A Systematic Review and Network Meta-analysis of Randomized Controlled Trials Nan Gao, MS Abstract Objective To compare the short-term effectiveness of corticosteroids, 5% dextrose (D5W), and platelet-rich plasma (PRP) injections for treating carpal tunnel syndrome (CTS). Data Sources Four databases (MEDLINE [PubMed], Embase, the Cochrane Controlled Trials Register, and Web of Science [WOS]) were researched […]
Journal of Integrative and Complementary Medicine VOL. 28, NO. 12 | Jihang Du, Qiang Yuan, Xiao-Yan Wang, Jun-Hui Qian, Jie An, Qian Dai, Xiang-Yun Yan, Bojun Xu, Jian Luo, and Hao-Zhong Wang Published Online: 7 Dec 2022 https://doi.org/10.1089/jicm.2022.0542 Abstract Objective: Systematic review and meta-analysis to assess the efficacy of Manual therapy and related interventions in […]
The Lancet Rheumatology VOLUME 4, ISSUE 8, E556-E565, AUGUST 2022 Benjamin Patel, BMBCh Published: August, 2022DOI:https://doi.org/10.1016/S2665-9913(22)00180-1 Summary Background Trigger finger and carpal tunnel syndrome are the two most common non-traumatic connective tissue disorders of the hand. Both of these conditions frequently co-occur, often in patients with rheumatoid arthritis. However, this phenotypic association is poorly understood. […]
Journal of Orthopaedic & Sports Physical Therapy Published Online: November 30, 2021 Volume 51 Issue 12 Pages 566-580 Abstract Objectives We aimed (1) to estimate the short-term effect (postintervention period) of neurodynamic techniques on pain, symptom severity, functional status, electrophysiological status, grip strength, and pinch strength in people with carpal tunnel syndrome (CTS); and (2) […]
November 10, 2021 JAMA Network Open TAKE-HOME MESSAGE This follow-up to a double-blind, placebo-controlled RCT sought to explore whether local steroid injection (with 80 mg or 40 mg of methylprednisolone) versus saline impacted long-term carpal tunnel pain scores and rates of carpal tunnel release surgery, as well as other outcomes such as time to surgery. The […]
Archives of Physical Medicine and Rehabilitation VOLUME 102, ISSUE 5, P951-958, MAY 01, 2021 Si-Ru Chen, MD Abstract Objective To assess the therapeutic effect of platelet-rich plasma (PRP) for moderate-to-severe carpal tunnel syndrome (CTS). Design A prospective, randomized, double-blinded, controlled trial (1-year follow-up). Setting Outpatient of local medical center settings. Participants Patients (N=26) who were […]
Published: 07 April 2021 Armaghan Dabbagh BMC Musculoskeletal Disorders volume 22, Article number: 337 (2021) Abstract Background Carpal tunnel syndrome (CTS) is the most common entrapment mononeuropathy of the upper extremity. The previous systematic review of the diagnostic tests for CTS was outdated. The objective of this study was to compile and appraise the evidence […]
Armaghan Dabbagh, PT, MSc1, Joy C. MacDermid, PT, PhD13, Joshua Yong, OT, MSc4, Luciana G. Macedo, PT, PhD2, Tara L. Packham, OT, PhD2 Journal of Orthopaedic & Sports Physical Therapy Published Online: October 31, 2020 Volume 50 Issue 11 Pages622-631 https://www.jospt.org/doi/10.2519/jospt.2020.9599 Abstract Objective To summarize and evaluate research on the accuracy of clinical diagnostic scales, […]
Journal of Orthopaedic & Sports Physical Therapy Published Online:September 16, 2020Volume0Issue0Pages1-47 https://www.jospt.org/doi/10.2519/jospt.2020.9599 Abstract Objective To summarize and evaluate research on the accuracy of clinical diagnostic scales, questionnaires and hand symptom diagrams/maps (HSD) used for diagnosis of carpal tunnel syndrome (CTS). Design Systematic review of diagnostic test accuracy. Literature Search A comprehensive literature search of MEDLINE, […]
Journal of Manipulative and Physiological Therapeutics Josiah D. Sault, DPT Dhinu J. Jayaseelan, DPT John J. Mischke, DPT Andrew A. Post, DPT Published:August 26, 2020DOI:https://doi.org/10.1016/j.jmpt.2020.02.001 Abstract Objective The purpose of this review is to identify the role of joint mobilization for individuals with Carpal tunnel syndrome (CTS). Methods A systematic search of 5 electronic databases […]
