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Therapy

Surgery or nonsurgical therapy for carpal tunnel syndrome?

A recent study of therapies for carpal tunnel syndrome suggests a clear benefit for surgery, although the investigators also found improvements in patients who received carefully structured, nonsurgical treatment.

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References

  1. Jarvik, J. G. et al. Surgery versus non-surgical therapy for carpal tunnel syndrome: a randomised parallel-group trial. Lancet 374, 1074–1081 (2009).

    Article  Google Scholar 

  2. Ettema, A. M. et al. Surgery versus conservative therapy in carpal tunnel syndrome in people aged 70 years and older. Plast. Reconstr. Surg. 118, 947–958 (2006).

    Article  CAS  Google Scholar 

  3. Gerritsen, A. A. et al. Splinting vs surgery in the treatment of carpal tunnel syndrome: a randomized controlled trial. JAMA 288, 1245–1251 (2002).

    Article  Google Scholar 

  4. Hui, A. C. et al. A randomized controlled trial of surgery vs steroid injection for carpal tunnel syndrome. Neurology 64, 2074–2078 (2005).

    Article  CAS  Google Scholar 

  5. Chan, L. et al. The relationship between electrodiagnostic findings and patient symptoms and function in carpal tunnel syndrome. Arch. Phys. Med. Rehabil. 88, 19–24 (2007).

    Article  Google Scholar 

  6. You, H., Simmons, Z., Freivalds, A., Kothari, M. J. & Naidu, S. H. Relationships between clinical symptom severity scales and nerve conduction measures in carpal tunnel syndrome. Muscle Nerve 22, 497–501 (1999).

    Article  CAS  Google Scholar 

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Correspondence to George S. M. Dyer.

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The authors declare no competing financial interests.

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Dyer, G., Simmons, B. Surgery or nonsurgical therapy for carpal tunnel syndrome?. Nat Rev Rheumatol 6, 186–187 (2010). https://doi.org/10.1038/nrrheum.2010.41

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  • DOI: https://doi.org/10.1038/nrrheum.2010.41

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