Neurological Sciences

, Volume 25, Issue 2, pp 48– 52

Long-term effectiveness of steroid injections and splinting in mild and moderate carpal tunnel syndrome

  • S. Sevim
  • O. Dogu
  • H. Çamdeviren
  • H. Kaleagasi
  • M. Aral
  • E. Arslan
  • A. Milcan
ORIGINAL

DOI: 10.1007/s10072-004-0229-0

Cite this article as:
Sevim, S., Dogu, O., Çamdeviren, H. et al. Neurol Sci (2004) 25: 48. doi:10.1007/s10072-004-0229-0

Abstract.

To evaluate the long-term efficacy of non-surgical treatment methods for mild and moderate carpal tunnel syndrome, 120 patients with clinical symptoms and electrophysiologic evidence were included in a prospective, randomized and blinded trial: 60 patients were instructed to wear splints every night, 30 received injections of betamethasone 4 cm proximal to the carpal tunnel, and 30 received injections distal to the carpal tunnel. After approximately 1 year (mean, 11 months; range, 9–14), 108 patients were available for final evaluation. We assessed clinical symptom severity and performed detailed electrophysiologic examinations before and after treatment. Splinting provided symptomatic relief and improved sensory and motor nerve conduction velocities at the long-term follow-up when the splints were worn almost every night. Proximal and distal injections of steroids were ineffective on the basis of both clinical symptoms and electrophysiologic findings.

Key words

Carpal tunnel syndrome Splinting Steroid injections Therapy 

Copyright information

© Springer-Verlag Italia 2004

Authors and Affiliations

  • S. Sevim
    • 1
  • O. Dogu
    • 1
  • H. Çamdeviren
    • 2
  • H. Kaleagasi
    • 1
  • M. Aral
    • 1
  • E. Arslan
    • 3
  • A. Milcan
    • 4
  1. 1.Department of Neurology, Faculty of MedicineMersin UniversityNoroloji Anabilim Dali, 33070 MersinTurkey
  2. 2.Department of Biostatistics, Faculty of MedicineMersin UniversityMersinTurkey
  3. 3.Department of Plastic and Reconstructive Surgery, Faculty of MedicineMersin UniversityMersinTurkey
  4. 4.Department of Orthopaedics, Faculty of MedicineMersin UniversityMersinTurkey

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