• Journal of Haehwa Medicine
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• v.17 no.1
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• pp.129-136
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• 2008

This study was performed to investigate the cause, symptom, treatment of carpal tunnel syndrome through Western medicine and Dong-Eui-Bo-Kham(東醫寶鑑). Results & conclusions 1. Carpal tunnel syndrome is a common peripheral nerve entrapment syndrome that is characterixed by pain, numbness, sensory disturbance along the dsitribution of the meridian nerve in hand 2. Treatment of carpal tunnel syndrome have included wrist immobilization, anti-inflammatory drug, local injection of steroid, nerve block and surgical decompression. 3. Carpal tunnel syndrome seems to be similar with numbness(痺證). The causes were usually pathogenic Wind, Cold, Dampness. 4．Acupuncture, herbal medicine, herbal acupuncture were used for treatment of carpal tunnel syndrome. We considered that more study to find various and effective methods oriental medicine for carpal tunnel syndrome should be made.

• Journal of the Korean Society of Physical Medicine
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• v.16 no.1
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• pp.63-71
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• 2021

PURPOSE: The purpose of this study was to investigate the effects of trigger finger on pain, muscle strength and function in carpal tunnel syndrome (CTS) patients. METHODS: A total of 60 subjects (30 carpal tunnel syndrome with trigger finger and 30 carpal tunnel syndrome without trigger finger) were assessment for pain, muscle strength (power grip, key pinch , tip to tip pinch, three jaw pinch) and function. The effect sizes of the two groups were compared, and the correlation between the trigger finger and each variable was analyzed. RESULTS: The results showed that there were significantly difference in the pain, muscle strength excluding three jaw pinch and function (p < .05). The results also showed correlation between trigger finger and pain (r = .552), muscle strength excluding three jaw pinch (power grip r = -.296, key pinch r = -.260, tip to tip pinch r = -.285), and function (r = .375). The function of carpal tunnel syndrome patients was related to pain (r = .550) and power grips (r = -.324) of muscle strength. CONCLUSION: In carpal tunnel syndrome patients with trigger finger compared to carpal tunnel syndrome, muscle weakness, pain increase, and function reduction were shown. In addition, trigger finger are correlated with muscle strength, pain and function, and muscle weakness and increased pain affect the daily living of carpal tunnel syndrome patients with triggers finger. Therefore, physical therapy interventions of carpal tunnel syndrome patients with trigger finger should be combined with treatment for muscle strength enhancement as well as pain reduction.

• Archives of Plastic Surgery
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• v.38 no.1
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• pp.117-120
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• 2011

Purpose: Carpal tunnel syndrome is the most common peripheral compressive neuropathy. Most cases are idiopathic, but rarely carpal tunnel syndrome can be associated with a ganglionic mass. We report our recently encountered experience of surgical treatment of carpal tunnel syndrome caused by a simple ganglionic mass. Methods: A 53-year-old man presented with chief complaints of numbness and hypoesthesia of his left palm, thumb, index finger, long finger, and ring finger of one and half month duration. Physical examination revealed positive Tinnel's sign without previous trauma, infection or any other events. Electromyography showed entrapment neuropathy of the median nerve. Magnetic resonance imaging (MRI) showed an approximately 2.0 cm-sized mass below the transverse carpal ligament. Upon surgical excision, a $1{\times}1.5cm^2$ mass attached to the perineurium of the median nerve and synovial sheath of the flexor digitorum superficialis and redness and hypertrophy of the median nerve were discovered. With surgical intervention, we completely removed the ganglionic mass and performed surgical release of the transverse carpal ligament. Results: The pathology report confirmed the mass to be a ganglion. The patient exhibited post-operative improvement of his symptoms and did not show any complications. Conclusion: We present a review of our experience with this rare case of carpal tunnel syndrome caused by a ganglionic mass and give a detailed follow-up on the patient treated by surgical exploration with carpal tunnel release.

