Surgical intervention for carpal tunnel syndrome in individuals with spinal cord injuries-patient characteristics, diagnostic considerations, and treatment outcomes.
Armin PallaverSilvia SchibliJan FridénPublished in: Spinal cord series and cases (2021)
SCI patients with CTS respond well to surgical decompression of median nerve regardless of level and type of spinal cord lesion and risk factors. Nerve conduction parameters and clinical findings can provide additional diagnostic support of CTS although nocturnal hand paresthesia, wrist pain at and after loading as well as failed conservative treatment are the main indications for surgical interventions. Based on symptomatology, clinical findings, and nerve conduction studies, we propose a decision-making tree for suggesting surgery or not.
Keyphrases
- spinal cord
- spinal cord injury
- neuropathic pain
- risk factors
- minimally invasive
- decision making
- peripheral nerve
- randomized controlled trial
- chronic pain
- blood pressure
- obstructive sleep apnea
- case report
- pain management
- coronary artery disease
- depressive symptoms
- sleep quality
- percutaneous coronary intervention
- replacement therapy
- sleep apnea