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Carpal Tunnel Syndrome

Physiotherapy vs. surgery for Carpal Tunnel Syndrome (CTS)

CTS is caused by compression of the median nerve at the carpal tunnel and has a prevalence ranging from 6.3% to 11.7%. It results in substantial social burdens. Documentation of the effect of surgical or conservative options are conflicting. CTS may be seen as a peripheral neuropathy, however evidence is now suggesting that it may possibly represent a complex pain syndrome, also including sensitisation.
Surgery and PT presented similar outcomes on pain and function at 6 and 12 months. Patients receiving PT experienced significantly greater relief of symptoms and improvements in hand function in the short term at 1 and 3 months. Significant and clinically important improvements from baseline to follow-up periods, particularly at 6 and 12 months were experienced in both groups, with non-significant differences between the two groups at 12 months. This supports the use of conservative treatment as first management option.

> From: Fernández-de-las Penas et al., J Pain 16 (2016-02-24 06:36:08) 1087-1094 . All rights reserved to The American Pain Society. Click here for the online summary. Translation by Jens Erik Jørgensen

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