Nerve Conduction Response by Using Low-Dose Oral Steroid in the Treatment of Carpal Tunnel Syndrome (CTS)
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 8
Abstract
Introduction: Now a day’s Carpal tunnel syndrome is the most common entrapment neuropathy. The carpal tunnel syndrome (CTS) is a medical condition that caused by compression of the median nerve as it travels through the wrist at the carpal tunnel. Objectives: The main objective of the study is to find out that short-term low-dose oral steroid is effective in the conservative treatment in mild to moderate carpal tunnel syndrome by evaluating nerve conducting responses. Methodology: This is a prospective case-control study. The study place was Department of Neurology, Bangabandhu Sheikh Mujib Medical University (BSMMU). Duration of the study was one year. There were two groups of samples. One group of 30 patients were designated as control and another group of 30 patients designated as cases. Both the groups were matched in respect to age and sex and CTS symptoms for more than 3 months. Results: After treatment [(MN MDL - right side: control 4.9% and cases 10.68%, left side: control 10.26% and cases 10.43%) (CMAP - right side: control 13.88% and cases 23.98%; left side: control 13.22% and cases 23.91%)] with P value of < 0.001 in both control and cases except left control subjects -P>0.50. As well as, there was also significant percent change from before to after treatment [(MN SDL - right side: control 5.3% and cases 13.98%; left side: control 4.45% and cases 13.98%) (SNAP - right side: control 6.54% and cases 13.19%; left side: control 5.44% and cases 1.36%)] with P value of < 0.001 in both control and cases which were highly significant.
Authors and Affiliations
Dr. Md Mahbubul Alam, Dr. Shamim Rashid, Dr. Abdul Halim Sarder
Keywords
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- EP ID EP381106
- DOI 10.9790/0853-1708066269.
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