Carpal tunnel syndrome can produce a spectrum of symptoms ranging from mild tingling in the hand or fingers to numbness to severe hand pain, wrist pain with or without associated arm pain. It is the result of a compression of the median nerve at the carpal ligament. Some patients are awakened by the pain. The hand grip can get weak and patients may complain of dropping objects. It is more frequently (but not necessarily) associated with patients using their hands excessively such as computer operators. It also shows a higher prevalence in patients with diabetes and in pregnancy, although there are many cases of carpal tunnel syndrome that occur in isolation. Some rare cases of amyloidosis (deposition of an abnormal substance due to several conditions) can also show higher incidence of carpal tunnel syndrome. One or both hands can be involved.
We offer a combined treatment for carpal tunnel syndrome consistent of laser and an injection into the carpal tunnel (1) with a very thin needle (roughly the thickness of an acupuncture needle). This is a non surgical treatment and only a minor virtually painless skin puncture in the wrist area is performed. Our treatment is based in the scientific medical literature and we obtained more than 95% relief within 24 hours (see below). Studies in the literature show that WITHOUT surgery, more that 75% patients with carpal tunnel syndrome will not deteriorate. In fact, the majority will improve with non surgical therapy (2). There are many, many approaches in the literature for non-surgical treatment of carpal tunnel syndrome ranging from nutritional supplements to physical therapy devises. Some of them work, some do not, contrary to claims. Our therapy ONLY follows verifiable evidence-based medicine guidelines (evidence supported by high quality clinical trials).
1-Adv Ther. 2009 Jan;26(1):107-16. Epub 2009 Jan 22.
2-Clin Neurophysiol. 2008 Jun;119(6):1373-8. Epub 2008 Apr 18.
THERE ARE MANY PEER REVIEWED SCIENTIFIC CLINICAL STUDIES SUPPORTING OUR TREATMENT APPROACH. BELOW IS ONE OF SEVERAL CLINICAL TRIALS CONDUCTED AT A UNIVERSITY HOSPITAL.
JOURNAL CITATION: Adv Ther. 2009 Jan;26(1):107-16. Epub 2009 Jan 22.
Evaluation of the clinical efficacy of conservative treatment in the management of carpal tunnel syndrome. INTRODUCTION: Carpal tunnel syndrome (CTS) is impingement of the median nerve at the wrist. The aim of this study was to compare the effectiveness of tendon and nerve gliding exercises with standard conservative treatment (SCT), which consists of splinting and local steroid injections, in the treatment of CTS. METHODS: This study was a prospective, randomized, single-blind trial. Patients were randomized into three groups: treatment with SCT (Group 1); SCT and tendon and nerve gliding exercises (Group 2); tendon and nerve gliding exercises only (Group 3). A symptom total point score was obtained from five symptoms: hand pain, tingling, numbness, nocturnal numbness, and interrupted sleep. The functional status of the hand was determined by assessing seven daily living activities: writing, buttoning clothes, gripping a telephone receiver, opening jars, doing housework, carrying grocery bags, and bathing. Standard physical examinations (Tinel's test, Phalen's test, reverse Phalen's test, and the compression test) were also performed. RESULTS: A total of 111 patients who were diagnosed with intermediate-stage CTS were included in the study. At the end of treatment, significant improvements in symptoms and functionality were detected in all groups. However, the recovery of patients in Groups 1 (n=41) and 2 (n=35) were found to be significantly greater than that of patients in Group 3 (n=35; P<0.001). Patient satisfaction was investigated a mean of 11 months after treatment. Percentages of asymptomatic patients in Group 1 and Group 2 were significantly higher than in Group 3 (P=0.02 and P=0.04, respectively). CONCLUSION: In the intermediate stage of CTS, SCT was an effective treatment to improve symptoms and functional status. Tendon and nerve gliding exercises alone were inferior to either SCT alone or SCT in combination with gliding exercises.
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