Carpal tunnel syndrome

Some patients report worsening of paresthesias when they start wearing a wrist splint. Mostly this seems to be related to splints that are too tight and/or ill fitting. Symptoms quickly disappear on discontinuation of the splint. A different style and/or size of splint can be tried or the splint can be custom-made.

Corticosteroid injected intraneurally can cause acute severe neuropathy. This is a rare complication.

A wide variety of complications have been reported, ranging from wound hematomas through to reflex sympathetic dystrophy.[63]Scholten RJ, Mink van der Molen A, Uitdehaag BM, et al. Surgical treatment options for carpal tunnel syndrome. Cochrane Database Syst Rev. 2007 Oct 17;(4):CD003905. https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD003905.pub3/full http://www.ncbi.nlm.nih.gov/pubmed/17943805?tool=bestpractice.com [64]Thoma A, Veltri K, Haines T, et al. A meta-analysis of randomized controlled trials comparing endoscopic and open carpal tunnel decompression. Plast Reconstr Surg. 2004 Oct;114(5):1137-46. http://www.ncbi.nlm.nih.gov/pubmed/15457025?tool=bestpractice.com Re-operation rates following endoscopic or open surgery appear to be less than 5%.[65]Vasiliadis HS, Georgoulas P, Shrier I, et al. Endoscopic release for carpal tunnel syndrome. Cochrane Database Syst Rev. 2014 Jan 31;(1):CD008265. https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD008265.pub2/full http://www.ncbi.nlm.nih.gov/pubmed/24482073?tool=bestpractice.com [ ] How do endoscopic and open release during surgery for carpal tunnel syndrome compare?/cca.html?targetUrl=https://cochranelibrary.com/cca/doi/10.1002/cca.718/fullShow me the answer

Represents less than approximately 5% of patients.[65]Vasiliadis HS, Georgoulas P, Shrier I, et al. Endoscopic release for carpal tunnel syndrome. Cochrane Database Syst Rev. 2014 Jan 31;(1):CD008265. https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD008265.pub2/full http://www.ncbi.nlm.nih.gov/pubmed/24482073?tool=bestpractice.com [ ] How do endoscopic and open release during surgery for carpal tunnel syndrome compare?/cca.html?targetUrl=https://cochranelibrary.com/cca/doi/10.1002/cca.718/fullShow me the answer Electromyogram (EMG) studies are very useful initial investigations, particularly if the preoperative studies are available to compare. The original diagnosis should be reconfirmed and consideration given to whether an additional diagnosis is also present (e.g., polyneuropathy, radiculopathy). 

Repeat surgery carries lower success rates and higher complication rates.