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  Global Journal of Surgery. Volume 1, Issue 1 (2010) pp. 52-61
  Review Article
Carpal Tunnel Syndrome: Review of Diagnosis and Treatment methods
  Manish Kumar Varshneya* and Prakash P. Kotwalb  
a Department of Orthopaedics, Lady Hardinge Medical College and Associated Hospitals, New Delhi, India
b Department of Orthopaedics, AIIMS, New Delhi, India

  Carpal tunnel syndrome specifically represents compression neuropathy of median nerve at wrist producing classical nocturnal pain, paresthesias, and weakness in hand and digits in median nerve distribution. It is the commonest condition seen by hand surgeons in clinical practice and is often of idiopathic origin. The diagnosis is based on patient history and physical examination that should be carefully substantiated by specific studies. Treatment is multimodal and directed primarily to relieve symptoms and stop progression. Conservative treatment, steroid injections and surgical treatment methods have all been used depending primarily on the severity of involvement. The preference of open, mini-open or endoscopic carpal tunnel release and superiority of one over other has yet to be established.
  Carpal tunnel syndrome; Median nerve compression; Median nerve neuropathy  

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