The cost-effectiveness of nonsurgical versus surgical treatment for carpal tunnel syndrome.

Purpose: To compare direct costs and results for patients with electrodiagnostically proven carpal tunnel syndrome treated with surgery versus nonsurgical care.

Methods: There is a retrospective study of 120 patients divided into 2 groups: subjects in group 1 had chosen nonsurgical treatment, whereas subjects in group 2 had chosen surgery with no nonsurgical treatment. Patients were matched on age, gender, severity of nerve conduction abnormalities, body mass index, smoking history, job category, and insurance coverage.

Outcomes of carpal tunnel surgery with and without supervised postoperative therapy.

Purpose: To assess if a formal 2-week hand therapy improves outcomes and justifies its expense.

Methods: A prospective randomized study was completed using a contemporary short incision and a 2-week program of therapy. Patients were randomized into 2 treatment groups: one group received instruction on home therapy exercises to be followed after carpal tunnel release, and a second group received the home program in addition to a therapist-directed program for 2 weeks.