In conclusion, compared to physical therapy, local corticosteroid injection might have better treatment effects on carpal tunnel syndrome.Ĭarpal tunnel syndrome Local corticosteroid injection Median neuropathy Physical therapy.Ĭopyright © 2023 Asian Surgical Association and Taiwan Robotic Surgery Association. A slight publication bias was observed in subgroup analysis of function scales, among three publication bias test. Some studies failed to pass the sensitive analysis, indicating the related analysis might be not so stable. However, patients treated with local corticosteroid injection showed better improvement in distal motor latency (p = 0.002) and compound muscle action potential (p = 0.04). Pooled data of primary outcomes did not show any differences between treatments, and subgroup analysis supported the results. Only one study was found to have a high risk of bias. A working splint to support your wrist that pushes the palm. After selection, 12 studies were identified eligibility for inclusion. A resting splint for your wrist will often help particularly if your symptoms are worse at night. If this does not provide relief or if your symptoms are severe, carpal tunnel release surgery is an option. It usually will begin with conservative treatments using a wrist splint and you may get a corticosteroid injection to reduce the inflammation. Heterogeneity among the included studies was examined using the I 2 statistic. Treatment of carpal tunnel syndrome depends on the type and duration of symptoms. Subgroup analysis and sensitive analysis were performed and publication bias was evaluated. Outcome measurements included Boston Carpal Tunnel Syndrome Questionnaire, visual analogue scale and some electrophysiology tests, while the former two were set as the primary outcomes. This extra pressure can come from swelling. The tissue that is pressing on the nerves is cut. During open surgery, the surgeon cuts open your wrist. You may have local or general anesthesia, or both, for either surgery. Relevant data were extracted and pooled analyses were conducted. The most likely cause of carpal tunnel syndrome is extra pressure on the median nerve at the wrist inside the tunnel. Two types of carpal tunnel surgery are done: open surgery and endoscopic surgery. ![]() Two independent reviewers assayed quality of included studies using the Cochrane collaboration risk of bias tool. A systematic literature search of PubMed, EMBASE, and Cochrane library was conducted to identify relevant randomized clinical trials published before 21st Mar 2023. Notably, stretching the muscles in your neck, shoulders, and chest could also help, as tightness there can affect carpal tunnel syndrome sufferers. You could also try holding outstretched arms for several seconds at a time. ![]() The purpose of this study was to compare the clinical effect of local corticosteroid injection and physical therapy for the treatment of carpal tunnel syndrome. Try rotating your wrists, arms, and fingers in circles for a few minutes each day. The comparative effect of commonly used conservative treatments for carpal tunnel syndrome remained controversial.
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