Benefits October 28, 2008

Medical Group Releases Carpal Tunnel Treatment Guidance

October 28, 2008 (PLANSPONSOR.com) - The American Academy of Orthopaedic Surgeons (AAOS) has released an evidence-based clinical practice guideline on "The Treatment of Carpal Tunnel Syndrome."
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According to a news release, the final guidelines for treating CTS-an affliction that frequently strikes office workers-contains nine recommendations which include both operative and non-operative treatment options.

Among the recommendations:

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  • Traditional bracing or splinting
  • Local steroid injection
  • Oral steroids
  • Ultrasound
  • Carpal tunnel release surgery

The group, however, contended that the effectiveness of the following treatments is not supported by medical evidence:

  • Heat therapy
  • Acupuncture
  • Diuretics
  • Electric stimulation
  • Massage therapy
  • Magnet therapy
  • Nutritional supplements

The guideline, which is aimed towards the treatment of carpal tunnel syndrome in adults, was developed by an AAOS physician volunteer work group and was based upon a systematic review of the current scientific and clinical information on accepted approaches to treatment and/or diagnosis.

The entire process from beginning to end lasted about 18 months and included a review panel consisting of internal and external committees, public commentaries, and final version approval by the AAOS Board of Directors.

The full guidelines along with all supporting documentation is available on the AAOS Web site: http://www.aaos.org/guidelines .

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