EVIDENCE-BASED APPROACH TO TREATING CARPAL TUNNEL SYNDROME

Abstract

Carpal tunnel syndrome (CTS) is the most common neuropathy, which causes a set of signs and symptoms, such as pain, numbness, tingling and lack of strength caused by compression of the median nerve in the wrist. It mainly affects workers exposed to repetitive movements and women after menopause, this is due to the hormonal changes present during this period. This study aims to review the therapeutic approaches to CTS based on the best evidence already studied, highlighting both conservative and surgical approaches. This study conducted a bibliographic research in the databases Brasil Scientific Electronic Library Online (Scielo), google acadêmico and the Revista Brasileira de Ortopedia (RBO). Review articles, clinical trials and medical guidelines that address from the pathophysiology to the different therapeutic strategies of CTS were included. The research prioritized studies that analyze the effectiveness of available interventions, comparing clinical outcomes for the best choice of appropriate treatment. Among the results presented, it is possible to notice that CTS is a multifactorial condition associated with anatomical, biomechanical and occupational factors, thus requiring an individualized therapeutic approach. Your treatment will vary according to the severity of the condition, milder cases conservative treatment is the first choice, while in more advanced or refractory cases surgical decompression of the carpal tunnel is preferable. However, it is essential that CTS is recognized as a great functional impact and treated properly, ensuring a better quality of life for the patient.