Carpal Tunnel Syndrome (CTS) Recommendations from Specialists
Reference:Verdugo RJ et al Surgical versus non-surgical treatment for carpal tunnel syndrome. Cochrane Database Syst Rev. 2008 Oct 8;(4):CD001552.
Here is the clinical practice guideline for the treatment of CTS by the American Academy of Orthopaedic Surgeons and Neurological Surgeons.
They recommend oral steroids, ultrasound, splint therapy (2-6 weeks) and local steroid injection for mild symptoms before considering surgery.
Early surgery is recommended if there is evidence of median nerve denervation (loss of strength and major atrophy of thenar eminence)
There is evidence that surgery is more effective than just splinting in relieving symptoms in both short and long term, for those with major non-resolving CTS symptoms.
Posted on: October 11, 2015
Categories: Wrist & Hand