There is no evidence to suggest that they actually decrease the flexor tenosynovium. Splints worn during the day decrease the muscle pumping action of the hand, cause more swelling in the hand, and increase carpal tunnel symptoms. Splints can be helpful at night for positioning the hand to avoid sleeping in marked inflection which puts increased pressure on the nerve. Vitamin B-6 is almost always ineffective. Topical creams by “renowned doctors” don’t work. Magnets don’t work for carpal tunnel syndrome. Dietary supplements don’t work.
Steroid injections are only temporary and can cause permanent injury to the nerve if the needle is accidentally placed in the nerve, which usually happens on the third or fourth injection.
An open carpal tunnel release works, but it can cause weeks or months of pain and inability to work. Carpal tunnel syndrome was a term first used in the 1930’s to describe an entrapment neuropathy of the median nerve at the wrist. There is nothing new whatsoever about carpal tunnel syndrome. Human beings have had carpal tunnel syndrome for as long as there have been carpal tunnels. The first open carpal tunnel release was described in 1947 and nothing changed very much for 50 years until the advent of the endoscopic procedure in 1990.
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