Conservative therapeutic management of carpal tunnel syndrome

Martins, Roberto S.; Siqueira, Mário G.

doi:10.1590/0004-282x20170152

Cited by 23 publications

(35 citation statements)

References 43 publications

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“…The treatment of patients with CTS requires a generalized approach with pharmacologic, physical, and surgical treatment, including conservative and interventional therapies such as anesthetic block, corticosteroid injection, and carpal tunnel release surgery 7,23 . In a randomized clinical trial by So et al, researchers compared local steroid injection versus wrist splinting for their short-term clinical effects on CTS 24 .…”

Section: Discussionmentioning

confidence: 99%

Electrophysiological responsiveness and clinical outcomes of local corticosteroid injection in the treatment of carpal tunnel syndrome

Ertem

Şirin

Yılmaz

2019

Arq. Neuro-Psiquiatr.

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Carpal tunnel syndrome (CTS) is the most common mononeuropathy caused by entrapment of the median nerve at the wrist. Common treatment options for CTS include oral analgesics, splinting, hand therapy, local injections with steroids or surgery. Objective: The aim of the present study was to assess the short-term clinical and electrophysiological outcomes of local corticosteroid injection (LCI) in patients with symptomatic CTS. Methods: Electrophysiological parameters were evaluated before and three months after LCI. Moreover, the Numeric Rating Scale (NRS), the Boston Symptom Severity Scale (SSS) and the Functional Status Scale (FSS) were administered before and after the injection. A mixture of 1 mL (40 mg) of methylprednisolone and 1 mL of 0.5% bupivacaine were injected blindly on the volar side of the forearm between the tendons of the radial carpal flexor muscle and long palmar muscle. Results: A total of 25 patients (45 hands) were enrolled in the study. Twenty women and five men with a mean age of 49.28 ± 11.37 years were included. A statistically significant difference was noted for improvement of sensory conduction velocities, sensory peak latency, and motor distal latency (p = 0.001) after LCI. A significant difference was recorded between pre- and post-injection for NRS, SSS and FSS scores (p = 0.000). Conclusion: Local corticosteroid injection for CTS provides a short-term improvement in neurophysiological and clinical outcomes such as pain intensity, symptom severity and functional ability.

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Section: Discussionmentioning

confidence: 99%

Electrophysiological responsiveness and clinical outcomes of local corticosteroid injection in the treatment of carpal tunnel syndrome

Ertem

Şirin

Yılmaz

2019

Arq. Neuro-Psiquiatr.

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“…The use of laser therapy in the treatment of CTS is one of the first methods approved by the FDA. The use of both low-and high-intensity laser beams using the corresponding dose regimen is appropriate ( Figures 2-3) [17]. When nonsteroidal anti-inflammatory drugs (NSAIDs) are used in the contact gel, the procedure is called ultraphonophoresis; the dosage is lower (0.4-0.6 W/cm 2) and the duration is shorter (6-8 minutes).…”

Section: Review Physical Factors Involved In the Treatment Of Ctsmentioning

confidence: 99%

“…8. Immobilization is recommended in order to eliminate active movements in the affected hand [17]. The wrist is fixed in a neutral position so the tension in the carpal canal will be minimal.…”

Section: Figure 6: Iontophoresismentioning

confidence: 99%

Physical Therapy and Rehabilitation Approaches in Patients with Carpal Tunnel Syndrome

Zaralieva

Георгиев

Karabinov

et al. 2020

Cureus

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Physical therapy involves a set of factors and methods that affect the biological processes in the body. It is widely used, relatively inexpensive, non-invasive, and easy to apply. Physiotherapy is also used in the treatment of patients with carpal tunnel syndrome (CTS). This syndrome represents the most common compressive mononeuropathy of the upper limb and leads to significant disability. Hence, its successful treatment leads to significant benefits for both the patient and society. There is no established algorithm for the use of physical therapy in these patients. In this publication, we present the physiotherapeutic methods used for the treatment of CTS both before and after surgical treatment.

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“…Konzervativna terapija ublažava simptome SKT-a dva do šest tjedana nakon primjene te postiže maksimalnu učinkovitost do tri mjeseca nakon terapije. Ako se ne postigne poboljšanje nakon 6 tjedana od terapije, treba razmotriti drugu mogućnost liječenja 47,48 .…”

Section: Konzervativno Liječenjeunclassified

Carpal tunnel syndrome

et al. 2019

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Sažetak. Sindrom karpalnog tunela (SKT) dobro je poznata, najčešće dijagnosticirana kompresivna neuropatija i čini 90 % svih neuropatija te je prisutna u 3,8 % opće populacije. Uzrokovana je oštećenjem nervus medianus (NM) u području karpalnog tunela, ograničenog karpalnim kostima i transverzalnim karpalnim ligamentom. SKT se klasificira u idiopatski i sekundarni. Patogeneza SKT-a je kompleksna te uključuje kompresiju i trakciju NM-a u području karpalnog tunela, a još uvijek nije u potpunosti razjašnjena. U dijagnostici su u uporabi brojni klinički testovi, elektromioneurografija (EMNG), ultrazvučna dijagnostika i magnetska rezonancija. Liječenje SKT-a može biti konzervativno i kirurško. Konzervativno liječenje preporučuje se kod pacijenata koji imaju simptome blažeg i umjerenog stupnja, dok se kirurško liječenje (dekompresija NM-a) provodi kod pacijenata s oštećenjem težeg stupnja. Cilj preglednog rada prikazati je najnovije spoznaje vezane uz taj klinički sindrom i motivirati kliničare na što bržu dijagnostiku i liječenje. Prikazane spoznaje temeljene su na najnovijim rezultatima sustavnih pregleda i metaanaliza.

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Conservative therapeutic management of carpal tunnel syndrome

Cited by 23 publications

References 43 publications

Electrophysiological responsiveness and clinical outcomes of local corticosteroid injection in the treatment of carpal tunnel syndrome

Electrophysiological responsiveness and clinical outcomes of local corticosteroid injection in the treatment of carpal tunnel syndrome

Physical Therapy and Rehabilitation Approaches in Patients with Carpal Tunnel Syndrome

Carpal tunnel syndrome

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