Conservative treatment in patients with mild to moderate carpal tunnel syndrome: A systematic review

Jiménez‐del‐Barrio, Sandra; Bueno-Gracía, Elena; Hidalgo-García, César; Miguel, Elena Estébanez de; Moreno, José Miguel Tricás; Marco, S. Rodríguez; Ceballos‐Laita, Luis

doi:10.1016/j.nrleng.2016.05.015

Cited by 27 publications

(23 citation statements)

References 37 publications

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“…The incidence of injury is rare, since surgery is performed by observing the nerve directly. [11][12][13] We experience that, in transverse incision, insufficient decompression and nerve damage are more common, since the procedure is performed blindly. Thirteen of our patients had nerve and vessel damage during surgery in transverse approach, while no complication occurred in the longitudinal approach.…”

Section: Discussionmentioning

confidence: 99%

Long-term Results of Two Different Surgical Techniques Used in Carpal Tunnel Syndrome

Ercan

Ataızı

2021

Indian Journal of Neurosurgery

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Objective Carpal tunnel syndrome (CTS), the compression of the median nerve under the carpal ligament, is the most common peripheral nerve entrapment of the upper extremity. While conservative treatment is used for patients with mild and moderate symptoms, surgical treatment is preferred for severe symptoms. The aim of the study is to evaluate the difference between transverse and longitudinal incision by comparing postoperative pain and recurrence rates. Methods The patients were divided into two groups according to the surgical incision type. Surgical intervention was applied to patients in group T (transverse incision) and group L (longitudinal incision) by the same two surgeons in each group. All patients were followed-up with electromyography (EMG) and performance scale before and after surgical treatment. If the postoperative EMG result was similar to the preoperative EMG result, it was accepted as recurrent CTS. Results A total of 418 patients were included to the study. Six patients in the group T with transverse incision, and 18 patients in the group L with longitudinal incision, were reoperated for an average of 6 ± 2 months after the primary surgery. Conclusion Complications are less, and recurrent nerve compression is less in longitudinal approach, since surgical intervention is performed by seeing the median nerve directly.

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Section: Discussionmentioning

confidence: 99%

Long-term Results of Two Different Surgical Techniques Used in Carpal Tunnel Syndrome

Ercan

Ataızı

2021

Indian Journal of Neurosurgery

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“…If necessary, an operating microscope was used. A hypothenar fat pad flap, which is described in the literature as a reliable solution for recurrent CTS, was, at the request of the patients, not used [ 3 , 5 , 18 , 19 ].…”

Section: Methodsmentioning

confidence: 99%

“…The prevalence of CTS is approximately 5% in the general population [ 2 , 3 ]. It causes pain, numbness and/or tingling in the hand and arm and disturbed motor function of the hand [ 4 , 5 ]. In addition to sensory impairments (e.g., numbness and paresthesias), motor deficits occur in intrinsic median-innervated muscels such as the abductor pollicis brevis, the superficial belly of the flexor pollicis brevis and opponens pollicis.…”

Section: Introductionmentioning

confidence: 99%

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Does Recurrence of Carpal Tunnel Syndrome (CTS) after Complete Division of the Transverse Ligament Really Exist?

Kılınç

Behmanesh

Seifert

et al. 2021

JCM

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The aim of this study was to evaluate whether recurrent carpal tunnel syndrome (CTS) after complete and sufficient division of the transverse ligament really exists. Another goal was to analyze the underlying reasons for recurrent CTS operated on in our department. Over an observation period of eleven years, 156 patients underwent surgical intervention due to CTS. The records of each patient were analyzed with respect to baseline data (age, gender, affected hand), as were clinical signs and symptoms pre- and postoperatively. To assess long-term results, standardized telephone interviews were performed using a structured questionnaire in which the patients were questioned about persisting symptoms, if any. Of the 156 patients, 128 underwent first surgical intervention due to CTS in our department. In long-term follow-up, two-thirds of these patients had no symptoms at all; one-third of the patients described mild persisting numbness. None of the patients experienced a recurrence of CTS. The 28 patients who received their first operation outside of our department were operated on for recurrent CTS. The cause of recurrence was incomplete division of the distal part of the transverse carpal ligament in all cases. The results suggest that recurrent CTS after complete and sufficient division of the transverse ligament is very unlikely.

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“…Severe cases of carpal tunnel syndrome are usually treated surgically, whereas conservative treatment is recommended for mild to moderate cases. Although it is not described in the literature the ideal technique or combination of approaches due to the limitations of the studies 8 , 9 , 10 ) , several conservative treatments relieve symptoms and improve functional ability such as splinting, oral drugs, injections, specific manual techniques, neural gliding exercises, physical therapies and nutraceuticals. Among physical therapies, a combination of static and dynamic magnetic fields (PEMFs) is shown efficacious in CTS, significantly reducing short- and long-term pain and improving objective neuronal functions 11 , 12 ) .…”

Section: Introductionmentioning

confidence: 99%

Efficacy of dietary supplement with nutraceutical composed combined with extremely-low-frequency electromagnetic fields in carpal tunnel syndrome

et al. 2018

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[Purpose] The aim of this study was to investigate the clinical effects of a nutraceutical composed (Xinepa®) combined with extremely-low-frequency electromagnetic fields in the carpal tunnel syndrome. [Subjects and Methods] Thirty-one patients with carpal tunnel syndrome were randomized into group 1-A (N=16) (nutraceutical + extremely-low-frequency electromagnetic fields) and group 2-C (n=15) (placebo + extremely-low-frequency electromagnetic fields). The dietary supplement with nutraceutical was twice daily for one month in the 1-A group and both groups received extremely-low-frequency electromagnetic fields at the level of the carpal tunnel 3 times per week for 12 sessions. The Visual Analogue Scale for pain, the Symptoms Severity Scale and Functional Severity Scale of the Boston Carpal Tunnel Questionnaire were used at pre-treatment (T0), after the end of treatment (T1) and at 3 months post-treatment (T2). [Results] At T1 and T2 were not significant differences in outcome measures between the two groups. In group 1-A a significant improvement in the scales were observed at T1 and T2. In group 2-C it was observed only at T1. [Conclusion] Significant clinical effects from pre-treatment to the end of treatment were shown in both groups. Only in group 1-A they were maintained at 3 months post-treatment.

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Conservative treatment in patients with mild to moderate carpal tunnel syndrome: A systematic review

Cited by 27 publications

References 37 publications

Long-term Results of Two Different Surgical Techniques Used in Carpal Tunnel Syndrome

Long-term Results of Two Different Surgical Techniques Used in Carpal Tunnel Syndrome

Does Recurrence of Carpal Tunnel Syndrome (CTS) after Complete Division of the Transverse Ligament Really Exist?

Efficacy of dietary supplement with nutraceutical composed combined with extremely-low-frequency electromagnetic fields in carpal tunnel syndrome

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