Acute Carpal Tunnel Syndrome: A Review of Current Literature.

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Abstract

[Indexed for MEDLINE] 20. Zhongguo Gu Shang. 2024 Dec 25;37(12):1237-40. doi: 10.12200/j.issn.1003-0034.20230977. [Progress on acupotomy treatment of carpal tunnel syndrome]. [Article in Chinese] Wu DT(1), Zeng JY(1), Li SL(2), You XY(1), Huang XQ(1), Zhou QY(3). Author information: (1)College of Traditional Chinese Medicine, Fujian University of Traditional Chinese Medicine, Fuzhou 350122, Fujian, China. (2)College of Traditional Chinese Medicine, Fujian University of Traditional Chinese Medicine, Fuzhou 350122, Fujian, China; Key Laboratory of Orthopedics & Traumatology of Traditional Chinese Medicine and Rehabilitation of Ministry of Education, Fuzhou 350122, Fujian, China; Department of Acupuncture and Moxibustion, China-Japan Friendship Hospital, Beijing 100029, China. (3)College of Traditional Chinese Medicine, Fujian University of Traditional Chinese Medicine, Fuzhou 350122, Fujian, China; Key Laboratory of Orthopedics & Traumatology of Traditional Chinese Medicine and Rehabilitation of Ministry of Education, Fuzhou 350122, Fujian, China. Carpal tunnel syndrome (CTS) is a condition caused by compression of the median nerve in carpal canal. In recent years, due to popularity of electronic devices such as computers, the incidence of CTS has shown a rapid rising trend. Its treatment methods include surgical treatment and conservative treatment. For mild to and moderate CTS, conservative treatment is preferred. Acupotomy, as an innovative and unique treatment method, could relieve pressure in carpal canal by releasing transverse ligament of wrist and promote local blood circulation to treat CTS, and has characteristics of less trauma, short course of treatment and low cost, which is more acceptable to patients. In addition, the combination of needle-knife and other therapies also has a good effect. However, traditional needle-knife therapy has certain limitations in operation, and its safety problems can be effectively solved with the help of ultrasound technology. Therefore, ultrasus-guided needle-knife therapy for CTS has become a current research hotspot, but its long-term therapeutic effect still needs to be further verified. DOI: 10.12200/j.issn.1003-0034.20230977