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Evaluating the Effectiveness of Surgical Treatment and Local Steroid Injection in Patients with Carpal Tunnel Syndrome - دکتر مجید عابدی

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Evaluating the Effectiveness of Surgical Treatment and Local Steroid Injection in Patients with Carpal Tunnel Syndrome

 
Authors
Sousan Padidar, Majid Abedi, Khosro Jamebozorgi, Azra Izanloo, Masoud Mirkazemi
Publication date
2018/7/1
Journal
Razavi International Journal of Medicine
Volume
6
Issue
3
Pages
21-25
Publisher
Mashhad Razavi Hospital
Description
Background
 
Carpal tunnel syndrome (CTS) is considered as the most common entrapment neuropathy. Median nerve release by surgery is a manual therapy intervention used for treating CTS.
Objectives
 
The aim of the present study was to compare the effectiveness of surgical decompression with respect to local steroid injection in the treatment of idiopathic.
Methods
 
In this study, 100 patients with mild and moderate carpal tunnel syndrome were assigned to two equal groups. In one group, patients received a single local injection of triamcinolone acetonide and in the other one, open carpal tunnel release was used. A number of variables including pain (based on Visual Analogue Scale), symptom severity and functional status (based on Bostone/ Levine symptom severity and functional status scale) were assessed at the baseline and after a 6-month follow-up. Analysis was carried by intention to treat.
Results
 
the severity of symptoms in the surgery and injection groups was 2.51 and 2.61 respectively. However, in the follow-up, the severity of symptoms in the surgery group (1.77) was significantly lower than the injection group (2.62) (p
 
 

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