Conservative treatment for Carpal Tunnel syndrome

POPESCU, Simona; CINTEZA, Delia; POENARU, Daniela; SIDERE, Madalina; GALBEAZA, Gina; MARCU, Victorita; DIACONESCU, S.; DIMA, A.
December 2008
Maedica - a Journal of Clinical Medicine;2008, Vol. 3 Issue 4, p249
Academic Journal
Objective: To demonstrate the efficiency of complex rehabilitation treatment for carpal tunnel syndrome. Material and method: There were selected 30 patients with carpal tunnel syndrome with moderate severity. We used Boston questionnaire for the assessment of severity of symptoms and functional status and sonographic exam. Sonographic examination of carpal tunnel was directed towards median nerve CSA (cross-sectional area) measurement. For patients with moderate symptoms we found a CSA between 11.8 and 14.3 mm². Patients were randomly divided in two groups. All patients received NSAID and local applications of therapeutic laser and therapeutic ultrasound (three times a week for four weeks) Patients from group B received also a wrist-hand orthosis with wrist joint and MCP joints in neutral (to be worn at night time for 4 weeks). Clinical and sonographic assessment was done at the beginning of the study and at the end of the treatment. Results: Complex rehabilitation treatment (therapeutic laser, therapeutic ultrasound and wrist-hand orthosis) proved to be efficient in symptoms control. Comparing the results from group A and group B we found that the improvement was significant for patients from group B. Pain control was not significant for patients from group A. Conclusions: Conservative treatment in carpal tunnel syndrome proved to be effective when local treatment is associated with nocturnal wearing of a wrist-hand orthosis. Additional studies are requested to evaluate long term impact of conservative treatment.


Related Articles

  • The Reliability and Cross-Cultured Adaptation of the Boston Questionnaire; in Turkish Illiterate Patients. Yazgan, Pelin; Şimşek, Zeynep; Orhan, İsmihan; Beachy, Lyold; Özkul, Yaşar; Kurcer, Mehmet Ali // Turkish Journal of Rheumatology;Mar2009, Vol. 24 Issue 1, p10 

    Objective: In Turkey, the illiterate patients may not be able to complete many self-administered questionnaires. The aim of this study was to adapt the self-administered Boston questionnaire (BQ) for the assessment of the severity of symptoms and functional status (BQ-SS, BQ-F) in carpal tunnel...

  • La cirugía abierta bilateral simultánea para el síndrome del túnel del carpo. Grado de satisfacción. Alonso, Ma. Francisca Vázquez; Pérez, Javier Briseño; Rebolledo, Rafael Cano // Acta Ortopedica Mexicana;mar/abr2009, Vol. 23 Issue 2, p80 

    No abstract available.

  • Massage THERAPY. Mostyn, Margot // Alive: Canada's Natural Health & Wellness Magazine;Feb2008, Issue 304, p74 

    The article focuses on the use of massage therapy in treating carpal tunnel syndrome (CTS). To treat CTS, qualified therapists use Swedish massage techniques to ease the tight, irritated muscles and tendons in the affected arm, wrist, and hand. It is noted that incorporating massage therapy into...

  • Surgery vs Medical Treatment for CTS. Kuritzky, Louis // Clinical Cardiology Alert;Dec2009 Clinical Briefs in Primary, p23 

    The article discusses a research which compares the advantages offered by surgical therapy from that of medical treatment for carpal tunnel syndrome (CTS). It references a study by J. G. Jarvik and colleagues, published in "Lancet" periodical. The researchers conducted surgical intervention...

  • Local steroid injection for moderately severe idiopathic carpal tunnel syndrome: Protocol of a randomized double-blind placebo-controlled trial (NCT 00806871). Flondell, Magnus; Hofer, Manfred; Björk, Jonas; Atroshi, Isam // BMC Musculoskeletal Disorders;2010, Vol. 11, p76 

    Background: Patients with idiopathic carpal tunnel syndrome (CTS) are commonly treated with steroid injection into or proximal to the carpal tunnel. However, evidence for its efficacy beyond one month has not been established in randomized placebo-controlled trials. The primary aim of this...

  • Carpal Tunnel Syndrome Due to Fibrolipomatous Hamartoma of the Median Nerve in Klippel-Trénaunay Syndrome: A Case Report. Matsubara, Mitsuhiro; Tanikawa, Hirotaka; Mogami, Yuuji; Shibata, Shunichi; Uchiyama, Shigeharu; Kato, Hiroyuki // Journal of Bone & Joint Surgery, American Volume;May2009, Vol. 91-A Issue 5, p1223 

    The article presents a case study of a forty six year-old man with Klippel-Trénaunay syndrome and bilateral macrodactyly who presented to physicians with pain and numbness in the thumb and the index and long fingers of his right hand. A discussion of diagnostic testing which was performed on...

  • Untitled. Vongerichten, Anna; Powell, Michael // BMJ: British Medical Journal (Overseas & Retired Doctors Edition;10/9/2010, Vol. 341 Issue 7776, p786 

    The article describes the case of a 28-year-old man with bilateral carpal tunnel syndrome.

  • Easy carpal tunnel cure. S. N. H. // Prevention;Jun2005, Vol. 57 Issue 6, p56 

    Discusses how to treat carpal tunnel by wearing a wrist splint at night. How this treatment works.

  • Diagnostic criteria of carpal tunnel syndrome using high-resolution ultrasonography: correlation with nerve conduction studies. Ooi, Chin; Wong, Siew; Tan, Agnes; Chin, Andrew; Abu Bakar, Rafidah; Goh, Shy; Mohan, P.; Yap, Robert; Png, Meng // Skeletal Radiology;Oct2014, Vol. 43 Issue 10, p1387 

    The aim of this work was to evaluate the diagnostic performance of grey-scale, color Doppler, and dynamic ultrasound (US) for diagnosing carpal tunnel syndrome (CTS) using the medical diagnostic test called nerve conduction study (NCS) as the reference standard, and to correlate the increase in...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics