Nonoperative carpal tunnel syndrome treatment

The Cost-Effectiveness of Nonsurgical Versus Surgical Treatment for Carpal Tunnel Syndrome

“…The wrist was splinted in a neutral position in a prefabricated wrist splint (Don Joy Procare, Vista, CA) or in a custom Orthoplast splint if a prefabricated splint was uncomfortable to the patient or did not fit correctly. 11,12 Patients were not required to wear the splint during the day. After the patients were competent in completing the home program and reached his or her ability in supervised therapy as deemed by their therapist and treating doctor, therapy was completed on a home-only basis.…”

“…2 A recent prospective study from this country has shown superior outcomes for patients treated surgically. 2 Despite this, patients are still routinely treated with nonsurgical interventions such as splinting and therapy, [3][4][5][6][7][8][9][10][11][12] and some publications endorse these interventions as primary treatment for CTS in nonsurgical fields. 9 -11 Various factors have been associated with the development of CTS, including age and gender, and recently, obesity and smoking.…”

Longitudinal excursion and strain in the median nerve during novel nerve gliding exercises for carpal tunnel syndrome

“…Conservative management is the treatment of choice for patients with mild to moderate CTS. 2,3 Frequently advocated modalities include splinting, local corticosteroid injections, ultrasound, and oral medication (steroids and nonsteroidal anti-inflammatory drugs). [3][4][5] However, systematic reviews indicate that there is either limited evidence for the long term effects of these conservative treatment modalities 4,5 or long term effects are considered to be poor.…”

“…2,7,10,11 Also in postoperative care, early mobilization and nerve and tendon gliding exercises have been recommended. pressure inside the perineurium, and decrease of carpal tunnel pressure.…”

Pronator Syndrome and Other Nerve Compressions That Mimic Carpal Tunnel Syndrome

“…20,23 Due to the increased awareness of CTS, it may often be over diagnosed, misdiagnosed, or simply assumed based on symptoms. 33 Median nerve neuropathies proximal to the carpal tunnel, however, should be suspected especially when the symptoms persist following conservative or surgical intervention aimed to the site of the carpal tunnel.…”