Carpal Tunnel Treatment Options: Developing Consolidated Guidelines for Best Practice—A Meta-Synthesis

2021 ◽  
Vol 75 (Supplement_2) ◽  
pp. 7512510275p1-7512510275p1
Author(s):  
Julianna E. Dole ◽  
Nancy Baker ◽  
Shawn C. Roll
Keyword(s):  
Best Practices ◽  
Carpal Tunnel ◽  
Best Practice ◽  
Treatment Options ◽  
Conservative Care ◽  
Treatment Practices ◽  
Tunnel Syndrome ◽  
Treatment Procedures ◽  
Professional Disciplines ◽  
Primary Author

Abstract Date Presented Accepted for AOTA INSPIRE 2021 but unable to be presented due to online event limitations. OTs have a major role in the conservative care of carpal tunnel syndrome (CTS) before surgery; however, best treatment practices are unclear as a result of conflicting recommendations among professional disciplines. We collected and analyzed professional guideline recommendations to construct a consolidated guideline with clear ratings for the available treatments. This guideline will inform treatment procedures and develop more universal best practices for remedying CTS. Primary Author and Speaker: Julianna E. Dole Contributing Authors: Nancy Baker, Shawn C. Roll

scholarly journals Non-Surgical Management and Post-Surgical Rehabilitation of Carpal Tunnel Syndrome: An Algorithmic Approach and Practical Guideline

2020 ◽  
Vol 11 (3) ◽  
Author(s):  
Mahshid Nazarieh ◽  
Azadeh Hakakzadeh ◽  
Shima Ghannadi ◽  
Faezeh Maleklou ◽  
Zahra Tavakol ◽  
...  
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Surgical Management ◽  
Carpal Tunnel ◽  
Carpal Tunnel Release ◽  
Treatment Options ◽  
Operative Management ◽  
Functional Improvement ◽  
Therapeutic Effects ◽  
Multiple Treatment ◽  
Tunnel Syndrome

: One of the most common forms of entrapment neuropathy is Carpal Tunnel Syndrome (CTS). There are various treatment options for CTS. However, there are no clear and structured guidelines. This review classified the existing treatments and developed an algorithm to help physicians to choose the best option for their patients. Treatment options were summarized in three sections: non-surgical management of CTS, post-operative management of CTS, and practical open carpal tunnel release post-op protocol. The physicians can prescribe multiple treatment options to CTS patients. Corticosteroid in oral or injectable form has strong evidence in pain control and functional improvement in the short term. Shockwave therapy and nocturnal wrist splints display moderate therapeutic effects. Post carpal tunnel release rehabilitation can be started a few days after the operation.

scholarly journals Thrombosis of persistent median artery as a cause of carpal tunnel syndrome : case report

2021 ◽  
Vol 87 (3) ◽  
pp. 529-532
Author(s):  
S Arnauw ◽  
G De Wachter
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Conservative Treatment ◽  
Carpal Tunnel ◽  
Treatment Options ◽  
Surgical Excision ◽  
Acute Onset ◽  
Complete Relief ◽  
Anatomical Variant ◽  
Tunnel Syndrome ◽  
Median Artery

Carpal tunnel syndrome (CTS) is a common peripheral neuropathy, caused by compression of the median nerve. Symptoms usually are present for months and aggravate over time. Acute onset of complaints and symptoms, like coldness of the hand, should raise awareness of a possible vascular cause of CTS.Persistent median artery (PMA) is a very rare anatomical variant of the blood supply of the upper limb. The presence of a thrombosed PMA is an extremely rare cause of CTS. In this article a case is presented in which the patient has carpal tunnel syndrome of his left hand, caused by a thrombosed persistent median artery. Conservative treatment, consisting of rest, ice applica- tion and non-steroidal anti-inflammatory drugs, failed. Surgical excision of the thrombosis and open exploration of the carpal tunnel was performed, with complete relief of symptoms. In literature different treatment options, like conservative treatment with antiplatelet therapy or surgical excision of the throm- bosis and decompression of the nerve, are described with good results. However up until now, no consensus exists about the golden standard in treatment of a thrombosed persistent median artery.

