Home > Search Results

Results: 1 to 20 of 37

Clear

Many people who have carpal tunnel syndrome have mild or moderate symptoms that come and go. In those cases wearing a splint and avoiding too much stress on the joint may be enough to provide relief.The main symptoms of carpal tunnel syndrome are tingling, numbness or pain in parts of the hand. Sometimes it is difficult to move your thumb or first two fingers. This is caused by excess pressure on the median nerve, which runs through the carpal tunnel in the wrist.Sometimes these symptoms disappear again without treatment. A wrist splint can be worn for support. A splint does not always offer enough relief from symptoms, but it has virtually no side effects compared with other treatment options like corticosteroid therapy or surgery.

Informed Health Online [Internet] - Institute for Quality and Efficiency in Health Care (IQWiG).

Version: November 5, 2014

Ten studies examined the effects of working wrist splints, resting hand and wrist splints, and wearing special shoes/ insoles in people with rheumatoid arthritis. Although there is no evidence that wearing resting wrist and hand splints changed pain, grip strength, or number of swollen joints, participants who wore these splints for two months preferred to wear them, and also preferred padded splints. One study provided evidence that wearing extra‐depth shoes for two months resulted in significant benefits of less pain on walking and stair climbing. Extra‐depth shoes with semi‐rigid insoles provided better pain relief than extra‐depth shoes alone.

Cochrane Database of Systematic Reviews: Plain Language Summaries [Internet] - John Wiley & Sons, Ltd.

Version: 2010

Wrist fractures (breaks) are common injuries in adults, especially in people with osteoporosis (bone loss). Bone fragments may need to be put back into place to restore anatomy and reduce the risk of further soft‐tissue damage. The process of doing this is called reduction and usually the patient is given anaesthesia beforehand. In closed reduction, often termed manipulation, the displaced fragments are repositioned using various manoeuvres while keeping the overlying skin intact. Traction to pull the fragments apart is provided either manually involving two people or with a mechanical device such as 'finger‐traps' attached to two or more fingers and a counterweight suspended over the upper arm. The reduced fracture is then stabilised, typically by plaster cast immobilisation, to help it to heal.

Cochrane Database of Systematic Reviews: Plain Language Summaries [Internet] - John Wiley & Sons, Ltd.

Version: 2008

Carpal tunnel syndrome is caused by compression of the median nerve at the wrist, leading to mild to severe pain and pins and needles in the hand. Other Cochrane reviews show benefit from nerve decompression surgery and steroids. This review of other non‐surgical treatments found some evidence of short‐term benefit from oral steroids, splinting/hand braces, ultrasound, yoga and carpal bone mobilisation (movement of the bones and tissues in the wrist), and insulin and steroid injections for people who also had diabetes. Evidence on ergonomic keyboards and vitamin B6 is unclear, while trials so far have not shown benefit from diuretics, non‐steroidal anti‐inflammatory drugs, magnets, laser acupuncture, exercise or chiropractic.

Cochrane Database of Systematic Reviews: Plain Language Summaries [Internet] - John Wiley & Sons, Ltd.

Version: 2012

Does a review of the evidence support the use of wrist PC6 acupuncture point stimulation (PC6 acupoint) as effective in reducing nausea and vomiting after surgery (PONV), compared to sham (dummy acupoint stimulation) or antiemetics (drugs that relieve nausea and vomiting) in people undergoing surgery? This review updates the evidence published in 2009, and is current to December 2014.

Cochrane Database of Systematic Reviews: Plain Language Summaries [Internet] - John Wiley & Sons, Ltd.

Version: 2016

The hand has a very delicate and complex structure, which allows the muscles and joints in it a great range of movement and precision. But hands are also quite vulnerable.

Informed Health Online [Internet] - Institute for Quality and Efficiency in Health Care (IQWiG).

Version: December 23, 2016

This review compared the effects of single, double and multiple (three or four) injections of local anaesthetic around the nerves in the armpit in providing regional anaesthesia for hand, wrist or forearm surgery in adults.

