Artikel
Conservative treatment options of carpal tunnel syndrome – „Update 2011“
Suche in Medline nach
Autoren
Veröffentlicht: | 24. Oktober 2011 |
---|
Gliederung
Text
Objective: Purpose of this review was to update scientific literature about the effects of conservative treatment for carpal tunnel syndrome (CTS).
Material/Methods: Meta-analyses and original articles concerning this topic were included in this review. The databases Medline (1/1966-5/2011) and Embase (1/1989-5/2011) were used.
Results: Due to state of the art, CTS can be diagnosed by history taking, clinical examination, and electrophysiological investigation (Ortiz-Corredor et al., 2011, Cocito et al., 2006, Graham 2006). Consevative treatment options are: splinting (Werner 2005, Premoselli 2006, Ucan 2006, Brininger 2007, Heebner 2008, Yagci 2009, De Angelis 2009, O'Connor 2009, Bionka 2010, Huisstede 2010); steroid injections (Armstrong 2004, Ucan 2006, Marshall 2009, Peters-Veluthamaningal 2010, Karadaş 2011); ultrasound treatment (Bakhtiary 2004, O'Connor 2009, Bionka 2010, Huisstede 2010); iontophoresis (Banta 1994). Other conservative treatment options are ergonomic computer-keyboards, manual therapy, dynamic magnetic fields, and yoga (Huisstede 2010, Marshall 2009). After surgical treatment, rehabilitation consists of different active and passive modalities. These can be physiotherapy and occupational therapy (to accelerate recovery) (Provinciali 2002), Laser-therapy and ultrasound (for treatment of scars), Co2-baths and lymph-massage (for treatment of oedema and swelling). Postoperative pain is treated using pharmacological and physical-medical modalities (Derry 2009).
Conclusion: “State of the art regimen” in diagnosis and therapy seems to be important and useful in the treatment of patients with CTS. Nevertheless, further randomised controlled high quality clinical studies investigating the non-surgical treatment options of CTS are necessary in order to optimize conservative treatment of CTS.