Çeliker R, Arslan Ş, İnanıcı F: Corticosteroid injection vs. nonsteroidal antiinflammatory drug and splinting in carpal tunnel syndrome. Am J Phys Med Rehabil 2002;81:182–186.
To compare the efficacy of local corticosteroid injection
to a nonsteroidal antiinflammatory drug and splinting
for the treatment of carpal tunnel syndrome
This study was a prospective, unblinded, randomized clinical trial with an 8-wk follow-up. Thirty-three hands of 23 patients were randomly treated with acemetacine and splinting
(group A) or with corticosteroid injection
(group B). Clinical (symptom severity scale
, visual analog scale, Tinel and Phalen tests) and electromyographic evaluations were performed on initial visit and after 8 wk.
Clinical and electromyographic parameters, which were similar at baseline, were improved in both groups after treatment. Improvement was also similar when both groups were compared at 8 wk.
combined with the use of a nonsteroidal antiinflammatory drug and steroid injection into the carpal tunnel resulted in significant improvement in carpal tunnel syndrome