Surgical treatment options for carpal tunnel syndrome

2004 ◽  
Author(s):  
R Scholten ◽  
LM Bouter ◽  
A Gerritsen ◽  
BM Uitdehaag ◽  
HCW de Vet ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Treatment Options ◽  
Tunnel Syndrome

Carpal Tunnel Syndrome: Symptoms, Causes and Treatment Options. Literature Reviev

2017 ◽  
Vol 19 (1) ◽  
pp. 1-8 ◽  
Author(s):  
Radoslav Zamborsky ◽  
Milan Kokavec ◽  
Lukas Simko ◽  
Martin Bohac
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Surgical Approach ◽  
Treatment Options ◽  
Treatment Strategies ◽  
Diagnostic Techniques ◽  
Biological Research ◽  
Surgical Methods ◽  
Tunnel Syndrome ◽  
Magnetic Resonance Imaging Mri

Carpal Tunnel Syndrome (CTS) is the most common form of entrapment neuropathy. Several authors have investigated the anatomical and pathophysiological features of CTS and have identified several parameters that, in combination, play a significant role in its pathophysiology. Advancement in biological research on CTS has enabled the advent of efficient diagnostic techniques such as provocative tests and nerve conduction studies. Sophisticated technologies, such as magnetic resonance imaging (MRI) and ultrasonography (US), have facilitated the diagnosis of CTS. This review article aims at consolidating the relevant medical literature pertaining to the symptoms, pathophysiology, clinical diagnosis and treatment strategies of CTS. It also compares the various methods of diagnosis and discusses their benefits and disadvantages. Finally, it sheds light on the conservative vs. surgical approach to treatment and compares them. While the surgical approach has proved to be more efficient relative to the conservative methods of steroid injections and splinting, many studies have demonstrated both advantages and adverse effects of the surgical methods. Surgical options and complications are discussed in detail. This article comprehensively summarizes all medical aspects of CTS to update medical professionals’ knowledge regarding the disease.

Effectiveness of Tendon and Nerve Gliding Exercises in the Treatment of Patients With Mild Idiopathic Carpal Tunnel Syndrome: A Randomized Controlled Trial

Hand ◽  
2021 ◽  
pp. 155894472110068
Author(s):  
Hossein Ali Abdolrazaghi ◽  
Mahmoud Khansari ◽  
Maryam Mirshahi ◽  
Mahin Ahmadi Pishkuhi
Keyword(s):  
Treatment Group ◽  
Carpal Tunnel Syndrome ◽  
Functional Status ◽  
Carpal Tunnel ◽  
Controlled Trial ◽  
Treatment Options ◽  
Pinch Strength ◽  
Control Group ◽  
Tunnel Syndrome ◽  
Wrist Splint

Background There is limited evidence regarding the efficacy of different treatment options in patients with carpal tunnel syndrome (CTS). This study aimed at assessing the effectiveness of nerve and tendon gliding exercises in the treatment of patients with mild CTS. Methods The current prospective, randomized trial with pretest-posttest design was conducted on 80 patients with mild CTS randomly assigned to 2 groups. The treatment group was instructed to perform gliding exercises in addition to the wrist splint use. The control group only used the wrist splint. All the patients were instructed to use the splint at night and during the day if required. Patients were evaluated in terms of clinical parameters (ie, grip and pinch strength). The severity of symptoms and functional status was also determined using the Boston Carpal Tunnel Syndrome Questionnaire. The subjects were followed up for 6 weeks. Results There were no significant differences in all parameters between groups. The pretest-posttest analysis showed a statistically significant improvement in subjective and objective parameters in the treatment group. However, in the control group, only a significant improvement was observed in grip strength. Wrist splint use led to a significant change in the severity of symptoms only over the second week. Conclusions Both gliding exercise and wrist splint groups showed some improvement in the severity of symptoms and functional status scores. However, the gliding exercises did not offer additional benefit compared with wrist splint alone.

Treatment options for carpal tunnel syndrome

Therapy ◽  
2005 ◽  
Vol 2 (3) ◽  
pp. 455-463 ◽  
Author(s):  
Andrew CF Hui ◽  
Shiu-man Wong
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Treatment Options ◽  
Tunnel Syndrome

scholarly journals MEDICAL REHABILITATION MANAGEMENT OF CARPAL TUNNEL SYNDROME

2021 ◽  
Vol 2 (2) ◽  
Author(s):  
Imam Subadi ◽  
Hanik Hidayati ◽  
Fidiana Fidiana ◽  
Nur Sulastri
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Hand Function ◽  
Treatment Options ◽  
Clinical Syndrome ◽  
Medical Rehabilitation ◽  
Low Level Laser Therapy ◽  
Financial Loss ◽  
Level Laser ◽  
Tunnel Syndrome

Carpal tunnel syndrome (CTS), the most common entrapment neuropathy in the upper extrimity, is a clinical syndrome characterized by a tingling sensation, numbness, pain, or weakness in the hand and wrist radiating up to the arm. This condition is a major cause of absenteeism, reduced productivity, and financial loss among various neuropathy due to median nerve compression. This paper, medical rehabilitation of CTS is viewed. Medical rehabilitation of CTS aimed to reduce pain, reduce clamping of the carpal tunnel, sensory and motor reeducation so that hand function improves and can perform activities of daily living. Treatment options can be given includes exercise therapy, ultrasound diathermy, low level laser therapy (LLLT), and shock wave therapy (SWT).

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