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 […]
December 17, 2015 Physical therapy as effective as surgery in medium, long term; more effective for pain relief in short term WEDNESDAY, Dec. 16, 2015 (HealthDay News) — For women with carpal tunnel syndrome (CTS), physical manual therapies are similarly effective to surgery in the medium and long term, and may be more effective in […]
10.11.2015 Lower levels correlated with earlier age for disease development by Nancy Walsh Senior Staff Writer, MedPage Today SEATTLE — Women younger than age 50 undergoing release surgery for carpal tunnel syndrome had lower vitamin D levels than age-matched controls, although there was no similar association for older women, a Korean study found. Among a […]
September 29, 2015 Meta-analysis of 58 studies shows increased risk of carpal tunnel syndrome or carpal tunnel release MONDAY, Sept. 28, 2015 (HealthDay News) — Overweight and obesity are associated with increased risk of carpal tunnel syndrome (CTS), according to a meta-analysis published online Sept. 23 in Obesity Reviews. Rahman Shiri, M.D, Ph.D., M.P.H., from […]
September 23, 2015 BMJ Open TAKE-HOME MESSAGE This longitudinal study of two cohorts was designed to assess the relationship between carpal tunnel syndrome and occupational use of a computer. The adjusted odds ratio for the development of carpal tunnel syndrome in people with the highest use of computers was 0.39 and 0.16 in the two […]
For over 30 years it has been known that many conditions treated by surgery could be totally cured with pennies worth of nutrients. But there’s no money in pennies of nutrients. Surgeon Dr. John Ellis wrote extensively about how vitamin B6 cleared the majority of carpal tunnel syndromes, and other clinicians confirmed this. The normal […]
Laird Harrison May 28, 2015 PALM SPRINGS, California — Acupuncture appears to thicken the cortex of patients with idiopathic hand pain while alleviating their pain, a new study suggests. The finding provides new evidence for a condition resembling carpal tunnel syndrome but with a different cause, said first author, Norman Kettner, DC, chair of radiology […]
Ronald Grisanti D.C., D.A.B.C.O., D.A.C.B.N., M.S. Story Source Just recently I had the opportunity to consult with a patient by the name of Andrea who was suffering with carpal tunnel syndrome. Andrea was a 47 year women who was employed as an executive secretary for a Fortune 500 company. Her job responsibilities included typing business […]
MAY 30, 2013 BY CHIROTRUST Carpal Tunnel Syndrome (CTS) is a condition where the median nerve that arises in the neck and travels through the shoulder, arm, and into the hand becomes compressed. Compression of the median nerve results in tingling, numbness, pain and/or weakness that affects the 2nd, 3rd, and thumb-side half of the 4th fingers. It […]
Pajardi G, Bortot P, et al, Evid Based Complement Alternat Med, 2014; [Epub ahead of print] Journal Reference In a study involving 180 patients with carpal tunnel syndrome (CTS) scheduled to undergo surgical decompression of the median nerve, oral supplementation with a combination supplement containing alpha-lipoic acid, curcumin phytosome, and B-group vitamins, twice a day, […]
A case-control study Mondelli M, et al. J Neurol Sci. 2014 Jan 15. pii: S0022-510X(14)00034-3. doi: 10.1016/j.jns.2014.01.012. [Epub ahead of print] Abstract BACKGROUND: The association between carpal tunnel syndrome (CTS) and high body mass index (BMI) and some hand measures is well known. No study has been specifically focused on waist circumference (WC) and waist-to-hip-ratio […]
By Guy Hains, DC Carpal tunnel syndrome (CTS) is the most common and most clinically significant of all nerve entrapment syndromes,1 present in 2.7 percent of the adult population.2 Numbness and paresthesia along the distribution of the median nerve in the hand, i.e., the thumb, index, major and half the ring finger, are common symptoms […]
The Journal of Hand Surgery Volume 38, Issue 11, November 2013, Pages 2138–2143 Kathleen E. McKeon, MD Purpose To determine whether symptomatic dorsal wrist ganglions are associated with generalized ligamentous hyperlaxity. Methods Ninety-six patients (61 females) presenting to hand surgeons for a symptomatic dorsal wrist ganglions were prospectively enrolled in this case-control investigation. Beighton scores […]
Authors: Ana I. De-La-Llave-Rincón, PT1, César Fernández-De-Las-PeÑas, PT, PhD1, Domingo Palacios-CeÑa, MSc2, Joshua A. Cleland, PT, PhD, OCS, FAAOMPT3, AFFILIATIONS: 1 Professor, Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Universidad Rey Juan Carlos, Alcorcón, Madrid, Spain; Clinical Researcher, Esthesiology Laboratory of Universidad Rey Juan Carlos, Alcorcón, Spain. 2 Professor, Department of Health Sciences II, Universidad Rey Juan Carlos, Alcorcón, Spain. 3 Professor, Department of […]
Steroid Shots Ease Carpal Tunnel http://www.medpagetoday.com/Orthopedics/Orthopedics/41321 Published: Sep 2, 2013 | Updated: Sep 3, 2013 By Salynn Boyles, Contributing Writer, MedPage Today Patients with carpal tunnel syndrome reported fewer symptoms several months after receiving steroid injections, but most still opted for surgery within a year to relieve persistent pain, researchers said. Improvements in carpal tunnel […]
Peter S. Vezeridis Skeletal Radiol. 2010 August; 39(8): 733–745. Published online 2009 September 1, 2013 Full Text Article Abstract Ulnar-sided wrist pain is a common complaint, and it presents a diagnostic challenge for hand surgeons and radiologists. The complex anatomy of this region, combined with the small size of structures and subtle imaging findings, compound […]
Talebi M, et al. Citation Adv Pharm Bull. 2013;3(2):283-8. doi: 10.5681/apb.2013.046. Epub 2013 Aug 20. Abstract PURPOSE: Carpal tunnel syndrome (CTS) refers to a cluster of signs and symptoms that stems from compression of the median nerve traveling through carpal tunnel. Surgery is a definite treatment for CTS; however, many conservative therapies have been proposed. […]
Maeda Y, et al. Neuroimage Clin. 2013;2:313-319. PubMed Reference Abstract OBJECTIVE: Carpal tunnel syndrome (CTS) is a common median nerve entrapment neuropathy characterized by pain, paresthesias, diminished peripheral nerve conduction velocity (NCV) and maladaptive functional brain neuroplasticity. We evaluated structural reorganization in brain gray (GM) and white (WM) matter and whether such plasticity is linked […]