Conservative therapy in carpal tunnel syndrome

S. Stahl, D. Yarnitsky, G. Volpin, A. Fried

Research output: Contribution to journalArticlepeer-review

7 Scopus citations

Abstract

A prospective study was designed to determine which patients with carpal tunnel would respond to conservative therapy (splinting and local injection of corticosteroids). The study included 50 hands of 34 patients, aged 25-80 years, with a mean follow-up of 18 months. Conservative therapy was effective in 82% of hands after 8 weeks, but symptoms subsequently recurred, so that by the end of a year only 20% remained asymptomatic. Failure of conservative therapy was predicted by long duration of symptoms, older age, permanent paresthesia, 2-point discrimination threshold above 6 mm, positive Phalen test within 30 seconds, and long motor and sensory distal latency.

Original languageHebrew
Pages (from-to)241-243; 295
JournalHarefuah
Volume130
Issue number4
StatePublished - 15 Feb 1996
Externally publishedYes

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