Current options for nonsurgical management of carpal tunnel syndrome.
Current options for nonsurgical management of carpal tunnel syndrome.
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DOI：
10.2217/ijr.09.63
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发表时间：
2010-02-01
期刊：
影响因子：
--
通讯作者：
Carlson, Nels
中科院分区：
文献类型：
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作者：
Carlson, Hans;Colbert, Agatha;Carlson, Nels
腕管综合征（CTS）是最常见的卡压性神经病变。手术减压是常见的，传统上被认为是CTS的保守治疗。保守的治疗选择包括物理治疗，支具，类固醇注射和替代药物。虽然CTS通常是渐进的，但患者可能在没有正式治疗的情况下好转。症状的缓解不一定与临床发现的严重程度相关，自限性活动很常见。目前的文献表明，支具和皮质类固醇注射可能是有用的CTS的非手术治疗，虽然好处可能是短期的。关于其他治疗方法（如治疗、运动、瑜伽、针灸、激光和磁铁）的疗效证据有限，需要进一步研究。对于进行性功能缺陷和严重疼痛，建议进行手术。
Carpal tunnel syndrome (CTS) is the most common of the entrapment neuropathies. Surgical decompression is commonly performed and has traditionally been considered the defnitive treatment for CTS. Conservative treatment options include physical therapy, bracing, steroid injections and alternative medicine. While CTS is often progressive, patients may get better without formal treatment. The resolution of symptoms is not necessarily related to the severity of the clinical findings and self-limited activity is common. The current literature suggests that bracing and corticosteroid injections may be useful in the nonsurgical treatment of CTS, although the benefits may be short term. There is limited evidence regarding the efficacy of other treatments, such as therapy, exercise, yoga, acupuncture, lasers and magnets, and further studies are needed. Surgery is recommended for progressive functional deficits and significant pain.