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Dr. Andrew Rynne

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Have a positive test from nerve conduction test for mild carpel tunnel in hand. Need any therapy?

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Dr. Nsah Bernard

General & Family Physician

Practicing since :2012

Answered : 1704 Questions

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Posted on Tue, 12 Feb 2013 in General Health
Question: hi I have a positive test from nerve conduction test for mild carpel tunnel in my right hand. I also had an MRI done and it showed the same. my doctor wants me to get carpel tunnel release surgery which is fine but it is costly and I have just started a new job and don't want to have to take time off or be on light duties etc. I am keen to try non invasive therapy first such as prenisdone orally or cortisone injection/s. If you agree with prenisone what dosage and duration would you recommend I try?
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Answered by Dr. Nsah Bernard 2 hours later
Hello XXXXXXX

Thank you for posting on XXXXXXX
If you are already diagnosed of carpal tunnel syndrome then, i'll suggest a couple of treatment options before you can engage in any surgical procedures
First you might try wearing a sprint at night for several weeks. If this does not work you might need to start wearing this during the day. Avoid sleeping on your wrist and use of hot and cold compresses maybe recommended.
Occupational changes such as too much use of keyboards and positioning should be changed.
You can use medications such as non-steroidal antiinflammatory to alleviate the syntoms or you use injectable steroidal antiinflammatory such as prednisolone in the dosage of 20mg daily for two weeks (low dose steroids). Others that could be used are hydrocortisone ( low as 25mg), triamcinolone (30 mg daily) for two weeks.

Carpal tunnel release is a surgical procedure that cuts into the ligament that is pressing on the nerve. Surgery is successful most of the time, but it depends on how long the nerve compression has been occurring and its severity.

Well the treatment options will depend on you and on your treating surgeon. If the surgeon evaluates and feels it will be best to undergo a release surgery, then it is better you follow his advice.

Hope this helps and wish you the best
Dr Nsah
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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