VARIOUS NON-SURGICAL THERAPY IN CARPAL TUNNEL SYNDROME THAT CAN BE AN OPTIONAL THERAPY FOR DENTISTS: SCOPING REVIEW
DOI:
https://doi.org/10.33854/jbd.v11i2.1539Keywords:
Carpal tunnel syndrome (CTS), effectiveness, non-surgical treatmentAbstract
Introduction: Carpal tunnel syndrome (CTS) is a common condition among dentists due to awkward hand positions, repetitive hand movements, mechanical pressure on the palms, strong grips, and vibration of tools involved in their work. Non-surgical therapy is recommended for mild to moderate levels of CTS, while surgical treatment may be considered for severe cases. Aim: This study aims to determine the effectiveness of various non-surgical therapy for CTS. Method: The literature search used Boolean language in PCC format on PubMed and Google Scholar databases. The literature search was according to PRISMA-ScR flow chart guidelines and 6,641 articles were obtained. 16 articles met the inclusion criteria, consisting of: splinting (n=2), local steroid injection (n=2), median nerve neuromobilisation (n=2), and journals that tested and compared a combination of non-surgical therapies or more than one non-surgical therapy (n=10). Result: This review shows that non-surgical therapies are effective for CTS patients. Conclusion: Various non-surgical treatment for CTS is effective in reducing pain and improving hand functional ability. These therapies can be an optional therapy for dentists with high CTS risk factors.References
Abichandani S, Shaikh S, Nadiger R. Carpal tunnel syndrome - An occupational hazard facing dentistry. Int Dent J [Internet]. 2013;63(5):230–6. Available from: https://doi.org/10.1111/idj.12037
Ariyani AP, Anggraini W, Roeslan BO, Sulistyowati I. Dentist: Wrist Position, Handgrip Strength, and Body Mass Index Associated with Carpal Tunnel Syndrome in Daily Practice. Malahayati Nurs J [Internet]. 2024 Sep 1;6(9):3821–32. Available from: https://ejurnalmalahayati.ac.id/index.php/manuju/article/view/15525
Patandung LN, Widowati E. Indeks massa tubuh, kelelahan kerja, beban kerja fisik dengan keluhan gangguan muskuloskeletal. Higeia J Public Heal Res Dev. 2022;6(1):126–35.
Gupta A, Bhat M, Mohammed T, Bansal N, Gupta G. Ergonomics in dentistry. Int J Clin Pediatr Dent [Internet]. 2014;7(1):30–4. Available from: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=4144062&tool=pmcentrez&rendertype=abstract
Putri PP. Nerve and tendon gliding exercise as nonmedical intervention for carpal tunnel syndrome. Essence Sci Med J. 2019;17(2):34–9.
Salawati L. Carpal tunel syndrome. J Kedokt Syiah Kuala. 2014;14(1):29–37.
Sitompul YRB. Resiko jenis pekerjaan dengan kejadian carpal tunnel syndrome (CTS). J Ilm WIDYA. 2019;5(3):1–7.
Duncan SFM, Kakinoki R. Carpal tunnel syndrome and related median neuropathies: challenges and complications. Carpal Tunnel Syndrome and Related Median Neuropathies: Challenges and Complications. 2017. 1–315 p.
Shariff SZ, Bejaimal SAD, Sontrop JM, Iansavichus A V., Haynes RB, Weir MA, et al. Retrieving clinical evidence: A comparison of PubMed and Google scholar for quick clinical searches. J Med Internet Res. 2013;15(8)::e164:n1-9.
Anggraini W, Ranggaini D, Ariyani AP, Sulistyowati I. World Trends in Dental Ergonomics Research: A Bibliometric Analysis. Int J Environ Res Public Health [Internet]. 2024;21(4):1–21. Available from: https://www.mdpi.com/1660-4601/21/4/493
Meisha DE, Alsharqawi NS, Samarah AA, Al-Ghamdi MY. Prevalence of Work-related Musculoskeletal Disorders and Ergonomic Practice among Dentists in Jeddah, Saudi Arabia. Clin Cosmet Investig Dent. 2019;11:171–9.
Alhusain FA, Almohrij M, Althukeir F, Alshater A, Alghamdi B, Masuadi E, et al. Prevalence of carpal tunnel syndrome symptoms among dentists working in Riyadh. Ann Saudi Med [Internet]. 2019 Mar;39(2):104–11. Available from: http://www.annsaudimed.net/doi/10.5144/0256-4947.2019.07.03.1405
AlKhodier H, Alqahtani M, Alshenaifi A, Alnuwaiser M. Prevalence of first carpometacarpal joint osteoarthritis and carpal tunnel syndrome among dentists in saudi arabia. Cureus. 2022;14(4):1–11.
Adnan MM, Rahman NA, Yusoff A. Prevalence of probable carpal tunnel syndrome and its associated factors among dentists in kelantan. Int J Collab Res Intern Med Public Heal. 2014;6(8):247–59.
