What is the evidence for conservative (non-surgical) measures to treat carpal tunnel syndrome?
Patients with a clinical diagnosis of carpal tunnel syndrome.
2 Cochrane reviews and 26 recent RCTs (25 from PubMed 1 from PEDro, none from EMBASE or CINAHL) met inclusion criteria.
Non-surgical interventions to treat carpal tunnel syndrome.
Control (no-treatment) or another non-surgical treatment.
Strong evidence: Oral steroids, Injectable steroids
Moderate evidence: Ultrasound, Nocturnal hand brace, Ergonomic keyboard, Dynamic magnetic field therapy, Cupping therapy.
Moderate evidence: Ultrasound, Oral methylprednisone 60mg (> 20 or 40mg)
Ultrasound (Short and Mid-term)
Methylprednisone 60mg (Strong)
Magnetic field therapy
Relevant Clinical Info
Strong evidence = consistent, positive findings from multiple higher-quality RCTs
Moderate evidence = consistent, positive findings from multiple lower-quality RCTs or one higher-quality RCT.
Limited evidence = positive findings from one lower-quality RCT.