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Wrist Circles: Slowly rotate wrist in circles, 10 each direction, 3 times daily Forearm Stretch: Extend arm, gently pull fingers back, hold 30 seconds Ball Squeeze (light): Gentle squeezes with soft stress ball, 10 reps, 2 times daily Supination/Pronation: Rotate forearm palm-up to palm-down, 15 reps Progressive Loading Phase (Weeks 3-6) As pain decreases and function improves, gradually introduce more challenging exercises

In order for patients to maintain a higher level of Vitamin B-12, we may recommend maintenance injections every 3 6 months

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If you see foam after shaking, let the vial sit in the refrigerator for 15 minutes for the bubbles to dissipate before drawing your first dose