Effectiveness of non-operative methods of treatment of carpal tunnel syndrome: a narrative review.
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
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
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 |
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.