Median Neuropathy Follow-up

Updated: Oct 27, 2014
  • Author: Friedhelm Sandbrink, MD; Chief Editor: Nicholas Lorenzo, MD, MHA, CPE  more...
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Follow-up

Further Outpatient Care

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  • Monitor motor and sensory function and subjective symptoms.
  • Acupuncture can be an alternative for patients with mild-to-moderate carpal tunnel syndrome who cannot tolerate oral steroids or have a contraindication to their use, or for those who do not opt for early surgery. In a randomized, controlled study by Yang et al, short-term acupuncture treatment proved effective as short-term low-dose prednisolone. [55]
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Inpatient & Outpatient Medications

NSAIDs may be beneficial.

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Prognosis

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  • For mild cases, conservative treatment is usually adequate.
  • Surgical decompression usually produces good results. Patients with advanced thenar muscle atrophy usually do not recover fully after surgical decompression.
  • CTS that is caused by or aggravated by an underlying disease (eg, diabetes) has a worse prognosis.
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Patient Education

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  • Modifying occupation or ergonomic conditions (eg, tools) may be beneficial.
  • For excellent patient education resources, see eMedicineHealth's patient education article Carpal Tunnel Syndrome.
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