Özdemir, Gökhan Ataturk University - Medical Faculty - Department of Neurology, Turkey , Demir, Recep Atatürk University - Faculty of Medicine - Department of Neurology, TURKEY , Özel, Lütfi Ataturk University - Faculty of Medicine - Department of Neurology, Turkey , Ulvi, Hızır Atatürk University - Faculty of Medicine - Department of Neurology, TURKEY

The effect of steroid injection by Novel method in carpal tunnel syndrome on pain severity and electrophysiological findings

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Objective: The aim of the present study is to investigate the effects of local steroid injection therapy with the Novel method on subjective patient complaints and electrophysiological investigations at the end of 3 months. Methods: 101 hands of 59 subjects (5 men and 54 women) with mild carpal tunnel syndrome received steroid injection with the Novel technique. Visual Analogue Scale (VAS) was used to determine the severity of pain. Nerve conduction findings obtained prior to and 3 months after the injection were compared using the VAS. Results: According to the VAS, mean pain severity for the right hand (n:56) was 7.79±1.4 before the injection, and 3.29±1.9 at 3 months. Mean pain severity for the left hand (n=45) was 7.71±1.2 before the injection, and 3.16±2.0 at 3 months. Median motor nerve distal latency was statistically significant for both hands after the injection (p 0.001). Median motor velocity was statistically non-significant in both hands after the injection. After the injection, median sensory distal latency, amplitude and velocity were statistically significant for both hands. Conclusion: The present study showed the efficacy of local steroid injection therapy on subjective complaints and electrophysiological findings in mild carpal tunnel syndrome. Because the improvement is greater in the non-dominant hand compared to the other, splints should be used to keep the hand in neutral position and hand rest should be employed in addition to the local injection.

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Carpal tunnel syndrome , Novel method , steroid injection , pain severity , nerve conduction studies

Dicle Medical Journal

281