Treatment of Carpal Tunnel Syndrome: Surgery or More Conservative Management?

2019 ◽  
Author(s):  
Gary M. Franklin ◽  
Bradley Evanoff
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Conservative Management ◽  
Tunnel Syndrome

Effect of Conservative Treatment on Alleviation of Symptoms in 36 cases of Carpal Tunnel Syndrome in Pregnancy: A Prospective Study

2018 ◽  
Vol 4 (2) ◽  
pp. 101-107
Author(s):  
Badrunnesa Ahmed ◽  
Md Shafiqul Alam ◽  
Md Abdul Halim ◽  
AKM Salek ◽  
Md Jahidul Islam ◽  
...  
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Conservative Treatment ◽  
Carpal Tunnel ◽  
Conservative Management ◽  
P Value ◽  
Physical Medicine ◽  
Functional Capability ◽  
Tunnel Syndrome ◽  
The Mean ◽  
In Pregnancy

Background: Carpal Tunnel Syndrome (CTS) is the most common upper extremity compression neuropathy which is a common entrapment neuropathy seen in pregnant women.Objective: The purpose of the present study was to assess presentation and severity of various symptoms among women with CTS in pregnancy and to see the effect of conservative management protocols in alleviation of symptoms of the disease and restoration of functional capability of the affected hands.Methodology: This interventional study was included 36 pregnant women attended in the Outpatient Department of Physical Medicine and Rehabilitation Specialist in the Hi-Tech Multicare Hospital, Dhaka during the period from January 2015 to January 2016 for a period of one year and one month. Detail history was taken and examined physically by a specialist in physical medicine to ascertain the clinical diagnosis. Out of 48 referred cases, 42 pregnant women were identified clinically as CTS cases based on symptoms and signs. However, 2 cases were not enrolled because of severe form of pain and referred to other hospital for admission and 6 patient dropped out. Therefore, 36 cases with CTS symptoms included in this study. All the patients were given conservative treatment (Wrist splint, Exercise and activity modification) for 8 weeks. All patients were followed up at 4 weeks interval. Treatment outcome were measured by Boston carpal tunnel questionnaire (BCTQ).Result: The mean age of the patients is 30±3.5 years. 26 (78%) patients mild to moderate type of CTS symptoms showed improvement in conservative management. Before treatment the mean symptoms severity scale (SSS) of BCTQ) was 2.32±0.4 and for functional status scale (FSS) was it was 1.99±0.43. After treatment for SSS 1.86±0.47 and for FSS 1.53±0.42. And in SSS the p value<.05 and in FSS p value is <.05 which was statistically significant.Conclusion: In conclusion conservative management protocols are sufficient enough in alleviation of symptoms of the disease and is effective for the restoration of functional capability of the affected hand or hands.Journal of National Institute of Neurosciences Bangladesh, 2018;4(2): 101-107

Nerve and tendon gliding exercises and the conservative management of carpal tunnel syndrome

1998 ◽  
Vol 11 (3) ◽  
pp. 171-179 ◽  
Author(s):  
Leo M. Rozmaryn ◽  
Sam Dovelle ◽  
Esther R. Rothman ◽  
Karen Gorman ◽  
Kathleen M. Olvey ◽  
...  
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Conservative Management ◽  
Tunnel Syndrome

Acute Carpal Tunnel Syndrome as a Complication of Oral Anticoagulant Therapy

1997 ◽  
Vol 22 (1) ◽  
pp. 50-51 ◽  
Author(s):  
P. R. M. BLACK ◽  
M. J. FLOWERS ◽  
M. SALEH
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Anticoagulant Therapy ◽  
Carpal Tunnel ◽  
Conservative Management ◽  
Oral Anticoagulant ◽  
Oral Anticoagulant Therapy ◽  
Clinical Findings ◽  
Tunnel Syndrome ◽  
Acute Carpal Tunnel Syndrome

Acute carpal tunnel syndrome is well recognized in patients with haemophilia and conservative management with factor replacement and temporary splinting is recommended. There have, however, been very few reported cases of acute carpal tunnel syndrome as a complication of oral anticoagulant therapy. We describe such a case in a patient on long-term warfarin anticoagulation, drawing attention to particular features of the history and clinical findings. In contrast to previous reports, we recommend prompt decompression under local anaesthesia and continuation of the anticoagulant therapy.

Hand Therapy for Carpal Tunnel Syndrome Part I: Overview of Disease and Non-surgical Management

2002 ◽  
Vol 7 (2) ◽  
pp. 45-49
Author(s):  
Jo Ellis ◽  
Helen Mckenna ◽  
Frank D Burke
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Conservative Management ◽  
Healthcare Providers ◽  
Disease Process ◽  
Tertiary Hospital ◽  
Comprehensive Treatment ◽  
Management Options ◽  
Middle Term ◽  
Tunnel Syndrome

Carpal tunnel syndrome is the commonest peripheral nerve compression neuropathy and as such is frequently seen by hand therapists. Patients presenting with carpal tunnel syndrome are seen both in the primary and tertiary (hospital) settings and are referred for treatment at various stages of the disease process. The provision of splintage alone is viewed by some healthcare providers as conservative management for this condition. The purpose of this paper is to give a broad overview of conservative management options including posture and exercise, task modifications, splints, nerve and tendon-gliding exercises and ultrasound. It is the view of the authors that early and comprehensive treatment may relieve symptoms and potentially decrease the need for operative intervention, in the short to middle term at least, for patients with mild to moderate symptoms.

Sign in / Sign up

Export Citation Format

Share Document