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FRI0558 From Perspective of DN4 and Lanss Scales, Does Single Steroid Injection Really Relieves Neuropathic Pain in Carpal Tunnel Syndrome?
  1. T. Dandinoglu1,
  2. M. Karadeniz2,
  3. V. Yilmaz3
  1. 1Physical Medicine and Rehabilitation, Bursa Military Hospital, Bursa
  2. 2Physical Medicine and Rehabilitation, Çorlu Military Hospital, Tekirdağ
  3. 3Physical Medicine and Rehabilitation, Mevki Military Hospital, Ankara, Turkey

Abstract

Background Since 2001, neuropathic pain scales have been used in the assessment and follow-up of neuropathic pain. DN4 and LANSS pain questionnaires have been applied to groups, mostly consisted of radiculopathy and polyneuropathy cases, before and after various treatments and the results have been compared with the electrophysiologic findings. However to our knowledge there is yet no such study focusing on neuropathic complaints and the relationship between neuropathic pain and electrophysiological findings before and after local corticosteroid injection.

Objectives The purpose of this study was to evaluate the neuropathic symptoms after local steroid injection in CTS.

Methods Forty-one patients aged 22-65 years and diagnosed with carpal tunnel syndrome by nerve conduction studies who were also found to have a neuropathic symptoms were included in the study. All patients received local steroid injection into the carpal tunnel while the questionnaires and nerve conduction studies were performed before and 2 months after the injection.

Results DN4 and LANSS scale scores were significantly reduced after single local steroid injection (p<0.05)(Table 1).

Table 1.

DN4 and LANSS scores before and after the treatment

Conclusions Besides clinical and functional effects, minimally invasive local steroid injection also appears to be effective for neuropathic complaints in terms of DN4 and LANSS scale's scores.

Disclosure of Interest None declared

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