• Journal of Physiology & Pathology in Korean Medicine
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• v.29 no.1
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• pp.79-84
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• 2015

The aim of this review is to investigate studies of Korean medical treatment of carpal tunnel syndrome published in Korea and the evidence of it's effects in order to suggest a better research method in the future. Four Korean web databases were searched by using key words such as 'carpal', and checked relevant Korean journals. The papers were classified into the field of study, publish date, diagnostic methods, evaluation methods and analysed the study tendency. There are 9 case studies, 4 controlled studies. The paper was published almost every year more than once. Acupucture, pharmacopuncture, acupotomy, warm needle acupuncture, taping, etc. were used as treatment tools. The two most commonly used diagnostic method for carpal tunnel syndrome are Phalen's test and Tinel's sign. The two most commonly used evaluation method are VAS(Visual Analog Scale) and subjective symptoms. Korean medical treatment of carpal tunnel syndrome was effective in all studies. Korean medical treatment of carpal tunnel syndrome was effective in all studies. So it is possible that Korean medical treatment of carpal tunnel syndrome is useful as therapeutic medicine, but there are not sufficient evidence based papers, so there should be further studies.

• Journal of Acupuncture Research
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• v.27 no.3
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• pp.159-166
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• 2010

Objectives : This study was to observe the effect of Hapgok needling and Bee Venom Acupuncture on a patient with neuralgia caused by Carpal Tunnel Syndrome. Methods : The patient were treated by Hapgok needling and Bee Venom Acupuncture at acupuncture points following diagnosed as Carpal Tunnel Syndrome. Improvement of the symptoms was evaluated by VAS. Results : Carpal Tunnel Syndrome related symptoms of the patient were remarkably improved by Hapgok needling and Bee Venom Acupuncture therapy. Conclusions : These results suggested that Hapgok needling and Bee Venom Acupuncture should be one of the useful treatment methods for relieving the symptoms of Carpal Tunnel Syndrome.

• Journal of Haehwa Medicine
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• v.19 no.1
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• pp.9-15
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• 2010

Objective : The purpose of the study was to evaluate if the oriental medicine treatment with hot acupuncture are more effective and safer in the carpal tunnel syndrome. Methods : We treated total 5 patients with hot acupuncture high-frequency radio waves. We evaluated VAS(visual analog scale) and subjective symptoms of patients after executing. Results : The following results were obtained ; 1. It was evaluated that the oriental medicine treatment with hot acupuncture was significant in improvement of symptoms in each treatment. 2. In VAS score, It was evaluated that carpal tunnel syndrome patient were significant in improvement of symptoms. 3. In subjective symptoms, It was evaluated that carpal tunnel syndrome patient were significant in improvement of symptoms. Conclusion : The results suggest that hot acupuncture is the effective on the treatment of carpal tunnel syndrome.

• Journal of Pharmacopuncture
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• v.8 no.1
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• pp.13-20
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• 2005

Objectives : This study is performed for the purpose of examining into the efficacy of the scolopendrid herbal acupucture which has been used among the Korean people for the Carpal tunnel syndrome. Methods : 40 carpal tunnel syndrome patients who visited Won-kwang University Hospital during the period from January 1998 to December 2004 were analysed for clinical manifestations. After we divided patients into two classes at random, we treated them with scolopendrid herbal acupucture or not. Treatment efficiency was monitored through VAS(Visual Analog Scale) and clinical symptom. Conclusion : We brought to the conclusion that the scolopendrid herbal acupucture has possibility to be efficient to cure the carpal tunnel syndrome patients. So we suggest the possibility to use this new remedy for the carpal tunnel syndrome.

