Relationship Between the Duration and Severity of Symptoms and the Outcome of Carpal Tunnel Surgery

D. Burke, E. Shaw-Wiglis, N. Dubin, M. Bradley and S. Sinha

There is conflicting evidence as to whether there is a link between symptom severity and duration and outcome in carpal tunnel syndrome (CTS).  The aim of theis study was to investigate whether there is a relationship.  At 2 centres (One in USA one in UK) 523 hands had a follow-up evaluation after surgery.  They documented symptoms, time of onset, duration, prior tratment and medical history.  Each subject had a physical examination and comleted the Levine-Katz questionnaire.  The results showed that symptom duration was not associated with post-surgery outcome.  The authors concluded that preoperative symptom duration does not affect the outcome of surgery for patients with CTS.

The Journal of Hand Surgery (2006), 31(9), 1478-82

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Neck Pain

Out of all 291 conditions studied in the Global Burden of Disease 2010 Study, neck pain ranked 4th highest in terms of disability and 21st in terms of overall burden.

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