Evidence based clinical practice guideline on “The Treatment of Carpal Tunnel Syndrome” has been approved and released by the American Academy of Orthopaedic Surgeons (AAOS). Carpal Tunnel Syndrome, or CTS, is considered to be one of the most common disorders of the upper extremity and affects up to 10 percent of the population.

Michael Keith, M.D., Chair of the AAOS work group responsible for creating the new guideline said that CTS is believed to be caused by increased pressure on the median nerve in the carpal tunnel in the wrist.

From News-Medical.Net:

The final CTS Treatment guideline contains nine recommendations which include both operative and non-operative treatment options as well as alternative techniques. Some of the recommendations include:

* Traditional bracing or splinting

* Local steroid injection

* Oral steroids

* Ultrasound

* Carpal tunnel release surgery

After doing a thorough analysis of the current literature, the work group found no evidence that supports the following treatments:

* Heat therapy

* Acupuncture

* Diuretics

* Electric stimulation

* Massage therapy

* Magnet therapy

* Nutritional supplements

“This guideline is not intended to stand alone,” added Dr. Keith. “It can be used as a starting point for physicians and can open up the lines of patient-physician communication on possible treatment options.”

This guideline was formulated upon a systematic review of the present scientific and clinical information on accepted approaches to treatment and/or diagnosis.

Tags: carpal tunnel syndrome, CTS, steroid, steroids, supplements

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