Burke F D, Ellis J, McKenna H, Bradley M J
Pulvertaft Hand Centre, Derbyshire Royal Infirmary, Derby, UK.
Postgrad Med J. 2003 Aug;79(934):433-7. doi: 10.1136/pmj.79.934.433.
Carpal tunnel syndrome of mild to moderate severity can often be effectively treated in a primary care environment. Workplace task modification and wrist splints can reduce or defer referral to hospital for surgical decompression. Nerve and tendon gliding exercises may also be of benefit. Steroid injections to the mouth of the carpal tunnel are particularly useful for symptomatic women in the third trimester of pregnancy. However inadvertent neural injection may cause disabling chronic pain. Referral to a minority of practitioners trained in the technique would ensure sufficient patient numbers to maintain skill levels.
轻至中度腕管综合征通常可在初级保健环境中得到有效治疗。调整工作场所任务和使用手腕夹板可减少或推迟转至医院进行手术减压。神经和肌腱滑动练习也可能有益。向腕管入口处注射类固醇对妊娠晚期有症状的女性特别有用。然而，意外的神经注射可能会导致致残性慢性疼痛。转介给少数接受过该技术培训的从业者将确保有足够数量的患者来维持技能水平。
