Steroids better than splints in carpal tunnel

Small trial backs the drug option, but both interventions are effective

Steroid injections may have the edge over wrist splinting for carpal tunnel syndrome, a small prospective trial suggests.

hands and nerves

With few clinical trials and no clinical consensus regarding the best management of the condition, Hong Kong researchers compared nocturnal splinting with 20mg methylprednisolone in 50 patients presenting at a general hospital.

Both groups of patients had improved after one month, as measured by the Boston Carpal Tunnel Questionnaire (steroid injection 0.44 points better; splinting 0.29 points better).

Differences in the