Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

176 Doctors Online
Doctor Image
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

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

Answered by
Dr. Nsah Bernard

General & Family Physician

Practicing since :2012

Answered : 1704 Questions

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?
Answered by Dr. Nsah Bernard 2 hours later

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

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions
Drug/Medication ,   ,  
Lab Tests ,  

Recent questions on  Triamcinolone

doctor1 MD

I have raised red patches that sometimes itch, sometimes don t. They are in various places on the whole body basically. The doctor gave me prednisone and told me to use cetaphil lotion all over twice a day. It all got better, then came back. I used an old steroid cream, triamcinolone acetonide and the cetaphil, and it went away again. Now have some again, plus skin reddens and goes away sometimes almost instantly in various places on my body. Any idea whats happening?

doctor1 MD

91 year male shingles patient needs the RIGHT treatment. Not for Psoriasis. Not for excema. Not for dermatitis. Two months and counting none of the creams are stopping or curing. No internal med has been prescribed and this is his second bout of shingles since he had colon cancer and treatment 95-96. Now the pimples/rash spreading to his back. arms, underarms. Cyclovir and now Triamcinolone Acetonide cream 80 grams this past week? Applied 2x daily...

doctor1 MD

had a rash on legs, back , spots on arms, & now face. Dr.s have given me triamcinolone acetonide. last dr called it dry skin. I ve been working in medical field for over 30 years, ER, stab rm, etc. A pharmacist said I should not be on this steroid for over a few weeks, It has been 16 years. I why can .05 not be used on the face?

doctor1 MD

I had a really weird blotchy skin rash on my calves and back of thighs one summer. The doctor said it could be a fungal infection and I should treat it topically with Selson blue. That didn t work, so I quit doing that. Ever since this mysterious rash, I ve noticed that my legs, such as inner lower legs, get red and blotchy after I take a shower with really condense redness and warmth around my knees especially. The redness goes away 30 minutes after the shower but keeps returning after every shower and in different locations of blotches. I ve tried to treat with triamcinolone with no such luck. What could this be?

doctor1 MD

I just noticed these spots under my armpit a few inches. It is slightly itchy. Its only here, no where else on body. I recently used a tanning bed ( I know it's bad, but wanted to get some color for vacation). I burned slightly in this area. Is it...

doctor1 MD

I have had some anal itching for a couple of weeks and this is not common for me. My stools are normal and I did eat some hot foods. Also a few weeks ago I was hiking and did use leaves to wipe. Yes I attempted to ensure ita wasn't poison ivy but...

doctor1 MD

very itchy coccyx that wont go away.