Corticosteroid injection for the treatment of carpal tunnel syndrome

Abstract

Objective - To compare low and high dose, and short and long acting corticosteroids in the treatment of carpal tunnel syndrome. Methods - A randomised, controlled, single blind trial with electromyographic and subjective outcome measures. Results - 25 mg hydrocortisone is as effective as higher doses or long acting triamcinolone at a six week and six month follow up. Conclusion - As low dose steroid is as effective, and potentially less toxic, this should be the recommended dose for injection of carpal tunnel syndrome.