Treatment of the Carpal Tunnel Syndrome with Laser
DOI:
https://doi.org/10.17140/NOJ-2-112Keywords:
Carpal tunnel syndrome; Laser; TreatmentAbstract
Objecive: To test the effectiveness of low intensity laser therapy in patients with carpal tunnel
syndrome (CTS).
Methods: Patients with clinical and ENMG diagnosis of CTS never previously treated were
included and submitted to clinical evaluation and conduction studies before and after treatment.
Sensory and motor conduction studies were performed by conventional described techniques.
Low intensity laser treatment was by 660 nm wave length, average power of 30 nw, continuous
operation area of 0.06 cm2
, fluence of irradiation of 10 J/cm2
, exposure of 10 seconds per point,
totalling 6 points of irradiation on the carpal tunnel, from the proximal to the distal sense. Laser
was positioned at 90° to the skin, 2 sessions per week during 3 months were performed (24 sessions). To this moment 30 hands of 18 patients were studied.
Results: Clinical data and different parameters on the conduction studies of the median nerve
showed improvement after the treatment.
Conclusion: In our opinion low intensity laser therapy is a new, not expensive and easy to apply
encouraging treatment for CTS.
References
Milani P, Mondelli M, Ginamneschi F, Mazzocchio R, Rossi A. Progesterone new therapy in mild carpal tunnel syn-drome? Study design of a randomized clinical trial for local therapy. J Brachail Plex Peripher Nerve Inj. 2010; 5: 11. doi: 10.1186/1749-7221-5-11
MacDonald RI, Lichtman DM, Hanlon JJ, Wilson JN. Com-plications of surgical release for carpal tunnel syndrome. J Hand Surg AM. 1978; 3(1): 70-76.
Palmer AK, Toivonem DA. Complications of endoscopic and open carpal tunnel release. J Hand Surg. 1999; 24A: 561-565.
Benson LS, Bare AA, Nagle DJ, Harder VC, Williams CS, Visotsky JL. Complications of endoscopic and open carpal tun-nel release. Arthroscopy. 2006; 22(9); 919-924. doi: 10.1016/j. arthro.2006.05.008
Malhotra R, Kiran EK, Dua A, Mallinath SG, Bhan S. En-doscopic versus open carpal tunnel release: A short-term comparative study. Indian J Orthop. 2007; 41(1): 57-61. doi: 10.4103/0019-5413.30527
Boya H, Ozcan O, Oztekin HH. Longterm complications of open carpal tunnel release. Muscle Nerve. 2008; 38(5): 1443- 1446. doi: 10.1002/mus.21068
Li Z, Smith BP, Tuohy C, Smith TL, Andrew Koman L. Com-plex regional pain syndrome after hand surgery. Hand Clin. 2010; 26(2): 281-289.
Kim NH, Kim DH. Ulnar neuropathy at the wrist in a patient with carpal tunnel syndrome after carpal tunnel release. Ann Re-habil Med. 2012; 36: 291-296.
Lam CH, Yeung SH, Wong TC. Endoscopic carpal tunnel re-lease: experience of surgical outcome in a Chinese population. Hong Kong Med J. 2010; 16: 126-131.
Arnander M, Teoh V, Barabas A, Umarjit S, Fleming A. Im-proved patient awareness and satisfaction using procedure specif-ic consent froms in carpal tunnel descompression surgery. Hand Surgery. 2013; 18(1): 53-57. doi: 10.1142/S021881041350010X
Cartwhright MS, White DL, DeMar S, et al. Median nerve changes following steroid injection for carpal tunnel syndrome. Muscle Nerve. 2011; 44(1): 25-29. doi: 10.1002/mus.22067
Garfinkel MS, Singhal A, Katz WA, Allan DA, Reshetar R, Schumacher R. Yoga-Baser intervention for carpal tunnel syn-drome: a randomized trial. JAMA. 1998; 280(18): 1601-1603. doi: 10.1001/jama.280.18.1601
Khoswari S, Moghtaderi A, Haghighat S. Acupuncture in treatment of carpal tunnel syndrome: A randomized controlled trial study. J Res Med Sci. 2012; 17(1): 1-7.
