Optimal treatment of carpal tunnel syndrome

The best treatment for carpal tunnel syndrome is largely based on the patient’s condition. Its treatment is divided into two main options: non-surgical and surgical. Non-surgical treatment, or conservative treatment, is recommended for patients with new attacks, mild attacks, or those expected to improve. 89% of patients with severe carpal tunnel syndrome have a recurrence within 1 year, while 60% of patients with mild carpal tunnel syndrome have a recurrence. Its treatment includes: rest, use of NSAIDs, median nail plate fixation and hormone injections. Surgical treatment and indications: Surgical treatment is recommended for persistent numbness symptoms greater than 1 year without relief, sensory deficit, weakness and atrophy of the palmar muscles. In patients with bilateral carpal tunnel syndrome, surgery is usually performed first on the side with severe pain; however, if the condition is severe bilaterally and if the disease has progressed beyond the pain stage to cause weakness and numbness alone, it is preferable to operate on the side in better condition first in an attempt to maximize recovery of the median nerve on at least one side, or both sides can be operated on simultaneously. In severe cases, nerve function may not be restored immediately and the results should be evaluated after 1 year. In greater than 70% of patients, a satisfactory outcome can be achieved with surgery, with 70%-90% no longer having nocturnal pain.