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Carpal tunnel syndrome - Management
When should I refer?
- Referral may be to a rheumatologist, orthopaedic surgeon, hand surgeon, or neurologist depending on local custom and practice, and in some areas people may be referred to a Clinical Assessment and Treatment Service.
- Offer referral for consideration of electromyography and nerve conduction studies if the diagnosis is uncertain and also before surgery.
- Offer referral for consideration of corticosteroid injection or for surgical treatment if:
- The symptoms are severe or constant, or there is severe sensory disturbance and/or thenar motor weakness.
- There is progressive motor or sensory deficit.
- There is no improvement within 3 months with conservative treatment.
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