Muller M, Tsui D, Schnnur R, Bidulpph-Deisroth L, Hard J. Effectives of hand therapy interventions in primary management of carpal tunnel syndrome: a systematic review. J Hand Ther. 2004; 17: 210-228. doi: 10.1197/j.jht.2004.02.009
Snyder-Mackler L, Bork C. Effect of helium-neon laser ir-radiation on peripheral sensory nerve latency. Phys Ther. 1988; 68: 223-225.
Baxter GD, Walsh DM, Allen JM, Lowe AS, Bell AJ. Effects of low intensity infrared laser irradiation upon conduction in the human median nerve in vivo. Exp Physiol. 1994; 79: 227-234.
Greathouse DG, Currier DP, Gilmore RL. Effects of clinical infrared laser on superficial radial nerve conduction. Phys Ther. 1885; 65: 1184-1187.
Weintraub MI. Nonivasive laser neurolysis in carpal tunnel syndrome. Muscle Nerve. 1997; 20: 1029: 1031. doi: 10.1002/ (SICI)1097-4598(199708)20:8<1029::AID-MUS14>3.0.CO;2- Q
Irvine J, Chong SL, Amirjani NS, Chan M. Double-blind randomized controlled trial of low-level laser therapy in carpal tunnel syndrome. Muscle Nerve. 2004; 30: 182-187.
Muller M, Tsui D, Schnnur R, Bidulpph-Deisroth L, Hard J. Effectives of hand therapy interventions in primary management of carpal tunnel syndrome: a systematic review. J Hand Ther. 2004; 17: 210-228.
Barbosa RI, Rodrigues EKS, Tamanini G, et al. Effectiveness of low-level laser therapy for patients with carpal tunnel syn-drome: design of a randomized single-blinded controlled trial. BMC Musculoskelet Disord. 2012; 13: 248. doi: 10.1186/1471- 2474-13-248
Kimura J. Electrodiagnosis in diseases of nerve and muscle. Principles and practice. FA Davis: Philadelphia, 1983.
Tascioglu F, Degirmenci NA, Ozkan S, Mehmetoglu O. Low-level laser in treatmente of carpal tunnel syndrome: clinica, electrophysiological and ultrasonographical evaluation. Rheu-matol Int. 2012; 32: 409-415. doi: 10.1007/s00296-010-1652-6
Ekim A, Armagan O, Tascioglu F, Oner C, Colak M. Effect of low level laser therapy in rheumatoid arthritis with carpal tun-nel syndrome. Swiss Med Wkly. 2007; 137: 347-352.
Dincer U, Cakar E, Kiralp MZ, Kilac H, Dursun H. The effec-tiveness of conservative treatments of carpal tunnel syndrome: splint, ultrasound ald low-level laser therapies. Photomed Laser Surg. 2009; 27(1): 119-125. doi: 10.1089/pho.2008.2211
Yagci I, Elmas O, Akcan E, Ustun I, Gunduz OH, Guven Z. Comparison of splinting and splinting plus low-level laser thera-py in idiopathic carpal tunnel syndrome. Clin Rheumatol. 2009; 28: 1059-1065. doi: 10.1007/s10067-009-1213-0
Casale R, Damiani C, Maestri R, Wells CD. Pain and electro-physiological parameters are improved by combined 830-1064 high-intensity LASER in symptomatic carpal tunnel syndrome versus Transcutaneous Electrical Nerve Stimulation A random-ized controlled study. Eur J Phys Rehabil Med. 2012; 48: 1-7.
Evcik D, Kavuncu V, Cakir T, Subasi V, Yaman M. Laser therapy in the treatment of carpal tunnel syndrome: a random-ized controlled Trial. Photomed Laser Surg. 2007; 25(1): 34-39. doi: 10.1089/pho.2006.2032
Kuryliszyn-Moskal D, Hojna K, Latosiewicz M. Compari-son of the long- term effectiveness of physiotherapy programs with low-level laser and pulsed magnetic field in patients with carpal tunnel syndrome. Adv Med Sci. 2011; 56: 270-274. doi: 10.2478/v10039-011-0041-z
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