Clinical symptoms of carpal tunnel syndrome numbness and paresthesia of the hand with weak hand grip and reduced function. Clinical signs include positive Phalen's and Tinel's signs. Underlying pathophysiologic processes entail median nerve demyelination, ischemic injury and synovial inflammation.
Nerve conduction study is the main diagnostic modality in the diagnosis of carpal tunnel syndrome. Other modalities include ultrasonography and MRI assessment.
Non-steroidal anti-inflammatory drugs and hand splint are widely used as a first line of therapy. Surgical nerve decompression is performed in case of failed medical therapy or progressive motor or sensory deficit. Surgical procedures may by conducted using open or endoscopic approaches.
Injection of local steroids is currently established as a minimally invasive line of management, which proved high efficacy with no or minimal post-procedural problems.
Aim of the work:
The aim of this study was to provethe efficacy of steroid injection in the treatment of carpal tunnel syndrome and decide which approach is better.