Commentary on Berger et al. the long-term follow-up of treatment with corticosteroid injections in patients with carpal tunnel syndrome. When are multiple injections indicated?

摘要

Berger's article demonstrates that a third of patients with carpal tunnel syndrome (CTS) treated primarily by steroid injection have a good result at 1 year. Patients with an initial good response to steroid were more likely to benefit from an additional injection. This correlates well with our own findings in Fife, where Jenkins et al. (2012) showed that only one third of patients treated primarily with steroid injection had gone on to have surgery within 5 years.