The Effects of Topical Corticosteroid Injection on Carpal Tunnel Syndrome

Document Type : Original Article (s)

Authors

1 Student of Medicine, Student Research Committee, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

2 Orthopedists, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

Abstract

Background: The best treatment for mild to moderate carpal tunnel syndrome (CTS) is still controversial. The main aim of our study was to determine whether corticosteroid injection would result in a better outcome.Methods: In this randomized clinical trial, 88 individuals with mild to moderate CTS were selected from patients who referred to Kashani Hospital in Isfahan, Iran. The patients were randomly assigned into two groups. Splinting in neutral position of wrist was the only therapeutic method utilized in first group. However, splinting accompanied with corticosteroid injection was performed in the second group. Then the patients were evaluated in terms of pain intensity, and the relative prevalence of Phalen's and Tinel tests.Findings: Pain intensity and prevalence of Phalen's and Tinel tests were significantly lower in patients treated with splinting accompanied with corticosteroid injection. Conclusion: It seemed that splinting accompanied with corticosteroid injection is a more effective method in treatment of mild to moderate CTS.

Keywords

References

  1. Szabo RM. Entrapment and compression neuropathies. In: Green D, Hotchkiss R, Pederson WC, ditors. Green's Operative Hand Surgery.Philadelphia: Elsevier/Churchill Livingstone; 1999. p. 1404-47.
  2. Kessler FB. Complications of the management of carpal tunnel syndrome. Hand Clin 1986; 2(2): 401-6.
  3. Kaplan SJ, Glickel SZ, Eaton RG. Predictive factors in the non-surgical treatment of carpal tunnel syndrome. J Hand Surg Br 1990; 15(1): 106-8.
  4. Sevim S, Dogu O, Camdeviren H, Kaleagasi H, Aral M, Arslan E, et al. Long-term effectiveness of steroid injections and splinting in mild and moderate carpal tunnel syndrome. Neurol Sci 2004; 25(2): 48-52.
  5. Graham RG, Hudson DA, Solomons M, Singer M. A prospective study to assess the outcome of steroid injections and wrist splinting for the treatment of carpal tunnel syndrome. Plast Reconstr Surg 2004; 113(2): 550-6.
  6. Werner RA, Franzblau A, Gell N. Randomized controlled trial of nocturnal splinting for active workers with symptoms of carpal tunnel syndrome. Arch Phys Med Rehabil 2005; 86(1): 1-7.
  7. Agarwal V, Singh R, Sachdev A, Wiclaff, Shekhar S, Goel D. A prospective study of the long-term efficacy of local methyl prednisolone acetate injection in the management of mild carpal tunnel syndrome. Rheumatology (Oxford) 2005; 44(5): 647-50.
  8. Papez BJ, Turk Z. Clinical versus electrodiagnostic effectiveness of splinting in the conservative treatment of carpal-tunnel syndrome. Wien Klin Wochenschr 2004; 116(Suppl 2): 24-7.
  9. Mishra S, Prabhakar S, Lal V, Modi M, Das CP, Khurana D. Efficacy of splinting and oral steroids in the treatment of carpal tunnel syndrome: a prospective randomized clinical and electrophysiological study. Neurol India 2006; 54(3): 286-90.
  10. Walker WC, Metzler M, Cifu DX, Swartz Z. Neutral wrist splinting in carpal tunnel syndrome: a comparison of night-only versus full-time wear instructions. Arch Phys Med Rehabil 2000; 81(4): 424-9.
  11. Gelberman RH, Aronson D, Weisman MH. Carpal-tunnel syndrome. Results of a prospective trial of steroid injection and splinting. J Bone Joint Surg Am 1980; 62(7): 1181-4.
Journal of Isfahan Medical School
Volume 29, Issue 168 - Serial Number 168
November and December 2012
Pages 2521-2526

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History

  • Receive Date: 22 October 2011
  • Revise Date: 30 April 2024
  • Accept Date: 06 April 2022

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