Examination of surgical and conservative treatment effects on depression of patients with moderate carpal tunnel syndrome

Abstract

Objective: The aim of this study is to examine the outcomes of conservative and surgical treatments of patients with carpal tunnel syndrome as well as the effects of these two treatment options on depressive symptoms of these patients. Methods: A case-control study carried out from June 2015 to Fabruary 2016 and 111 moderate moderate carpal tunnel syndrome patients were included in the study whose diagnosis was confirmed by electroneuromyography (ENMG). The 78 of the patients had surgical treatment and 33 of them, who did not accept the surgery, received steroids via injection and splinting technique was performed for 8 weeks. Boston Carpal Tunnel Questionnaire, quick disabilities of the arm, shoulder and hand score and Beck Depression Invertory scales were applied six months before and after treatments. Results: It was detected that pain functional assessment scores and Beck depression scores significantly recovered the disease in patients who had surgical treatment compared to ones who had the conservative treatment. Conclusions: It can be concluded that surgical treatment plays a more active role in the recovery of depressive symptoms in patients with moderate carpal tunnel syndrome.

The outcome of carpal tunnel syndrome with modified mini-incision technique.

“…In our study, we had 97 patients, surgery was performed in all patients, we did not use splints, and we had significant improvement in the outcome while compared to study by Güvenç et al 13 studies had 78 patients, who were surgically treated while 33 patients were treated conservatively with hand splint technique and steroids were used for 8 weeks., their study concluded that the patients who had surgical treatment had a better outcome than those with conservative treatment.…”

Local Corticosteroid Injections versus Surgical Carpal Tunnel Release for Carpal Tunnel Syndrome: Systematic Review and Meta-Analysis

“…Most studies allocated patients in a random fashion [20,23,29,31,[33][34][35][36]. In some studies, patients themselves decided the allocation after informed consent [21,22,30]. Two studies performed CTR in patients following unsatisfactory LSIs [32,37].…”

“…In one study, prior symptom duration was a minimum of six months [31]. Three studies did not define symptom duration as an inclusion criterion [20][21][22]. Electrophysiology of the median nerve is common for grading CTS [69,70] and was adopted by all included studies to confirm CTS [20][21][22][23][29][30][31][32][33][35][36][37].…”

“…Three studies did not define symptom duration as an inclusion criterion [20][21][22]. Electrophysiology of the median nerve is common for grading CTS [69,70] and was adopted by all included studies to confirm CTS [20][21][22][23][29][30][31][32][33][35][36][37]. However, this can be performed according to different methodologies and, to date, no uniformly accepted approach exists [51,69,[71][72][73][74].…”

“…In 2018, Klokkari et al performed a systematic review comparing the efficacy of conservative versus surgical management for CTS [19]. Since their study, more recent clinical investigations comparing LSIs versus CTR have been published [20][21][22][23].…”