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Have you tried hand, arm and shoulder nerve exercises called nerve glides to relieve the pinching? Its hard to tell if wrist and finger problems are a caused by tendons, muscle or nerves being pinched buy inflamed muscle in the nerve 'shielths'. But all of this can be symptoms of low thyroid hormone. Reflux, GERD, LPRD are also related it seems, but in your case hiatial hernia is a more common cause. Hiatal hernia I have not heard of being thyroid related as it is a weak spot in the chest diaphragm that is hereditary I believe.
A lot of people Hypothyroid or no thyroid on only T4 (synthroid) don't feel so good even when the lab results look good. I would try an addition of T3 synthetic or combo med of T4 with T3 in it to see if your finger and wrist pain goes away.
B vitamins, Magnesseum, and potassium also important for muscles and tendons.
Maybe someone without a thyroid has some additional info for you.
A lot of people Hypothyroid or no thyroid on only T4 (synthroid) don't feel so good even when the lab results look good. I would try an addition of T3 synthetic or combo med of T4 with T3 in it to see if your finger and wrist pain goes away.
B vitamins, Magnesseum, and potassium also important for muscles and tendons.
Maybe someone without a thyroid has some additional info for you.