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[Carpal tunnel syndrome treatment]
- Source :
- Reumatismo, Vol 58, Iss 1, Pp 5-10 (2011)
- Publication Year :
- 2006
-
Abstract
- Carpal tunnel syndrome, the most common peripheral neuropathy, results from compression of the median nerve at the wrist, and is a cause of pain, numbness and tingling in the upper extremities and an increasingly recognized cause of work disability. If carpal tunnel syndrome seems likely, conservative management with splinting should be initiated. Moreover, it has suggested that patients reduce activities at home and work that exacerbate symptoms. Pyridoxine and diuretics, since are largely utilised, are no more effective than placebo in relieving the symptoms. Non steroidal anti-inflammatory drugs and orally administered corticosteroids can be effective for short-term management (two to four weeks), but local corticosteroid injection may improve symptoms for a longer period. Injection is especially effective if there is no loss of sensibility or thenar-muscle atrophy and weakness, and if symptoms are intermittent rather than constant. If symptoms are refractory to conservative measures, the option of surgical therapy may be considered.
- Subjects :
- Complementary Therapies
Male
lcsh:Internal medicine
Weakness
medicine.medical_specialty
lcsh:Medicine
Wrist
Placebo
Injections
Immobilization
Atrophy
Rheumatology
Adrenal Cortex Hormones
medicine
Humans
Anesthetics, Local
lcsh:RC31-1245
Carpal tunnel syndrome
Diuretics
business.industry
lcsh:R
Anti-Inflammatory Agents, Non-Steroidal
Pyridoxine
medicine.disease
Carpal Tunnel Syndrome
Median nerve
Surgery
Occupational Diseases
Splints
medicine.anatomical_structure
Peripheral neuropathy
Female
medicine.symptom
business
Case Management
Subjects
Details
- ISSN :
- 00487449
- Volume :
- 58
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- Reumatismo
- Accession number :
- edsair.doi.dedup.....6b6d532075127768a65f8cf018b12f3d