Predicting the outcome of carpal tunnel release

Edgell, Stephen E.; McCabe, Steven J.; Breidenbach, Warren C.; LaJoie, A. Scott; Abell, Troy D.

doi:10.1053/jhsu.2003.50031

Cited by 75 publications

(64 citation statements)

References 21 publications

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“…Benefits of steroid injection over placebo, oral steroids, and splinting alone were shown for between 2 weeks and 6 months. These results have been supported in numerous recent studies, 14,[15][16][17][18][19] such that both splinting and a single steroid injection 17,18 can be prescribed, alone or in combination, for early nonsurgical treatment of CTS. Patients whose symptoms improve after a steroid injection to the carpal tunnel also have a significantly better response to surgery than those who do not respond to the injection.…”

Section: Treatmentmentioning

confidence: 63%

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Carpal Tunnel Syndrome

Bickel¹

2010

The Journal of Hand Surgery

140

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Section: Treatmentmentioning

confidence: 63%

“…Patients whose symptoms improve after a steroid injection to the carpal tunnel also have a significantly better response to surgery than those who do not respond to the injection. 19 Thus, for both therapeutic and prognostic reasons, a single steroid injection is an acceptable treatment modality for early CTS.…”

Section: Treatmentmentioning

confidence: 99%

Carpal Tunnel Syndrome

Bickel¹

2010

The Journal of Hand Surgery

140

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“…84 It has been suggested that those who respond better to steroid injection preoperatively do better following surgery than those who do not. 22 Factors associated with poorer outcomes following CTR in-clude alcohol use, decreased mental health status, and workers compensation cases with attorney representation. 43 The latter group has greater functional limitations than injured workers without attorney representation.…”

Section: Consequences Of Ctr: What To Expect Following Surgerymentioning

confidence: 99%

Conservative Interventions for Carpal Tunnel Syndrome

Michlovitz¹

2004

J Orthop Sports Phys Ther

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The assessment and conservative interventions in patients with carpal tunnel syndrome (CTS) are described in this paper. Information about surgical procedures and postoperative care has also been included. It is difficult to make definitive conclusions about the literature regarding success of treatment for CTS due to variations in outcome measures, severity of CTS, and inconsistencies in duration, dosage, and follow-up time for interventions. Based on what is known to date, this author recommends that patients with mild or moderate CTS be provided with a conservative program of splinting the wrist in neutral for nocturnal wear. In addition, intermittent exercise (nerve-gliding exercises) and activity modification, including avoidance of protracted periods of sustained gripping activities and awkward wrist positions, can be useful. This conservative program may be complemented by pain-relieving modalities during times of activity and supplemental participation in other exercise such as yoga. If symptoms are not relieved to the satisfaction of the patient, or they recur, then it is incumbent upon the therapist to refer the patient to a hand surgeon for injection or possible surgical decompression.

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“…Those who had no change in their symptoms after injection only had better symptoms after surgery 54% of the time. 23 A single injection of steroid has been shown to help symptoms in 76% of patients at 6 weeks but only 22% had no symptoms at 1 year. 17 The steroid injections may work better in patients with milder symptoms.…”

Section: -8mentioning

confidence: 99%

Carpal Tunnel Syndrome

Doumas

2014

Rev LibrOfMed

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SummaryCarpal tunnel syndrome is a very common condition where the median nerve gets pinched at the wrist and hand. The patient can experience pain, weakness and burning feelings in the hands and fingers. The involved fingers are usually the thumb, index (pointer), long (middle) and half of the ring finger. Causes are due to changes in anatomy, general medical illnesses and possibly work-related conditions. Treatments include supports, therapy, steroid injections or surgery. The diagnosis is usually made by history and physical exam and a nerve conduction study that checks the speed and function of the nerves. Non-operative and operative treatments have been successful in most patients having carpal tunnel syndrome. The treatment outcomes of open and endoscopic carpal tunnel release have been shown to be the same at three months.Background Information

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Predicting the outcome of carpal tunnel release

Cited by 75 publications

References 21 publications

Carpal Tunnel Syndrome

Carpal Tunnel Syndrome

Conservative Interventions for Carpal Tunnel Syndrome

Carpal Tunnel Syndrome

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