Two Novel Nonsurgical Treatments of Carpal Tunnel Syndrome - 30/04/14

Doi : 10.1016/j.pmr.2014.01.008

Adam L. Schreiber, DO ^a,^⁎ , Benjamin M. Sucher, DO ^b, Levon N. Nazarian, MD ^c
^a Department of Rehabilitation Medicine, Jefferson Rehabilitation Medicine Associates, Jefferson Medical College, Thomas Jefferson University, 25 South 9th Street, 1st Floor, Philadelphia, PA 19107, USA
^b EMG Labs of Arizona Arthritis & Rheumatology Associates, 4550 East Bell Road, #170, Phoenix, AZ 85032, USA
^c Department of Radiology, Thomas Jefferson University Hospital, Room 763E Main Building, 132 South 10th Street, Philadelphia, PA 19107-5244, USA

^∗Corresponding author.

Résumé

This article describes 2 nonsurgical approaches to the treatment of carpal tunnel syndrome that are not routinely offered, probably due to a lack of awareness. Osteopathic manipulative treatment (OMT) is commonly used for many medical problems, including musculoskeletal issues. OMT of the carpal tunnel is well described and researched, and can be clinically used by a skilled practitioner. The second treatment strategy is a more recent development. The use of ultrasound for guidance of injection is established, but a newer technique using sonographically guided percutaneous needle release of the transverse carpal ligament has shown promising results.

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Keywords : Carpal tunnel syndrome, Treatment, Osteopathic manipulative treatment, Ultrasound