Siddiqui A, Zia AKA, Ahmed MR, Askari H, Zahid A. Prevalence of carpel tunnel syndrome in the dentists working in karachi. Pakistan Oral Dent J. 2014;34(4):588–91.
Yunoki M, Kanda T, Suzuki K, Uneda A, Hirashita K, Yoshino K. Importance of recognizing carpal tunnel syndrome for neurosurgeons: a review. Neurol Med Chir (Tokyo). 2017;57(4):172–83.
Wipperman J, Goerl K. Carpal Tunnel Syndrome: Diagnosis and Management. Am Fam Physician. 2016 Dec;94(12):993–9.
Ijaz MJ, Karimi H, Ahmad A, Gillani SA, Anwar N, Chaudhary MA. Comparative efficacy of routine physical therapy with and without neuromobilization in the treatment of patients with mild to moderate carpal tunnel syndrome. Biomed Res Int. 2022;1–8.
Ijaz MJ, Karimi H, Gillani SA, Ahmad A, Chaudhary MA. Effect of median nerve neuromobilization on functional status in patients with carpal tunnel syndrome: a double blinded randomized control trial. J Pak Med Assoc [Internet]. 2022 Apr 5;72(4):605–9. Available from: https://ojs.jpma.org.pk/index.php/public_html/article/view/2212
Alam M, Khan M, Ahmed SI, Ali SS. Effectiveness of neural mobilization and ultrasound therapy on pain severity in carpal tunnel syndrome. Biomed Res Ther. 2018;5(4):2187–93.
Ali SS, Uddin A, Shahab M, Janjua FA, Zia S, Ahmad I, et al. Mean pain score before and after wrist splinting for carpal tunnel syndrome presenting to orthopedic department hayatabad medical complex, peshawar. Pakistan J Med Heal Sci. 2022;16(12):721–3.
Mohammadabadi HD, Azizi S, Dadarkhah A. Evaluation of effectiveness of the wrist mobilization compared with local corticosteroid injection in treatment of moderate carpal tunnel syndrome.Ann Mil Heal Sci Res.2018;16(2):1-6
Talebi GA, Saadat P, Javadian Y, Taghipour M. Comparison of two manual therapy techniques in patients with carpal tunnel syndrome: a randomized clinical trial. Casp J Intern Med. 2020;11(2):163–70.
Asadi MR, Saremi H, Radinmehr H, Rahbar S, Talimkhani A, Hajvalie G, et al. Effect of low-level laser therapy combined with therapeutic ultrasound on hand pain and function following carpal tunnel syndrome: a randomized controlled trial. Middle East J Rehabil Heal Stud. 2021;8(4):1–8.
Dinarvand V, Abdollahi I, Raeissadat SA, Bandpei MAM, Babaee M, Talimkhani A. The effect of scaphoid and hamate mobilization on treatment of patients with carpal tunnel syndrome. Anesthesiol Pain Med. 2017;7(5):1-7.
Al-Muhanna NA, Shamsi S. Effect of ultrasound with splinting and splinting alone for carpaltunnel syndrome. Int J Med Sci Clin Invent. 2015;2(6):921–32.
Sheereen FJ, Sarkar B, Sahay P, Shaphe MA, Alghadir AH, Iqbal A, et al. Comparison of two manual therapy programs, including tendon gliding exercises as a common adjunct, while managing the participants with chronic carpal tunnel syndrome. Hindawi. 2022;1–11.
Mahmoud W. Comparison of the selected treatment modalities of carpal tunnel syndrome depending on symptom severity. Int J Ther Rehabil Res. 2016;5(4):84–90.
Al-Muhanna NA, Shamsi S. Different splinting time for carpal tunnel syndrome in women: comparative study. J Nurs Heal Sci. 2015;4(2):3–11.
Ahmed OF, Elkharbotly AM, Taha N, Bekheet AB. Treatment of mild to moderate carpal tunnel syndrome in patients with diabetic neuropathy using low level laser therapy versus ultrasound controlled comparative study. BBA Clin. 2017;8:43–7.
Sabaawi MIS, Aljumaily MA, Ahmad MMM. Electrophysiological response to local steroid injection in carpal tunnel syndrome. Ann Coll Med Mosul. 2013;39(2):118–22.
Rathoor S, Gupta A, Kumar D, Yadav G. Comparison of ultrasound-guided versus anatomical landmark-guided approach for perineural steroid infiltration in carpal tunnel syndrome:a prospective randomised controlled trial.Indian J Phys Med Rehabil.2023;33(1):30-6
Jain K, Srivastava N, Chhonker K. To study the impact of wrist splints and nerve tendon gliding exercises on carpal tunnel syndrome in women who work at computers and in women who do not. Indian J Phsiotherapy Occup Ther. 2023;17(2):1–5.
Khotimah UK, Pristianto A, Rochmaningtyas P. The effectiveness of neurodynamic technique (tensioning and sliding) and ultrasound therapy to reduce symptoms on carpal tunnel syndrome patients: a case report. Acad Physiother Conf Proceeding. 2022;229–35.
Downloads
Published
Issue
Section
License
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).


