Evaluation of the Effect of Local Corticosteroid Injection and Anti-inflammatory Medication in Carpal Tunnel Syndrome

Gürçay, Eda; Ünlü, Ece; Gurcay, AG; Tuncay, Reyhan; Çakçı, Aytül

doi:10.1258/rsmsmj.54.1.4

Cited by 20 publications

(14 citation statements)

References 13 publications

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“…Other modalities such as local corticosteroid injection (Deniz et al 2012) and surgical decompression (Evcik et al 2007) can significantly improve SNCV and the sensory nerve action potential amplitude of the median nerve. However, others have reported no improvement (Gurcay et al 2009). Deniz et al suggested that single injection of dexamethasone sodium phosphate significantly improves sensory and motor nerve conduction values when compared to baseline values (Deniz et al 2012).…”

Section: Discussionmentioning

confidence: 99%

Effect of Gabapentin on nerve conduction studies in carpal tunnel syndrome

et al. 2018

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Background: The most common type of neuropathy in adults is carpal tunnel syndrome (CTS) which is caused by compression of the median nerve at the wrist. Methods: This quasi-experimental study was conducted to determine the efficacy of gabapentin on nerve conduction studies in patients with mild CTS. The patients with mild CTS were randomly allocated into two groups. Group A received naproxen alone (500 mg/day, orally) while group B received both gabapentin (100-300 mg) and naproxen (500 mg/day, orally) for two months. Sensory nerve conduction velocity (SNCV) and distal motor latency (DML) were performed at baseline and two months after treatment. Results: There were no significant differences between the two groups with regards to the outcome parameters before initiation of intervention. The SNCV and DML showed no significant improvements in group A (p>0.05), whereas for group B the SNCV and DML of the median nerve were significantly improved at two months after treatment (p<0.001). Conclusion: Gabapentin was found to be effective for SNCV and DML in patients with mild CTS over a two-month period.

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Section: Discussionmentioning

confidence: 99%

Effect of Gabapentin on nerve conduction studies in carpal tunnel syndrome

et al. 2018

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“…The functional states scores improved in both groups at month 3 compared with baseline, with no difference between the groups. At month 3, there were no significant differences for electrophysiologic parameters between groups [43]. …”

Section: Nonsurgical Managementmentioning

confidence: 99%

Current options for nonsurgical management of carpal tunnel syndrome

Carlson¹,

Colbert²,

Frýdl³

et al. 2010

International Journal of Clinical Rheumatology

101

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Carpal tunnel syndrome (CTS) is the most common of the entrapment neuropathies. Surgical decompression is commonly performed and has traditionally been considered the defnitive treatment for CTS. Conservative treatment options include physical therapy, bracing, steroid injections and alternative medicine. While CTS is often progressive, patients may get better without formal treatment. The resolution of symptoms is not necessarily related to the severity of the clinical findings and self-limited activity is common. The current literature suggests that bracing and corticosteroid injections may be useful in the nonsurgical treatment of CTS, although the benefits may be short term. There is limited evidence regarding the efficacy of other treatments, such as therapy, exercise, yoga, acupuncture, lasers and magnets, and further studies are needed. Surgery is recommended for progressive functional deficits and significant pain. Carpal tunnel syndrome represents the compression of the median nerve within the carpal tunnel. The borders of the carpal tunnel are wrist carpal bones on the medial, lateral and dorsal aspect and the transverse carpal ligament on the volar aspect. The median nerve and nine of the finger and thumb flexor tendons pass through this space. CTS is characterized by symptoms of numbness, tingling and paraethesias, which are not always limited to the median nerve distribution. Individuals with CTS tend to initially present with intermittent symptoms that may be worse at night or with repetitive upper-extremity activity. The symptoms may improve with splinting, repositioning or vigorous shaking of the hand [3][4][5][6].

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“…Physicians often prescribed nonsteroidal anti-inflammatory drugs (NSAIDs), which our panelists recommended against based on randomizedcontrolled-trial data showing no benefit for CTS symptoms. 23,[33][34][35][36] (Other recent sources suggest that a trial of NSAIDs may be appropriate for some patients. 37 )…”

Section: Resultsmentioning

confidence: 99%

Quality of Care for Work-Associated Carpal Tunnel Syndrome

Nuckols

Conlon

Robbins

et al. 2017

Journal of Occupational &Amp; Environmental Medicine

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Objective-To evaluate the quality of care provided to individuals with workers' compensation claims related to CTS and identify patient characteristics associated with receiving better care.Methods-We recruited subjects with new claims for CTS from 30 occupational clinics affiliated with Kaiser Permanente Northern California. We applied 45 process-oriented quality measures to 477 subjects' medical records, and performed multivariate logistic regression to identify patient characteristics associated with quality. Craig Conlon served as site principal investigator, overseeing data collection and providing input on issues related to care for CTS and workers' compensation. Michael Robbins oversaw statistical analyses. Michael Dworsky provided input on issues related to workers' compensation and assisted with data analysis and interpretation. Julie Lai and Rachana performed statistical analyses. Carol P. Roth assisted with the design of and oversaw the completion of the medical record reviews. Seth Seabury and John Adams contributed to study design, analytical methods, and interpretation of results. Barbara Levitan assisted with the design of and oversaw the completion of the surveys. Author Access to Data: All authors had access to study data. Payment for the Work: All authors received payment for the work, except John Adams, who donated his time. Results Potential Conflicts of Interest:The authors have no other potential conflicts of interest to report. Conclusions-Care processes for work-associated CTS frequently adhered to quality measures. Clinical factors were more strongly associated with quality than demographic and socioeconomic ones. HHS Public Access

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Evaluation of the Effect of Local Corticosteroid Injection and Anti-inflammatory Medication in Carpal Tunnel Syndrome

Cited by 20 publications

References 13 publications

Effect of Gabapentin on nerve conduction studies in carpal tunnel syndrome

Effect of Gabapentin on nerve conduction studies in carpal tunnel syndrome

Current options for nonsurgical management of carpal tunnel syndrome

Quality of Care for Work-Associated Carpal Tunnel Syndrome

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