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Cissus Quadrangularis

herb Verified

Specifically for Carpal Tunnel Syndrome

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Why it works for Carpal Tunnel Syndrome:

There are no human clinical trials showing CQ relieves CTS. Standard, evidence-based CTS care remains wrist splinting, local corticosteroid injection, ergonomics/nerve-gliding, and surgery when indicated. Cleveland Clinic

Why some people consider it anyway: CQ has anti-inflammatory and analgesic activity in lab and animal models (inhibits COX-1/COX-2 and 5-LOX, down-regulates iNOS/TNF-α, up-regulates HO-1/Nrf-2), and small human studies suggest it can reduce nonspecific joint pain. CTS symptoms are often worsened by flexor-tendon synovitis and tunnel swelling, so—theoretically—an anti-inflammatory could help symptoms, but that hasn’t been tested for CTS. Europe PMC

How to use for Carpal Tunnel Syndrome:

Dose range: Most supplements supply 500–1,000 mg/day; human studies have used 300–3,200 mg/day. Many joint-pain and bone-health trials split the dose BID with meals. Start low and assess tolerance. Healthline

Formulation: Look for a standardized extract from reputable brands; there’s no single “gold-standard” extract. Choose products with third-party testing (e.g., USP/NSF) since supplements aren’t regulated like drugs. Verywell Health

Trial period: If you try it in addition to a night wrist splint, ergonomic changes, and nerve-gliding exercises, reassess at 4–8 weeks. Seek medical review sooner if weakness/progressive numbness appears (possible nerve injury). Cleveland Clinic

Scientific Evidence for Carpal Tunnel Syndrome:

There are no CTS-specific CQ trials. Evidence relates to mechanism, bone/joint outcomes, and general joint pain:

  • Mechanism (lab): CQ fractions inhibit COX-1/COX-2/5-LOX; also modulate iNOS/TNF-α/Nrf-2/HO-1—consistent with anti-inflammatory/analgesic potential. Europe PMC
  • Human joint pain (not CTS): Pilot study of 29 exercise-trained men taking 3,200 mg/day for 8 weeks reported ~31% reduction in WOMAC pain/stiffness scores (no placebo control). This suggests symptom benefit for nonspecific joint pain, not nerve entrapment. Digital Commons
  • Systematic reviews (varied indications): A 2017 meta-analysis of CQ RCTs across conditions found signals for pain relief/bone outcomes but called for higher-quality, indication-specific trials. A 2025 human-data review focused on bone biomarkers (fracture/healing/osteoporosis), not CTS. Europe PMC
  • Neuropathic pain (animal model): CQ extracts reduced vincristine-induced neuropathic pain behaviors and inflammatory cytokines in rats—interesting but preclinical. ResearchGate
Specific Warnings for Carpal Tunnel Syndrome:

Blood sugar: CQ may lower glucose; monitor closely if you have diabetes or are on antidiabetic meds. Stop at least 2 weeks before surgery because of potential peri-operative glucose effects. WebMD

Common side effects (usually mild): Headache, GI upset/gas, dry mouth, insomnia, diarrhea have been reported. Verywell Health

Pregnancy/breastfeeding: Avoid—insufficient safety data. WebMD

Kidney stones (theoretical): Some consumer/clinical resources caution in people with a history of nephrolithiasis (CQ contains minerals); discuss with your clinician. Truemeds

Quality/toxicity: Sub-chronic toxicity studies of a branded extract (CQR-300) in animals were reassuring, but human data are limited; choose reputable products and avoid mega-doses. ScienceDirect

General Information (All Ailments)

Note: You are viewing ailment-specific information above. This section shows the general remedy information for all conditions.

What It Is

Cissus quadrangularis is a perennial plant from the grape family (Vitaceae), native to India, Africa, and Southeast Asia. It’s commonly known as the Veldt Grape, Bone Setter, or Hadjod in traditional Ayurvedic medicine.

Historically, it has been used for bone healing, joint health, weight management, and digestive support. The plant’s stems are the most medicinally valuable part and are rich in antioxidants, flavonoids, triterpenoids, phytosterols, and ketosteroids, all of which contribute to its diverse biological effects.

