Response to Khan et al: Long-Term Outcomes of Non-surgical versus Surgical Treatment for Carpal Tunnel Syndrome: An Observational Cohort Study.

Main Article Content

Domingo Ly-Pen
Diana Ly-Liu
José-Luis Andréu

Abstract

The letter to the editor discusses the comparative fairness between surgical and non-surgical treatments for Carpal Tunnel Syndrome (CTS), highlighted in Khan et al.'s study. The authors argue that surgical treatments, being based on a unified pathophysiology of decompression, are not comparable to the diverse non-surgical treatments like splinting and local corticosteroid injections, which only some have substantial evidence backing their effectiveness. They reference their own study showing equal effectiveness of surgery and corticosteroid injections in the short term, but a long-term advantage for surgery, despite a significant number of non-surgical cases not requiring further treatment.

Article Details

How to Cite
Ly-Pen, D., Ly-Liu, D., & Andréu, J.-L. (2024). Response to Khan et al: Long-Term Outcomes of Non-surgical versus Surgical Treatment for Carpal Tunnel Syndrome: An Observational Cohort Study. Journal of Health and Rehabilitation Research, 4(1), 5–6. https://doi.org/10.61919/jhrr.v4i1.359
Section
Editorial
Author Biographies

Domingo Ly-Pen, Coothehill Medical Centre. Cootehill. Co. Cavan.

MD, PhD. Coothehill Medical Centre. Cootehill. Co. Cavan. H16AH30 Ireland.

Diana Ly-Liu, Basurto University Hospital Bilbao Bizkaia Spain.

MD, PhD. Department of Anesthesia, Basurto University Hospital, Bilbao, Bizkaia, Spain.

José-Luis Andréu, Hospital Universitario Puerta de Hierro Majadahonda. Majadahonda (Madrid). Spain

MD, PhD. Rheumatology Department. Hospital Universitario Puerta de Hierro Majadahonda. Majadahonda (Madrid). Spain. School of Medicine. Universidad Autónoma de Madrid.

References

Khan JHR, Sharif Z, Sajid M, Ikram M, Mahmood U, Yousaf F. Long-Term Outcomes of Non-surgical versus Surgical Treatment for Carpal Tunnel Syndrome: An Observational Cohort Study. JHRR [Internet]. 2023 Dec. 31 [cited 2024 Jan. 11];3(2):1178-83. https://jhrlmc.com/index.php/home/article/view/309

Pace V, Marzano F, Placella G. Update on surgical procedures for carpal tunnel syndrome: What is the current evidence and practice? What are the future research directions? World J Orthop. 2023 Jan 18;14(1):6-12. doi: 10.5312/wjo.v14.i1.6. PMID: 36686281; PMCID: PMC9850791. https://www.wjgnet.com/2218-5836/full/v14/i1/6.htm

Ly-Pen D, Andréu JL, de Blas G, Sánchez-Olaso A, Millán I. Surgical decompression versus local steroid injection in carpal tunnel syndrome: a one-year, prospective, randomized, open, controlled clinical trial. Arthritis Rheum. 2005;52(2):612-9. doi:10.1002/art.20767. https://onlinelibrary.wiley.com/doi/epdf/10.1002/art.20767

Ly-Pen D, Andréu JL, Millán I, de Blas G, Sánchez-Olaso A. Comparison of surgical decompression and local steroid injection in the treatment of carpal tunnel syndrome: 2-year clinical results from a randomized trial. Rheumatology. 2012;51(8):1447-54. doi:10.1093/rheumatology/kes053. https://academic.oup.com/rheumatology/article/51/8/1447/1842518?login=false

Ly-Pen D, Andreu JL, Millán I, de Blas G, Sánchez-Olaso A. Long-term outcome of local steroid injections versus surgery in carpal tunnel syndrome: observational extension of a randomized clinical trial. Hand. 2022;17(4):639-45. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9274889/pdf/10.1177_1558944720944263.pdf

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