Non-surgical treatment in carpal tunnel syndrome

Abstract

Carpal tunnel syndrome is a common cause of disabling hand symptoms.1 Patients seeking treatment are offered surgery or various non-surgical therapies. In the UK, 31% of patients newly presenting in primary care with carpal tunnel syndrome in 2000 were treated surgically.2 In a US population, the annual incidence of carpal tunnel syndrome (2001–05) was 424 per 100 000 and, for carpal tunnel release surgery, 134 per 100 000.3 It is generally accepted that severe carpal tunnel syndrome, manifested by thenar muscle atrophy, severe sensory loss, or both, requires surgery.