What is the best nonsurgical therapy for carpal tunnel syndrome?
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Steroid injection is effective for both short- and long-term relief of symptoms in patients with carpal tunnel syndrome, while oral steroids are effective only for short-term relief (strength of recommendation [SOR]: A, based on meta-analyses). Wrist splinting is also associated with reduced symptoms at a 2- to 6-week follow-up (SOR: B, based on small clinical trials). Ultrasound is not effective at 2 weeks, but may reduce symptoms by 7 weeks (SOR: B, based on small clinical trials).
Evidence Based Practice 13(12): 01-02.