How It Works

Cissus quadrangularis exerts its effects through multiple physiological pathways:

  • Bone Health and Healing: The plant appears to stimulate osteoblast activity (cells responsible for bone formation) while reducing osteoclast activity (cells that break down bone). It promotes the synthesis of collagen, calcium deposition, and mineralization, which accelerates fracture healing. Key active compounds like ketosteroids and beta-sitosterol are believed to enhance these anabolic processes.
  • Anti-inflammatory and Antioxidant Action: Cissus helps lower inflammatory mediators such as prostaglandins and cytokines. Its antioxidant constituents neutralize free radicals, reducing oxidative stress that can contribute to chronic inflammation, arthritis, and tissue damage.
  • Metabolic and Weight Regulation: Research suggests Cissus may support weight loss and lipid regulation by influencing enzymes involved in fat metabolism and glucose uptake. Some studies indicate improvements in serum cholesterol, blood sugar levels, and body composition when used alongside diet and exercise.
  • Pain and Joint Support: Through its analgesic and anti-inflammatory effects, it can reduce pain associated with arthritis, sports injuries, and overuse syndromes. The reduction in joint discomfort is often attributed to improved cartilage preservation and decreased inflammation.
  • Gastroprotective and Antimicrobial Effects: Traditionally, it has been used to alleviate gastric ulcers, stomach irritation, and infections. The mucilage content and antioxidant compounds help protect the gastric lining from acid and oxidative stress.

Why It’s Important

Cissus quadrangularis is significant in health and wellness for several reasons:

  • Bone Regeneration: It is one of the few natural agents shown to actively speed up bone repair, making it valuable for fracture recovery, osteoporosis prevention, and athletic injuries.
  • Alternative to Synthetic Drugs: Its anti-inflammatory effects provide a natural alternative to NSAIDs, which can have side effects like gastrointestinal irritation or kidney strain when used long-term.
  • Metabolic Health Support: The plant’s ability to influence lipid and glucose metabolism makes it an emerging supplement in managing metabolic syndrome and weight-related issues.
  • Comprehensive Tissue Protection: With its antioxidant, antimicrobial, and cytoprotective actions, Cissus supports overall cellular resilience and healing capacity, particularly in musculoskeletal and gastrointestinal systems.

Considerations

While Cissus quadrangularis has strong traditional and scientific support, several factors should be taken into account:

  • Dosage and Formulation: Standardized extracts (usually 500–1000 mg daily) are most studied. Raw preparations vary widely in potency, so consistency is key.
  • Possible Side Effects: It is generally well tolerated, but some users report mild gastrointestinal upset, dry mouth, or headaches. Rare allergic reactions can occur.
  • Drug Interactions: Cissus may influence blood sugar and lipid levels, so individuals on antidiabetic, lipid-lowering, or antihypertensive medications should monitor their response carefully and consult a healthcare provider.
  • Pregnancy and Breastfeeding: There’s insufficient evidence regarding its safety during pregnancy or lactation, so it’s best avoided unless under medical supervision.
  • Quality Control: As with many herbal supplements, product purity and standardization vary widely. Choosing brands with third-party testing for contaminants and active compound concentration is essential.

Helps with these conditions

Cissus Quadrangularis is most effective for general wellness support with emerging research . The effectiveness varies by condition based on clinical evidence and user experiences.

Osteoporosis 0% effective
Tendonitis 0% effective
Carpal Tunnel Syndrome 0% effective
3
Conditions
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Total Votes
14
Studies
0%
Avg. Effectiveness

Detailed Information by Condition

Osteoporosis

0% effective

Anti-resorptive (osteoclast-suppressing) effects. Preclinical work shows CQ suppresses RANKL-induced osteoclastogenesis (the process that forms bone-r...

0 votes Updated 1 month ago 5 studies cited

Tendonitis

0% effective

Anti-inflammatory & analgesic activity. Multiple preclinical and review papers report COX inhibition and other anti-inflammatory/antihyperalgesic...

0 votes Updated 2 months ago 5 studies cited

There are no human clinical trials showing CQ relieves CTS. Standard, evidence-based CTS care remains wrist splinting, local corticosteroid injection,...

0 votes Updated 2 months ago 4 studies cited

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