Many doctors suggest that younger patients – mostly under 30 years old – who have only experienced mild carpal tunnel symptoms have a much greater probability of benefiting from cortisone shots Still, that’s not to say that steroid treatment is totally ineffective. As with many medical treatments, the impact that steroid treatment has is dependent on the severity and duration of the patient’s symptoms. Many doctors suggest that younger patients – mostly under 30 years old – who have only experienced mild carpal tunnel symptoms have a much greater probability of benefiting from cortisone shots. Since the symptoms haven’t been present for as long as a patient with a more protracted case of carpal tunnel, the pressure on the median nerve isn’t as severe. This allows the steroid injections to have a greater effect on the tissue.
Tip 5: Punctuation can enhance your search as well. Use quotes ("search term") to only include pages with the same words in the same order. But only use this if you are looking for an exact word or phrase, otherwise you may exclude helpful results. Add an asterisk (search term*) as a placeholder for any unknown or wildcard terms. For example, C*l Tunnel would give you results for Cubital Tunnel and Carpal Tunnel. Place a question mark (search term?) for single-character wildcard matching. For example, pa?ent would give you results for parent, patent, etc. You may also use the plus sign (search + word) between words for words you must have in the results.
DIABETES - The interaction between carpal tunnel syndrome and diabetes is complicated. It is generally believed that CTS is commoner in diabetic individuals, whether or not there are other diabetic nerve complications. Diabetic patients are prone to a complex of hand problems including Duputren's contracture, trigger digits and stiff fingers - sometimes termed 'diabetic hand' (See the page - The Triad ). It also appears to be the case that diabetic patients get slightly different symptoms from CTS compared to non-diabetic patients. Several studies have found that diabetic patients tend to present with more severe neurophysiological abnormalities, eg (Jenkins 2012) , so multivariate statistics are required to determine whether diabetes itself has an effect on the outcome of surgery. The existing data is contradictory and as usual many studies are small with inadequate power to do the necessary statistics. The topic has been the subject of a recent review in the Journal of Hand surgery (Brown 2011) . To illustrate the difficulty, consider the following ten papers about 8 study populations: