The effects of nerve and tendon gliding exercises combined with low-level laser or ultrasound therapy in carpal tunnel syndrome

Conclusions: The results of this study may suggest the clinical efficacy of LLLT or ultrasound combined with gliding exercises in patients with mild to moderate CTS.
Source: Indian Journal of Orthopaedics - Category: Orthopaedics Authors: Source Type: research

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This study aims to evaluate the effect of LED therapy on NSCLBP. Methods and analysis: We conducted a prospective, double-blind, randomized placebo-controlled trial of 148 patients with NSCLBP. The patients were randomly assigned to 2 groups: intervention group, where patients received LED photobiomodulation therapy 3 times a week for 2 weeks, and the sham group, where patients had sham therapy 3 times a week for 2 weeks. Primary outcome measures included the visual analog scale for pain, lumbar active range of motion assessments, and chair-rising times. Secondary outcome measures included a multidimensional fatigue inv...
Source: Medicine - Category: Internal Medicine Tags: Research Article: Study Protocol Clinical Trial Source Type: research
CONCLUSIONS: In the long term, manual therapy including desensitization maneuvers of the central nervous system resulted in similar outcomes and similar surgery rates compared to surgery in women with CTS. Both interventions were combined with a tendon/nerve gliding exercise program at home. IMPACT: This is the first study to report clinical outcomes and surgical rates during a 4-year follow-up and will inform decisions regarding surgical versus conservative management of CTS. PMID: 32766779 [PubMed - as supplied by publisher]
Source: Physical Therapy - Category: Physiotherapy Authors: Tags: Phys Ther Source Type: research
Abstract Thumb opposition is an essential movement for daily use of the hand, including precise pinch or grasping as well as fine and complicated hand movement. Although previous studies have reported several donor tendons for opponensplasty, opponensplasty using palmaris longus, Camitz opponensplasty, have been utilized in patients who have loss of opposition function due to long-standing carpal tunnel syndrome, because the procedure involves a simple and useful tendon transfer without causing functional deficits. To obtain enough length to transfer the tendon to the metacarpophalangeal joint of the thumb, the PL...
Source: Journal of Nippon Medical School - Category: Universities & Medical Training Authors: Tags: J Nippon Med Sch Source Type: research
ConclusionsSkin closure with Steri-Strips is a safe, secure and cheap method that leads to excellent aesthetic results. It is both a first choice and a valid alternative to intradermal suture for wound closure after endoscopic carpal tunnel release.Level of evidence: Level IV, therapeutic study.
Source: European Journal of Plastic Surgery - Category: Cosmetic Surgery Source Type: research
Conclusion: Given the depressive comorbidity impact on the neuropathic pain components as well as the quality of life, screening for this comorbidity should be part of the baseline ND assessment. PMID: 32617124 [PubMed - in process]
Source: Pain Research and Management - Category: Anesthesiology Authors: Tags: Pain Res Manag Source Type: research
Source: Journal of Pain Research - Category: Anesthesiology Tags: Journal of Pain Research Source Type: research
Gabapentinoids are commonly prescribed for the treatment of neuropathic pain but are not recommended for the primary treatment of carpal tunnel syndrome (CTS). We sought (1) to investigate the preoperative use of gabapentinoids for the treatment of CTS and (2) to determine whether preoperative exposure is associated with persistent gabapentinoid and opioid use after carpal tunnel release.
Source: The Journal of Hand Surgery - Category: Surgery Authors: Tags: Editor's Choice Source Type: research
Abstract Purpose: To determine whether shock wave therapy could improve symptoms and hand function in patients with carpal tunnel syndrome.Materials and methods: Medline, Embase, Physiotherapy Evidence Database, the Cochrane Central Register of Controlled Trials, OpenGrey, CNKI, VIP, Wang Fang databases, and China Biological Medicine were searched, from inception to December 2019.Results: Ten trials involving 433 patients (501 wrists) were included in this systematic review. The shock wave therapy was observed to have a significant effect on pain relief (MD: -0.60, 95% CI: -1.16 to -0.05, p = 0.03), ...
Source: Disability and Rehabilitation - Category: Rehabilitation Authors: Tags: Disabil Rehabil Source Type: research
Abstract Objective: The effects of vitamin D on the central and peripheral nervous system continue to be investigated today. In the present study, we aimed to evaluate pain and electrophysiologic response in patients with carpal tunnel syndrome (CTS) who have undergone replacement therapy due to vitamin D deficiency. Methods: Fifty female patients diagnosed with mild and moderate CTS and accompanied by vitamin D deficiency were included in this study. Nerve conduction study (NCS) was performed before and after vitamin D replacement, and the patient ’ s pain was evaluated with Visual Analogue Scale (VAS). Results: Whe...
Source: Arquivos de Neuro-Psiquiatria - Category: Neurology Source Type: research
Rationale: Lipomas are common benign tumors, constituting 16% of soft tissue mesenchymal tumors. They usually occur under the skin or in the large muscles of the thigh, shoulder, or upper arm. There are few reported cases of lipomas located in the forearm and hand muscles, accounting for less than 1% of all lipomas. Patient concerns: A 47-year old man presented with a history of swelling and accompanying pain in the left wrist for 2 years. Diagnoses: The patient was diagnosed with intramuscular lipoma in the pronator quadratus. Interventions: The mass was resected completely with wide-awake technique. Outcomes:...
Source: Medicine - Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research
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