• Physical Therapy Rehabilitation Science
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• v.10 no.3
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• pp.351-355
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• 2021

Objective: Carpal tunnel syndrome is one of the most common upper extremity compressive nerve disorders in modern people. Various conservative treatments such as taping, exercise, and electrotherapy have been applied to carpal tunnel syndrome and their effectiveness has been proven. This study aims to determine whether home exercise combined with taping is effective for pain and functional disability in patients with carpal tunnel syndrome. Design: Randomized controlled study Methods: 21 patients were recruited and were randomly divided into HEx+T (Home exercise+taping) group (n=10) and HEx (Home exercise) group (n=11). All participants performed Home exercise(tendon and neural gliding exercise) 5 times a week for 6 weeks. Additionally, subject in the HEx group, taping was applied over the wrist and forearm during the training period. Wrist pain was measured by VAS (Visual Analogue Scale). Functional disability was measured using a BCTSQ(The Boston Carpal Tunnel Syndrome Questionnaire). Results: Both the HEx+T group and the HEx group showed a significant improvement in wrist pain(p<0.05), and the HEx+T group showed a more significant decrease in pain than the HEx group(p<0.05). There was a significant improvement in both groups in functional disability (p<0.05), and the HEX+T group showed more improvement than the HEX group(p<0.05). Conclusions: This study suggests that home exercise combined with taping is effective for pain and functional disability in patients with carpal tunnel syndrome.

• The Journal of Churna Manual Medicine for Spine and Nerves
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• v.7 no.1
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• pp.67-74
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• 2012

Objectives : The purpose of this study is to evaluate the korean medical treatment for carpal tunnel syndrome, especially taping therapy for carpal space expansion. Methods : Six patients were treated with acupuncture, moxibustion and kinesio taping therapy. To evaluate the pain and numbness of the palm and finger, visual analogue scale(VAS) and Phalen's test were used. Results : After about 10 to 20 times treatment, the pain and numbness of almost cases were remarkably removed. Also the VAS of post-treatment was reduced by 1.33(means). And the time being required to response to Phalen's test was signally prolonged, as 5 cases took over one minute. Conclusions : Korean medical treatment including expansion taping of carpal space as kinesio correction therapy is remarkably effective for carpal tunnel syndrome. But further studies are required to concretely prove the effectiveness of correction taping on other compressive neuropathy.

• Journal of Preventive Medicine and Public Health
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• v.29 no.3 s.54
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• pp.507-519
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• 1996

The objectives of this study are to investigate the prevalence of occupation related carpal tunnel syndrome(CTS) among workers in a condom industry : to analyse the sensitivity and specificity of clinical signs or symptoms such as hand diagram, Tinel's sign and Phalen's sign in carpal tunnel syndrome : and to test vibration threshold test using audiometry as a technically easy and noninvasive method in the diagnosis of carpal tunnel syndrome in stead of nerve conduction velocity (NCV). The study group was divided into exposed group(39 cases) and non-exposed group(48 cases) based on whether or not excessive use of wrist movements exsist. 1. There are stastically significant differences in symptoms and signs of carpal tunnel syndrome such as hand diagram, Tinel's sign and Phalen's sign between exposed and non-exposed group(p<0.05). 2. Six cases(9 hands) were comfirmed as carpal tunnel syndrome by NCV. Five cases(7 hands) belonged to exposed group, 1 case(2 hands) to nonexposed group. As there are significant differences in prevalence of carpal tunnel syndrome between two groups(p<0.05), excessive use of wrist in occupation is a risk factor of carpal tunnel syndrome. 3. When we use NCV as a gold standard in the diagnosis of carpal tunnel syndrome, sensitivity and specificity of hand diagram, Tinel's sign and Phalen's sign is as followed; hand diagram , sensitivity 88.9%, specificity 84.2% Tinel's sign ; sensitivity 55.6%, specificity 72.8% Phalen's sign ; sensitivity 14.3%, specificity 88.4%. Among above clinical signs and symptoms, hand diagram is the best clinical screening test. 4. The differences of vibration threshold between median and ulnar nerve at the same time are useful in the diagnosis of carpal tunnel syndrome but the time change of vibration threshold of median nerve over time are not sensitive enough. It is concluded that vibration threshold between median and ulnar nerve at the same time can be used as a supplementary or alternative criterion to indicate that the nerve dysfunction is located in the carpal tunnel.