Arch Phys Med Rehabil. 2017 Jun 16. pii: S0003-9993(17)30391-X. doi: 10.1016/j.apmr.2017.06.002. [Epub ahead of print] Franke TP, Koes BW, Geelen SJ, Huisstede BM. Abstract OBJECTIVE: To systematically review the literature on the effectiveness of low-level laser therapy for patients with carpal tunnel syndrome. DATA SOURCES: The Cochrane Library, PubMed, Embase, CINAHL, and Physiotherapy Evidence Database […]
Musculoskeletal Science and Practice Volume 36, August 2018, Pages 12-16 Highlights • Cross-sectional area of the carpal tunnel increased during the manual mobilization of the carpal bones. • The mobilization increased the anterior-posterior diameter of the carpal tunnel. • Both the carpal tunnel and the median nerve became rounder during the technique. • Differences in […]
Archives of Physical Medicine and Rehabilitation April 2018 Volume 99, Issue 4, Pages 758–765.e10 Ana Torres-Costoso, PhD Abstract Objective To evaluate the accuracy of inlet and outlet ultrasonography measurements for the diagnosis of carpal tunnel syndrome (CTS). Data Sources MEDLINE, EMBASE, the Cochrane Library, and the Web of Science databases were systematically searched from inception […]
Eur J Pain. 2017 Aug;21(7):1266-1276. doi: 10.1002/ejp.1026. Epub 2017 Mar 14. Fernández-de-Las-Peñas C Abstract BACKGROUND: People with carpal tunnel syndrome (CTS) exhibit widespread pressure pain and thermal pain hypersensitivity as a manifestation of central sensitization. The aim of our study was to compare the effectiveness of manual therapy versus surgery for improving pain and nociceptive […]
Carpal tunnel syndrome (CTS) is due to compression of the median nerve and is the most commonly occurring compression neuropathy. Due to the varied etiopathogenesis of CTS, it remains a challenge for clinicians, as inadequate studies exist regarding conservative treatment. Based on the promising results of previous studies with manual therapy, the authors of the […]
June 26, 2017 FRIDAY, June 23, 2017 (HealthDay News) — Extended use of smartphones and other hand-held electronic devices leads to an increased risk of carpal tunnel syndrome, according to a study published online June 21 in Muscle & Nerve. Peter White, Ph.D., an assistant professor in the department of health technology and informatics at […]
JUNE 07, 2017 Evidence-based Complementary and Alternative Medicine Ural FG, et al. This article was written with the objective to investigate the acupuncture impact on the cross–sectional area (CSA) of the median nerve at the wrist in patients with carpal tunnel syndrome (CTS) and, also, to distinguish whether clinical, electrophysiological, and ultrasonographic changes demonstrate any […]
John R. Fowler, MD Orthopedics May/June 2017 – Volume 40 · Issue 3: 141-142 Posted May 25, 2017 DOI: 10.3928/01477447-20170419-01 Carpal tunnel syndrome, compression of the median nerve within the confines of the carpal tunnel, is the most common peripheral compression neuropathy. By definition, a syndrome is a constellation of signs and symptoms. Carpal tunnel […]
Authors: César Fernández-de-las-Peñas, PT, PhD, DMSc Published: Journal of Orthopaedic & Sports Physical Therapy, 2017 Volume:0 Issue:0 Pages:1–43 DOI: 10.2519/jospt.2017.7090 Study Design Randomized parallel-group trial. Background Carpal tunnel syndrome (CTS) is a common pain condition that can be managed surgically or conservatively. Objective To compare the effectiveness of manual therapy versus surgery for improving self-reported […]
Nerve gliding may be a worthwhile add-on in the conservative management of carpal tunnel syndrome. Here are a couple of videos showing how to do nerve gliding for CTS. Carpal Tunnel Tendon Stretch and Nerve Gliding – Video – Fitzmaurice Hand Institute Carpal Tunnel Nerve Gliding – Video – Leo Rozmaryn MD, Orthopedic Surgeon J Manipulative Physiol Ther. 2017 […]
Written by Hannah Nichols Reviewed by Beth Holloway RN, M.Ed. Last reviewed: Tue 20 December 2016 Carpal tunnel syndrome is a common condition that causes numbness, tingling, and sometimes pain in the fingers and the hand. Carpal tunnel syndrome (CTS) ranges from mild to severe. Proper treatment can often restore the functioning of the hand […]
J Back Musculoskelet Rehabil. 2016 Nov 21;29(4):835-839. Tanik N Abstract OBJECTIVE: Vitamin D deficiencies are associated with a variety of chronic diseases. The goal of the present study was to investigate the relationship between vitamin D levels and carpal tunnel syndrome (CTS). METHODS: This study included 90 patients with mild to moderate CTS and assessed […]
APM&R September 2016 Volume 97, Issue 9, Pages 1456–1464 Mauro Mondelli, MD Abstract Objective To assess the associations between carpal tunnel syndrome (CTS) severity and selected anthropometric and obesity indexes. Design We performed a case-control study. Clinical and electrophysiological severity of CTS was classified as mild, moderate, or severe based on validated scales. Body and […]
CMAJ September 6, 2016 vol. 188 no. 12 First published June 6, 2016, doi: 10.1503/cmaj.151003 Vincent C.H. Chung, PhD Abstract Background: The effectiveness of acupuncture for managing carpal tunnel syndrome is uncertain, particularly in patients already receiving conventional treatments (e.g., splinting). We aimed to assess the effects of electroacupuncture combined with splinting. Methods: We conducted […]
Are Acupuncture Therapies Effective for the Management of Musculoskeletal Disorders of the Extremities? A Systematic Review by the Ontario Protocol for Traffic Injury Management (OPTIMa) Collaboration Authors: Jocelyn Cox, DC Study Design Systematic review. Background Acupuncture is a commonly used treatment for musculoskeletal disorders (MSDs); however, little is known about the effectiveness of acupuncture therapies […]
APM&R May 2016Volume 97, Issue 5, Pages 836–852.e1 Clinical Course and Prognostic Factors in Conservatively Managed Carpal Tunnel Syndrome: A Systematic Review Claire L. Burton, MBChB, MMedSci Abstract Objective To summarize the available evidence regarding the course of symptoms and prognostic factors in patients with diagnosed carpal tunnel syndrome (CTS) who are treated conservatively. Data […]
Journal of Orthopaedic & Sports Physical Therapy, 2016 Volume:0 Issue:0 Pages:1–28 Authors: César Fernández-de-las-Peñas, PT, PhD, DMSc Study Design Prospective cohort study. Background A clinical prediction rule to identify patients with carpal tunnel syndrome (CTS) most likely to respond to manual physical therapy has been published but requires further testing to determine its validity. Objective […]
New guidelines do not recommend the routine use of MRI imaging for diagnosis Date: March 2, 2016 Source: American Academy of Orthopaedic Surgeons Summary: New guidelines recommend the collective use of a thorough patient history and specific physical examination maneuvers, in addition to observation and specific diagnostic tests to more definitively diagnose carpal tunnel syndrome, […]
Adopted by the American Academy of Orthopaedic Surgeons Board of Directors February 29, 2016 AAOS guideline download (Free PDF)
J Hand Surg Eur Vol. 2015 Dec 23. pii: 1753193415622732. [Epub ahead of print] Lee SH, Gong HS, Kim DH, Shin HS, Kim KM, Kim J, Baek GH. Abstract Studies suggest that vitamin D has a role in neuroprotection. We investigated whether vitamin D status is associated with carpal tunnel syndrome. Vitamin D levels were […]