Carpal tunnel syndrome (CTS)
EBM Guidelines
Nov 6, 2022 • Latest change Dec 5, 2023
Table of contents
Extract
- Symptoms affecting the upper extremities, particularly nocturnal paraesthesias and numbness, should be identified as manifestations of carpal tunnel syndrome.
- Reduction of physical load factors together with conservative treatment options (night splint) are the primary management strategies in association with mild symptoms and findings.
- If the sensory disturbance is prolonged and ENMG reveals severe nerve entrapment, or if motor weakness develops, surgical management should be considered.
Linked evidence summaries
Search terms
CTS, Carpal Tunnel Syndrome, Clinical neurophysiology, G56.0, Median Nerve, Nerve Compression Syndromes, Orthopaedics, Phalen's maneuver, Physical medicine, Surgery, Tinel's sign, carpal canal, carpal tunnel, steroid-anethetic injection, steroid-injections