Hand and Upper Extremity
Nerve
American Academy of Orthopaedic Surgeons Clinical Practice Guideline on: The Treatment of Carpal Tunnel Syndrome
Keith MW, Masear V, Chung KC, et al J Bone Joint Surg Am 92:218-219, 2010§
Evidence Ranking
• D
Expert Rating
• 3
Abstract
Summary of Recommendations
Recommendation 1: A course of non-operative treatment is an option in patients diagnosed with carpal tunnel syndrome. Early surgery is an option when there is clinical evidence of median nerve denervation or the patient elects to proceed directly to surgical treatment. (Grade C, Level V).
Recommendation 2: We suggest another non-operative treatment or surgery when the current treatment fails to resolve the symptoms within 2 weeks to 7 weeks. (Grade B, Level I and II).