César Fernández-de-las-Peñas Physical Therapy, pzaa150, https://doi.org/10.1093/ptj/pzaa150 Published: 06 August 2020 Abstract Objective No study has investigated the effects longer than 1-year of manual therapy in carpal tunnel syndrome (CTS). The purpose of this study was to investigate the effects of manual therapy versus surgery at 4-year follow-up and to compare the post-study surgery rate in […]
Yujie Xie, Chi Zhang, Bin Liang, Jianxiong Wang, Li Wang, Tenggang Wan, Fangyuan Xu & Lei Lei (2020) Disability and Rehabilitation, DOI: 10.1080/09638288.2020.1762769 Abstract Purpose: To determine whether shock wave therapy could improve symptoms and hand function in patients with carpal tunnel syndrome. Materials and methods: Medline, Embase, Physiotherapy Evidence Database, the Cochrane Central Register of Controlled […]
Archives of Physical Medicine and Rehabilitation Michael Catapano, MD VOLUME 101, ISSUE 5, P897-906, MAY 01, 2020 Highlights • Platelet-rich plasma (PRP) is theorized to reduce inflammation and promote neuronal and axon regeneration. • Four randomized controlled trials assessed the effects of PRP on pain and function in carpal tunnel syndrome. • PRP results in […]
The Journal of Alternative and Complementary Medicine Vol. 25, No. 10Original Articles Chi-Wen Juan Published Online:21 Oct 2019 https://doi.org/10.1089/acm.2019.0169 Abstract Objectives: This study aimed to compare the efficacy of laser acupuncture (LA) treatment with that of placebo LA treatment in patients with idiopathic, mild-to-moderate carpal tunnel syndrome (CTS), as measured by subjective symptom assessments and […]
Goal is to catch cardiac amyloidosis early, clinicians say by Nicole Lou, Contributing Writer, MedPage Today July 01, 2019 Carpal tunnel syndrome may be an early warning sign of amyloidosis and heart failure, a Danish study showed. Matched by age and sex to the general population, people who got carpal tunnel surgery had higher risks […]
Dionysios Drakopoulos, MD; Evanthia Mitsiokapa, MD; Erineos Karamanis, MD; Vasilios Kontogeorgakos, MD; Andreas F. Mavrogenis, MD Orthopedics. 2019;42(5):e460-e464https://doi.org/10.3928/01477447-20190604-02 Posted June 13, 2019 Abstract Carpal tunnel syndrome (CTS) is the most common peripheral entrapment neuropathy. Its diagnosis is based on clinical symptoms and neurophysiological evaluation. Recently, ultrasonography has been introduced as a promising noninvasive diagnostic alternative. […]
CLINICAL PRACTICE GUIDELINES Hand Pain and Sensory Deficits: Carpal Tunnel Syndrome Clinical Practice Guidelines Linked to the International Classification of Functioning, Disability and Health From the Academy of Hand and Upper Extremity Physical Therapy and the Academy of Orthopaedic Physical Therapy of the American Physical Therapy Association Published: Journal of Orthopaedic & Sports Physical Therapy, […]
Published: Journal of Orthopaedic & Sports Physical Therapy, 2018 Volume:49 Issue:2 Pages:55–63 DOI: 10.2519/jospt.2019.8483 Background Carpal tunnel syndrome (CTS) results in substantial societal costs and can be treated either by nonsurgical or surgical approaches. Objective To evaluate differences in cost-effectiveness of manual physical therapy versus surgery in women with CTS. Methods In this randomized clinical […]
Archives of Physical Medicine & Rehabilitation August 2018 Volume 99, Issue 8, Pages 1609–1622.e10 Bionka M. Huisstede, PhD Abstract Objective To present an evidence-based overview of the effectiveness of oral pain medication and corticosteroid injections to treat carpal tunnel syndrome (CTS). Data Sources The Cochrane Library, PubMed, Embase, CINAHL, and Physiotherapy Evidence Database were searched […]
Huisstede, Bionka M. et al. Archives of Physical Medicine and Rehabilitation , Volume 99 , Issue 8 , 1660 – 1680.e21 Abstract Objective To present an evidence-based overview of the effectiveness of surgical and postsurgical interventions for carpal tunnel syndrome (CTS). Data Sources The Cochrane Library, PubMed, EMBASE, CINAHL, and PEDro were searched for relevant […]