|A Brief Review of Recent Advances in Carpal Tunnel Syndrome|
|Farhad Mirzaei1, Morteza Delkhosh Reihan2, Firooz Salehpour1, Marzieh Marahem3|
|1Department of Neurosurgery, Faculty of MedicineTabriz University of Medical Sciences ,Tabriz Iran
2Department of pain and palliative medicine, Tabriz university of medical sciences,Tabriz Iran
3Department Medicine Physiology, Tabriz University of medical sciences, Tabriz, Iran
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Keywords : Carpal Tunnel syndrome (CTS), Treatment outcome, Corticosteroids, Diagnosis
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Objectives: Carpal Tunnel syndrome (CTS) is a complicated disorder associated with localized median nerve compression in the carpal tunnel, which is associated with neurological symptoms, pain and functional limitation of the wrist, which in turn leads to problems in daily routine activities and reduced ability to work and ultimately negatively affecting quality of life and public health status. So the purposes this review were to evaluate effective diagnosis and conservative treatments for Carpal Tunnel syndrome (CTS)
Materials and Methods : This reviewed study was carried out by doing search in Scholar Google, PubMed and Elsevier databases using keywords such as carpal tunnel syndrome, treatment outcome, review, corticosteroids, and diagnosis. Approximately 40 articles were selected that were fully reviewed.
Results: our study was performed on the result of the included studies and assessed Local and oral corticosteroid, Splint, Physical examination, surgery’s reported outcome. revealed effective diagnostic and conservative treatments in Carpal Tunnel syndrome (CTS).
Conclusion: The CTS diagnosis should be based on history of patient, medical background and physical examination must be done along with electrodiagnstic test. To reduce the signs and symptoms of moderate CTS, local and oral corticosteroid is effective according to the evidences. Besides that, only some limited conflicting evidences are abserved that nonsteroidal anti-inflammatory drugs, vitamin B6, and diuretics are no more effective than placebo in reliving CTS symptoms. Then, surgery is the sole treatment that takes away the median nerve compression in moderately severe cases.
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