30 / Female Patient withe Carpal Tunnel Syndrome for 7 years. On inj kenacort . What to do next?

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7years is little long for carpal tunnel syndrome Need evaluation Clinically confirm loss of sensation in median nerve distribution Check abductor pollicis brevis: could be atrophic with thenar wasting Document clinical findings NCS will give the exact picture Further planning after that Rule out inflammatory arthritis which is one cause for carpal tunnel syndrome because of flexor tendon tenosynovitis in carpal tunnel

Thank you doctor
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Check for any reason to get CTS. DO TFT,check any features of arthritis. Do NCV study which will confirm the diagnosis and the severity of involvement. NCV - if mild to moderate try Gabapentin with vit B6. If severe - Go for CTS release.

CARPEL TUNNEL SYNDROME .. MANAGEMENT .. * SPLINT .. * MEDICATIONS .. STEROIDS .. NSAIDS .. * SURGERY .. * STRETCHING ..

steroid for such diseases is unethical and unscientific..only treatment is straightforward surgery under local anesthesia

Surgery releive the pressure tendon split incision

Physio exercises.. Consult orthopaedic surgeon.

B12 pregabalin may be helpful. Passive extension exercise. Wrist rest.

Consult orthopaedic surgeon for evaluation treatment

Next to consult Orthopedic Surgeon for opinion.

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