What are the therapeutic options for carpal tunnel syndrome (CTS)?

Updated: Mar 30, 2020
  • Author: Nigel L Ashworth, MBChB, MSc, FRCPC; Chief Editor: Milton J Klein, DO, MBA  more...
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Answer

The use of modalities (in particular therapeutic ultrasound) may provide short-term relief in some patients. [10, 11, 12] A study by Incebiyik et al indicated that in patients with mild to moderate CTS, treatment with short-wave diathermy (SWD) can produce significant short-term benefits, including alleviation of clinical symptoms and pain and improvement of hand function. In the prospective, randomized, controlled, double-blind trial, 31 patients (58 wrists) with mild to moderate CTS were treated with a combination of a hot pack, nerve and tendon gliding exercises, and either SWD or placebo SWD, undergoing this therapy five times per week for three weeks. A variety of evaluation measures, including the Tinel sign test, Phalen sign test, carpel tunnel compression test, and Boston Carpal Tunnel Questionnaire (BCTQ) Symptom Severity and Functional Status scales, were used to assess patient outcomes. Significant improvements were found in the patients who underwent SWD but not in those who receivedthe placebo treatment. [32]

Additionally, yoga and carpal bone mobilization techniques have some weak evidence for reducing symptoms in the short term. [12, 33]


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