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Ann Rheum Dis 2000;59:918-919 doi:10.1136/ard.59.11.918
  • Concise report

Corticosteroid injection for the treatment of carpal tunnel syndrome

  1. D O'Gradaigh

    (dogradaigh{at}camrheum.fsnet.co.uk)

    ,
  2. P Merry
  1. Department of Rheumatology, Addenbrooke's Hospital, Cambridge CB2 2QQ, UK
    • Accepted 13 April 2000

    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.

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