Carpal Tunnel Syndrome - Steroid Injection for Carpal Tunnel Syndrome

What is the role of steroid injection in carpal tunnel syndrome?

Injection of corticosteroid into the carpal tunnel has been used as a treatment for some years. But what does the published evidence have to say about whether it works or not?

In my own experience, injection of steroid and / or local anaesthetic into the carpal tunnel area is effective in about half of the patients that I see. Some of them gain lasting relief of the carpal tunnel symptoms and others find that the symptoms of tingling in the median nerve skin area return a month or two after the injection.

Recent Studies on Steroid Injection for Carpal Tunnel Syndrome

Two small but quite good quality studies have been published recently. These are what is known as randomised controlled studies and the results of this kind of study are usually (but not always) reliable.

Both studies showed that injection with steroid into the carpal tunnel produced benefit with about a month of the injection. The benefit was sustained in many of the patients.

The studies compared carpal tunnel steroid injection with placebo injection. Placebo injection is when both the doctor and the patient think that an active drug is being injected but when - in truth - only an inert and inactive liquid is in the syringe.

The patients who were given the active drug typically reported an improvement in their symptoms of about 70% - compared with improvement of about 15% in the patients who were given a placebo.

The risks of steroid injection into the carpal tunnel are small but not zero. Some people find the injection to be very painful for two or three days afterwards. There is a small risk that the injected liquid may enter a blood vessel or may be injected into the median nerve itself. This last problem is rare but can potentially be very serious.

Dr Gordon Cameron's website contains more information about carpal tunnel syndrome and its treatment

Dr Gordon Cameron is a joint pain specialist based in Edinburgh, Scotland. He has a special interest in whiplash injury assessment, lower back pain treatment and in carpal tunnel syndrome

