Wednesday, June 28, 2023

Case scenario patient present with carpal tunnel syndrome, Treatment.. corticosteroid injection



Case scenario patient present with carpal tunnel syndrome, Treatment:

  • corticosteroid injection
  • Splint the wrist in a neutral position at night and during the day if possible.
  • Administer NSAIDs.
  • Conservative treatment can include corticosteroid injection of the carpal canal.
  • They didn't mention a surgery in the MCQ.

Carpal tunnel syndrome (CTS):

Carpal tunnel syndrome (CTS) is a condition that results from compression of the median nerve in the wrist, causing pain, numbness, and weakness in the hand and wrist. The treatment of CTS depends on the severity of the symptoms and the underlying cause of the condition. Here are some common treatments for CTS:

1. Resting the affected hand and wrist

 Reducing the use of the affected hand and wrist can help to alleviate the symptoms of CTS. Avoiding activities that involve repetitive wrist movements can also be helpful.

2. Splinting:

Wearing a wrist splint can help to keep the wrist in a neutral position and reduce pressure on the median nerve. Splinting is often recommended for nighttime use to help prevent symptoms from occurring during sleep.

3. Medications:

Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen may help to reduce pain and inflammation associated with CTS.

4. Steroid injections:

Corticosteroid injections can help to reduce inflammation and alleviate symptoms of CTS. However, repeated injections may cause damage to the median nerve, so they should be used with caution.

5. Physical therapy:

Exercises and stretches that focus on the wrist and hand can help to alleviate symptoms of CTS and improve strength and flexibility.

6. Surgery:

In severe cases of CTS that do not respond to conservative treatments, surgery may be necessary. The most common surgical procedure for CTS is called carpal tunnel release, which involves cutting the ligament that is pressing on the median nerve.

It is important to consult with a healthcare professional for an accurate diagnosis and appropriate treatment plan for CTS. Treatment may involve a combination of these approaches, and the goals of treatment are to reduce pain, improve function, and prevent further damage to the median nerve.