علاج متلازمة النفق الرسغي الخفيفة إلى المتوسطة بدون تلف في العصب المتوسط

References

• Conservative treatment may be offered initially to patients with mild to moderate carpal tunnel syndrome.
• In mild to moderate cases, a trial of conservative treatment is recommended.
• Splinting is a first-line treatment for mild to moderate CTS because of its simplicity, low cost, and tolerability.
• However, one study showed that patients wearing a neutral wrist splint were twice as likely to report symptom relief compared with patients wearing an extension splint.
• Nerve glide exercises are simple hand and finger movements that theoretically restore normal movement of the median nerve, which can become "tethered" from nerve compression.
• Although the evidence for these techniques is limited, they are easy to learn; can be done at home; and can be combined with other treatments, such as splinting.
• Therapeutic ultrasound and carpal bone mobilization require an experienced therapist, have limited evidence of effectiveness, and require multiple sessions (typically five days per week for two to four weeks with therapeutic ultrasound).
• One randomized trial of 42 patients with CTS found that yoga improved pain at eight weeks vs. wearing a wrist splint.
• Conservative therapy usually improves symptoms in two to six weeks and reaches maximal benefit at three months.