Carpal tunnel syndrome: primary care and occupational factors

Front Med (Lausanne). 2015 May 5:2:28. doi: 10.3389/fmed.2015.00028. eCollection 2015.

Abstract

Carpal tunnel syndrome (CTS) affects about 1% of working-aged people and is the commonest cause of hand pain in manual workers. CTS is a clinical diagnosis and does not warrant any further investigation in the presence of mild and suggestive CTS. Although the recommended non-surgical management is still a matter of debate, nocturnal splinting or steroid injection are recommended in most countries, with strong to moderate level of evidence for short-term efficacy. Patients with an uncertain diagnosis or severe symptoms, should undergo nerve conduction studies with referral to a hand specialist.

Keywords: carpal tunnel syndrome; clinical review; manual workers; pain; primary care.

Publication types

  • Review