Carpal tunnel syndrome treatment

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, conservati...

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Main Authors: Emilio Filippucci, Fausto Salaffi, Rossella De Angelis, Walter Grassi
Format: Article
Language:English
Published: PAGEPress Publications 2011-09-01
Series:Reumatismo
Online Access:http://www.reumatismo.org/index.php/reuma/article/view/243
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author Emilio Filippucci
Fausto Salaffi
Rossella De Angelis
Walter Grassi
author_facet Emilio Filippucci
Fausto Salaffi
Rossella De Angelis
Walter Grassi
author_sort Emilio Filippucci
collection DOAJ
description 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.
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spelling doaj.art-8e7bb1127b9a4f379f884cf7299ad1762022-12-22T03:34:58ZengPAGEPress PublicationsReumatismo0048-74492240-26832011-09-0158151010.4081/reumatismo.2006.5Carpal tunnel syndrome treatmentEmilio FilippucciFausto SalaffiRossella De AngelisWalter GrassiCarpal 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.http://www.reumatismo.org/index.php/reuma/article/view/243
spellingShingle Emilio Filippucci
Fausto Salaffi
Rossella De Angelis
Walter Grassi
Carpal tunnel syndrome treatment
Reumatismo
title Carpal tunnel syndrome treatment
title_full Carpal tunnel syndrome treatment
title_fullStr Carpal tunnel syndrome treatment
title_full_unstemmed Carpal tunnel syndrome treatment
title_short Carpal tunnel syndrome treatment
title_sort carpal tunnel syndrome treatment
url http://www.reumatismo.org/index.php/reuma/article/view/243
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AT faustosalaffi carpaltunnelsyndrometreatment
AT rosselladeangelis carpaltunnelsyndrometreatment
AT waltergrassi carpaltunnelsyndrometreatment