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dc.contributor.authorTudiver, Fredeng
dc.contributor.authorJohnson, E. Dianeeng
dc.date.issued2003eng
dc.description.abstractGood evidence supports the use of surgery for carpal tunnel syndrome over nonsurgical therapies such as wrist splints, nonsteroidal anti-inflammatory drugs (NSAIDs), physical therapy, occupational therapy, local steroid injections, work modification, and oral vitamin B6 (Grade of Recommendation: A, based on extrapolation from a systematic review of 1 randomized controlled trial [RCT], 1 additional recent RCT, and 2 cohort studies). Surgery is likely worth the extra costs when conservative therapy (up to 3 months) fails to improve symptoms and return of function, because delayed surgery is as successful as surgery performed shortly after diagnosis. Closed endoscopic release and open release surgery are equally effective therapies for controlling symptoms (Grade of Recommendation: C, based on extrapolation from a systematic review of RCTs). However, whether endoscopic release results in more rapid regain of function and return to work is unclear.eng
dc.identifier.urihttp://hdl.handle.net/10355/2930eng
dc.languageEnglisheng
dc.publisherFamily Physicians Inquiries Networkeng
dc.relation.ispartofcollectionClinical Inquiries, 2003 (MU)eng
dc.relation.ispartofcommunityUniversity of Missouri--Columbia. School of Medicine. Department of Family and Community Medicine. Family Physicians Inquiries Networkeng
dc.relation.ispartofseriesJournal of family practice, 52, no. 01 (January 2003)eng
dc.rightsOpenAccess.eng
dc.rights.licenseThis work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 License.eng
dc.subjectnonsurgical therapieseng
dc.subjectrelease surgeryeng
dc.subjectfunction statuseng
dc.subject.lcshCarpal tunnel syndrome -- Treatmenteng
dc.subject.meshCarpal Tunnel Syndrome -- surgeryeng
dc.titleDoes surgery for carpal tunnel syndrome improve outcomes?eng
dc.typeArticleeng


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