Cochrane Database of Systematic Reviews: Plain Language Summaries [Internet] - John Wiley & Sons, Ltd.

Version: 2016

Most people with carpal tunnel syndrome only consider having surgery if other treatments cannot provide enough relief. Surgery can help relieve symptoms or make them go away for good, but it is not without risks.In carpal tunnel syndrome the median nerve, which runs through the carpal tunnel in your wrist, is compressed. This can cause pain, tingling sensations and numbness, and limit your range of motion. Surgical treatment involves severing the flexor retinaculum to reduce pressure on the median nerve. This is one of the most commonly performed surgical procedures in Germany.Surgery can eliminate symptoms for good, but it is not always necessary. Another kind of treatment is usually chosen, especially if symptoms have just started. Immediate surgery is only needed in very rare cases of acute carpal tunnel syndrome.Surgery to treat carpal tunnel syndrome is usually referred to as “carpal tunnel release.” There are two main types:Open carpal tunnel release: A cut is made on the inside of the wrist. After that the flexor retinaculum is severed.Endoscopic carpal tunnel release: This procedure requires first making a cut on your palm and your wrist. A very small camera (called an “endoscope”) is inserted through one of the cuts to monitor the procedure. An instrument used for cutting through the flexor retinaculum is inserted through the other cut. Another technique involves using just one small cut in the wrist.These two types are equally good at relieving symptoms and carry similar risks. Recovery times are often a little shorter after endoscopic procedures.This procedure is most commonly done at a day clinic but can also be performed in a hospital. Usually only a local anesthetic is needed to numb the hand or arm, but a brief regional or general anesthetic might also be used.

Informed Health Online [Internet] - Institute for Quality and Efficiency in Health Care (IQWiG).

Version: November 5, 2014

Acupuncture might be able to provide short‐term relief from tennis elbow, but more research is needed.

Cochrane Database of Systematic Reviews: Plain Language Summaries [Internet] - John Wiley & Sons, Ltd.

Version: 2013

There are three main therapeutic methods of administrating TENS. Conventional TENS (C‐TENS) is given at a high stimulation frequency with low intensity. While pain relief is almost immediate, it generally dissipates as soon as the TENS is turned off. A second method is acupuncture‐like TENS (AL‐TENS). This is given at a low frequency and high intensity, close to the person's limit of tolerance. Many people find this method uncomfortable. The third TENS application method is burst TENS, which is high frequency burst impulses at low‐intensity. Results from this Cochrane review indicate that AL‐TENS helps decrease pain and joint tenderness compared to a placebo. No benefit was found on grip pain. More people who received conventional TENS reported a decrease in their disease activity than those who received acupuncture‐like TENS.

Cochrane Database of Systematic Reviews: Plain Language Summaries [Internet] - John Wiley & Sons, Ltd.

Version: 2010

To answer this question, scientists analyzed 9 studies testing over 1000 people who had tennis elbow. Most people had pain for a long period of time and the pain had not improved with other treatments. People tested received either shock wave therapy or fake therapy 3 times over 3 weeks to 3 months. Improvement was tested after 1 week to 12 months. These studies provide the best evidence we have today.

Cochrane Database of Systematic Reviews: Plain Language Summaries [Internet] - John Wiley & Sons, Ltd.

Version: 2009

Having your hand fall asleep now and then is not that uncommon. It goes numb and there may be a tingling sensation. People who have carpal tunnel syndrome experience similar symptoms, but they keep coming back and are usually accompanied by pain. Physical labor can can also increase the likelihood of these symptoms. Here you can read about options for getting relief.

Informed Health Online [Internet] - Institute for Quality and Efficiency in Health Care (IQWiG).

Version: November 5, 2014

Review question: we reviewed the evidence about the effect of stretch in people who had or were vulnerable to joint deformities.

Cochrane Database of Systematic Reviews: Plain Language Summaries [Internet] - John Wiley & Sons, Ltd.

