consider, prior to more drastic intervention, the daily administration of an oral intake of E-304 powder (2.4gm) and fish oil (5ml).

In practice this has been found to quickly reduce or eliminate the trigger effect in a number of cases and appears consistent with the effect of the same administration in cases of swollen joints and pain in RA. Daily intake can be an effective dampener of symptoms for years ( 6 years so far in an informal trial).

I would be pleased to discuss this if colleagues are interested.

Competing interests: No competing interests

01 December 2017
Andrew J C Carmichael
Retired Dental Surgeon Charity chair
Parkinson's Improvement Programme
27 Newton Road, Ashton, PRESTON PR2 1DY