The Somatic Connection  |   January 2017
Inconclusive Evidence of Benefits of Nonsurgical Interventions for Carpal Tunnel Syndrome
Author Notes
  • Western University of Health Sciences, College of Osteopathic Medicine of the Pacific, Pomona, California 
Article Information
The Somatic Connection   |   January 2017
Inconclusive Evidence of Benefits of Nonsurgical Interventions for Carpal Tunnel Syndrome
The Journal of the American Osteopathic Association, January 2017, Vol. 117, 57-58. doi:10.7556/jaoa.2017.009
The Journal of the American Osteopathic Association, January 2017, Vol. 117, 57-58. doi:10.7556/jaoa.2017.009
Burton CK, Chesterton, LS, Chen Y, van der Windt DA. Clinical course and prognostic factors in conservatively managed carpal tunnel syndrome: a systematic review. Arch Phys Med Rehabil. 2016;97(5):836-852.e1. doi:10.1016/j.apmr.2015.09.013 
Carpal tunnel syndrome (CTS) is a common chronic entrapment neuropathy that affects the muscles and upper extremities. Current guidelines for patients with CTS recommend surgery for those with severe denervation and nonsurgical interventions for those with mild symptoms or those who cannot tolerate surgery. However, limited evidence exists for the efficacy of these conservative interventions, such as osteopathic manipulative treatment (OMT), physical therapy, splints, postural adjustments, steroid injections, and electrotherapy. Researchers in the United Kingdom conducted a systematic review to investigate the effectiveness of nonsurgical interventions for patients with CTS. 
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