Related Experiment Video
Updated: Apr 3, 2026
Author Spotlight: Ultrasound-Guided Needle Release Combined with Corticosteroid Injection for the Treatment of Supinator Syndrome
Published on: May 26, 2023
Corticoid injection as a predictive factor of results of carpal tunnel release
Giselly Veríssimo de Miranda1, Carlos Henrique Fernandes1, Jorge Raduan1
1Universidade Federal de São Paulo, Escola Paulista de Medicina, São Paulo, SP, Brazil, 1. Escola Paulista de Medicina da Universidade Federal de São Paulo (EPM-UNIFESP), São Paulo, SP, Brazil.
Objective:
To evaluate whether the symptoms relief after local corticoid injection correlate with better results of surgical treatment in carpal tunnel syndrome.
Methods:
Between February 2011 and June 2013, 100 wrists of 88 patients were included in the study. All patients were subjected to corticoid injections in the carpal tunnel and evaluated before and after infiltration and surgery. The following parameters were evaluated: visual analog scale (VAS) for pain, Boston questionnaire, sensitivity and strength.
Results:
Only 28 out of 100 wrists subjected to injection were symptom-free after six months follow up. Sixty out of the 72 patients who did not present relief or relapse symptoms were treated surgically. Surgical results were better regarding VAS, Boston questionnaire and sensitivity in a specific group of patients, which had a longer relief of symptoms after the corticoid injection, with statistical significance.
Conclusion:
Longer relief of symptoms after corticoid injection correlated with better results of surgical treatment.
