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Effectiveness of non-operative methods of treatment of carpal tunnel syndrome: a narrative review.

Wiadomosci lekarskie (Warsaw, Poland : 1960)
January 1, 2024
Andrzej Żyluk et al. (2 authors)
Journal ArticleReviewHuman Study
Study Details

Study Goal

The researchers aimed to review the effectiveness of non-operative treatments, including acupuncture, for carpal tunnel syndrome (CTS).

Results Summary

The study found that acupuncture, like other non-surgical methods, provides short-term symptom relief and improved hand function in CTS patients but does not offer a permanent cure.

Population

Patients with carpal tunnel syndrome, particularly those with mild symptoms.

Effective Dosage

Not available

Duration

Not specified

Interactions

None mentioned

Extracted Claims (19)
InterventionDirectionEndpointPopulationDosageImpactClaim #
wrist splinting
decrease
symptoms and hand function
CTS patients
-
effective in reduction of symptoms and improvement of hand function
#1
systemic pharmacotherapy
decrease
symptoms and hand function
CTS patients
-
effective in reduction of symptoms and improvement of hand function
#2
intracarpal injections of steroids hydrodissection
decrease
symptoms and hand function
CTS patients
-
effective in reduction of symptoms and improvement of hand function
#3
acupuncture
decrease
symptoms and hand function
CTS patients
-
effective in reduction of symptoms and improvement of hand function
#4
nerve and tendon mobilization
decrease
symptoms and hand function
CTS patients
-
effective in reduction of symptoms and improvement of hand function
#5
osteopathy
decrease
symptoms and hand function
CTS patients
-
effective in reduction of symptoms and improvement of hand function
#6
taping
decrease
symptoms and hand function
CTS patients
-
effective in reduction of symptoms and improvement of hand function
#7
topical application of ointments
decrease
symptoms and hand function
CTS patients
-
effective in reduction of symptoms and improvement of hand function
#8
laser
decrease
symptoms and hand function
CTS patients
-
effective in reduction of symptoms and improvement of hand function
#9
ultrasound
decrease
symptoms and hand function
CTS patients
-
effective in reduction of symptoms and improvement of hand function
#10
shock-wave therapies
decrease
symptoms and hand function
CTS patients
-
effective in reduction of symptoms and improvement of hand function
#11
non-surgical techniques
decrease
effectiveness
patients
-
less effective than surgery
#12
non-surgical techniques
decrease
effect duration
patients
-
provide only short-lived effect
#13
non-surgical techniques
increase
treatment sufficiency
patients suffering from mild symptoms
-
may be quite sufficient
#14
non-surgical techniques
no change
effectiveness
-
-
actual effectiveness has not been scientifically verified
#15
non-operative methods
decrease
symptoms and hand function
CTS patients
-
effective in reduction of symptoms and improvement of hand function
#16
non-operative methods
decrease
effect duration
CTS patients
-
effect is only short-lived
#17
non-operative methods
no change
permanent cure
CTS patients
-
None of these treatments provides a permanent cure
#18
surgical treatment
increase
recovery
CTS patients
-
provides permanent recovery
#19
Abstract

Carpal tunnel syndrome (CTS) can be treated with several methods, including surgical and non-surgical techniques. Non-surgical methods include wrist splinting, systemic pharmacotherapy, intracarpal injections of steroids hydrodissection, acupuncture, nerve and tendon mobilization, osteopathy, taping, topical application of ointments, laser, ultrasound and shock-wave therapies. These treatments are generally less effective than surgery, and provide only short-lived effect, but it may be quite sufficient for a certain category of patients, particularly those suffering from mild symptoms. Over the last years, these techniques have attracted increasing popularity, because they offer non-invasive option for surgical treatment what can be attractive for some patients. However, although these methods were shown in the literature, their actual effectiveness has not been scientifically verified. The objective of this study was a review of the effectiveness of non-operative methods of treatment of CTS. A review of the published literature from PubMed and Medline databases on the effectiveness of CTS non-operative treatments of was done. The review indicates that each of the presented methods is effective in reduction of symptoms and improvement of hand function in CTS patients, but their effect is only short-lived. None of these treatments provides a permanent cure, like does surgical treatment. In spite of numerous non-operative treatments of CTS, surgery is the only method that provides permanent recovery.

Medical Subject Headings (MeSH)
HumansCarpal Tunnel SyndromeTreatment Outcome
Study Links
Quality Scores
SafetyNot Assessed
Efficacy60/10
Quality70/10
Research Impact Scores
APT Score0.05
Weight Score2.25
Normalized Score0.58
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