Version: 2017

Your blood pressure is constantly changing. It fluctuates every time the heart beats, and exertion or excitement can affect it too. So it is never that simple to get a correct measurement.

Informed Health Online [Internet] - Institute for Quality and Efficiency in Health Care (IQWiG).

Version: September 25, 2016

This summary of a Cochrane review presents what we know from research about the effect of Corticosteroid injections for de Quervain's tenosynovitis.

Cochrane Database of Systematic Reviews: Plain Language Summaries [Internet] - John Wiley & Sons, Ltd.

Version: 2009

Seven moderate quality studies were reviewed and provide the best evidence we have today. The studies tested 346 adults with rheumatoid arthritis. They compared people who had a steroid injection, a fake injection or aspiration/washout of their knees or wrists to each other. Two studies tested whether people should rest their joints after injections.

Cochrane Database of Systematic Reviews: Plain Language Summaries [Internet] - John Wiley & Sons, Ltd.

Version: 2008

Gout is a metabolic disorder which causes inflammation of the joints. An acute gout attack often begins at night or in the early morning with sudden, very painful joint swelling. Men are at a significantly higher risk than women. Read about how gout is related to diet, what treatment options are available, and why it is important to consult a doctor early on.

Informed Health Online [Internet] - Institute for Quality and Efficiency in Health Care (IQWiG).

Version: March 11, 2015

Wrist fractures (breaks) are very common, especially in women with osteoporosis. Bone fragments may need to be put back into place. Anaesthesia is used to prevent pain during treatment and several methods are in common use. General anaesthesia involves a loss of consciousness. Regional anaesthesia involves an injection (either into a vein or into tissue surrounding nerves) to numb the injured arm. Local anaesthesia is an injection directly into the fracture site. Sedation usually involves a drug to allay anxiety and promote sleepiness. The review found there was not enough evidence from randomised trials to decide which is the best method.

Cochrane Database of Systematic Reviews: Plain Language Summaries [Internet] - John Wiley & Sons, Ltd.

Version: 2009

Carpal tunnel syndrome (CTS) is a condition where the median nerve, one of two main nerves to the hand, is compressed at the wrist, leading to pain in the hand, wrist and sometimes arm, and numbness and tingling especially in the thumb, index and middle finger. Weakness of the thumb muscles can also occur in severe cases. It affects approximately three per cent of the population, more commonly women.

Cochrane Database of Systematic Reviews: Plain Language Summaries [Internet] - John Wiley & Sons, Ltd.

Version: 2012

Carpal tunnel syndrome (CTS) is a condition where one of two main nerves in the wrist is compressed, which can lead to pain in the hand, wrist and sometimes arm, and numbness and tingling in the thumb, index and long finger. CTS is more common in women and older age groups. Many people undergo surgery to treat this condition, though sometimes other non‐surgical treatments, such as splinting, are offered. Splinting involves immobilisation of the wrist with a device that is worn over the wrist, which usually leaves the fingers and thumb free to move. We searched for study reports and found 19 randomised or quasi‐randomised controlled trials including 1190 participants overall that assessed the safety and benefit of splinting for people with CTS. The risk of bias of studies was low in some studies and unclear or high in others. One low quality study suggests that splinting at night leads to more overall improvement in the short term when compared to no treatment, but we cannot say from the evidence whether one splint design or wearing regimen is more effective than another, nor can we say that splinting is more effective than other non‐surgical interventions for CTS (for example exercises, oral steroids). Nine trials measured adverse effects of splinting and all found either no or few participants reported discomfort or swelling due to splinting. More research is needed to find out how effective and safe splinting is for people with carpal tunnel syndrome, particularly in the long term.

Cochrane Database of Systematic Reviews: Plain Language Summaries [Internet] - John Wiley & Sons, Ltd.

Version: 2012

Systematic Reviews in PubMed

See all (136)...

Recent Activity

    Your browsing activity is empty.

    Activity recording is turned off.

    Turn recording back on

    See more...