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table border=0 width= valign=top cellpadding=2 cellspacing=7trtd width=80 align=center valign=topfont style=font-size:85%;font-family:arial,sans-serifa href=http://www.citywebshopper.net/articles/includes/redirect.php?url=http://www.javno.com/en/world/clanak.php%3Fid%3D190692cid=1255701509ei=ozvwSLPTCKjk6gPqwui7Bwusg=AFQjCNH_5VMvvsk9ObU28Jwzkl63rUet8Aimg src=http://news.google.com/news?imgefp=BgZ17i8fdVkJimgurl=www.javno.com/slike/slike_3/r1/g2008/m10/y184360113153804.jpg width=80 height=60 alt= border=1brfont size=-2Javno.hr/font/a/font/tdtd valign=top class=jfont style=font-size:85%;font-family:arial,sans-serifbrdiv style=padding-top:0.8em;img alt= height=1 width=1/divdiv class=lha href=http://www.citywebshopper.net/articles/includes/redirect.php?url=http://www.telegraph.co.uk/news/worldnews/asia/china/3168495/Three-die-from-tainted-medicine-in-China.htmlcid=1255701509ei=ozvwSLPTCKjk6gPqwui7Bwusg=AFQjCNGk8o7F6EIpCy8_XkQy0vcoLQ4MDAThree die from tainted bmedicine/b in China/abrfont size=-1font color=#6f6f6fTelegraph.co.uk,nbsp;United Kingdomnbsp;-/font nobrOct 9, 2008/nobr/fontbrfont size=-1quot;All the bmedicine/b is on the way back.quot; Siberian ginseng, sometimes used to treat conditions associated with weak liver and kidneys, heart disease and b.../b/fontbrfont size=-1a href=http://www.citywebshopper.net/articles/includes/redirect.php?url=http://www.iht.com/articles/2008/10/09/asia/china.phpcid=1255701509ei=ozvwSLPTCKjk6gPqwui7Bwusg=AFQjCNHcRQrEHf0qki9nEYAZVQ1VoTSe_AAfter 3 deaths, China bans an herbal treatment/a font size=-1 color=#6f6f6fnobrInternational Herald Tribune/nobr/font/fontbrfont size=-1a href=http://www.citywebshopper.net/articles/includes/redirect.php?url=http://news.xinhuanet.com/english/2008-10/09/content_10171646.htmcid=1255701509ei=ozvwSLPTCKjk6gPqwui7Bwusg=AFQjCNFZcxkCsocB2HcLdOB58EBJ-o3NgAHerbal injections recalled after three deaths/a font size=-1 color=#6f6f6fnobrXinhua/nobr/font/fontbrfont size=-1a href=http://www.citywebshopper.net/articles/includes/redirect.php?url=http://www.nytimes.com/2008/10/10/world/asia/10china.html%3Femcid=1255701509ei=ozvwSLPTCKjk6gPqwui7Bwusg=AFQjCNFsWixz8Qz-jk6Nph6Saf3LIuusjAChina Bans One Brand of Herbal Drug After 3 Deaths/a font size=-1 color=#6f6f6fnobrNew York Times/nobr/font/fontbrfont size=-1 class=pa href=http://www.citywebshopper.net/articles/includes/redirect.php?url=http://www.reuters.com/article/healthNews/idUSTRE4984S920081009cid=1255701509ei=ozvwSLPTCKjk6gPqwui7Bwusg=AFQjCNFaugJbqL3ctO1wzqNlx7ROCkDVCAnobrReuters/nobr/anbsp;- a href=http://www.citywebshopper.net/articles/includes/redirect.php?url=http://www.medicalnewstoday.com/articles/124996.phpcid=1255701509ei=ozvwSLPTCKjk6gPqwui7Bwusg=AFQjCNHeaADOaPDMjs5bJyLNU4ZpWaaedgnobrMedical News Today/nobr/a/fontbr/font class=p size=-1a class=p href=http://news.google.com/news?sourceid=navclientie=ISO-8859-1rls=GGLG,GGLG:2005-22,GGLG:enncl=1255701509hl=ennobrall 183 news articles/nobr/a/font/div/font/td/tr/table
table border=0 width= valign=top cellpadding=2 cellspacing=7trtd valign=top class=jfont style=font-size:85%;font-family:arial,sans-serifbrdiv style=padding-top:0.8em;img alt= height=1 width=1/divdiv class=lha href=http://www.citywebshopper.net/articles/includes/redirect.php?url=http://www.pratttribune.com/sports/x811428992/Five-T-birds-medal-at-Medicine-Lodgecid=1256148340ei=ozvwSLPTCKjk6gPqwui7Bwusg=AFQjCNH-os03CfSfk7kHqSeM_Fb8EqYBFgFive T-birds medal at bMedicine/b Lodge/abrfont size=-1font color=#6f6f6fPratt Tribune,nbsp;KSnbsp;-/font nobr13 hours ago/nobr/fontbrfont size=-1By Melanie McGee Five of six Skyline cross-country runners won medals at Thursday’s bMedicine/b Lodge Invitational. The T-birds battled through a hilly course b.../b/font/div/font/td/tr/table
table border=0 width= valign=top cellpadding=2 cellspacing=7trtd valign=top class=jfont style=font-size:85%;font-family:arial,sans-serifbrdiv style=padding-top:0.8em;img alt= height=1 width=1/divdiv class=lha href=http://www.citywebshopper.net/articles/includes/redirect.php?url=http://www.timesonline.co.uk/tol/life_and_style/women/body_and_soul/article4919196.ececid=1256256658ei=ozvwSLPTCKjk6gPqwui7Bwusg=AFQjCNGpp0lUhVBuUJZz9uToj2qNq_jH6AJunk bmedicine/b: ante-natal testing for Down#39;s Syndrome/abrfont size=-1font color=#6f6f6fTimes Online,nbsp;UKnbsp;-/font nobr6 hours ago/nobr/fontbrfont size=-1For as long as it has existed, the prenatal test for Down#39;s syndrome has stirred ethical controversy. As its main purpose is to allow women to decide b.../b/font/div/font/td/tr/table
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