Understanding Medications for Carpal Tunnel Syndrome

A Comprehensive Guide to Treatment Options

Orthopedics

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Last updated: Mar 24, 2025

Overview

Carpal tunnel syndrome (CTS) can be effectively managed with various medications. This guide outlines the primary medication options available for treatment.

Common Medications

1. NSAIDs (Non-Steroidal Anti-Inflammatory Drugs)

  • Over-the-counter options:
    • Ibuprofen (Advil, Motrin)
    • Naproxen (Aleve)
    • Aspirin
  • Typical dosage: As directed on packaging
  • Purpose: Reduces inflammation and pain

2. Corticosteroid Injections

  • Common medications:
    • Methylprednisolone
    • Triamcinolone
  • Administration: Given directly into the carpal tunnel
  • Duration: Relief typically lasts several weeks to months

3. Oral Corticosteroids

  • Examples:
    • Prednisone
    • Prednisolone
  • Usage: Short-term treatment for severe symptoms

Important Considerations

Side Effects

  • NSAIDs: Stomach upset, bleeding risk
  • Corticosteroids: Potential tissue damage, infection risk

When to Contact Your Doctor

  • Symptoms worsen
  • Side effects occur
  • No improvement after prescribed duration

Additional Treatment Options

  • Physical therapy
  • Wrist splinting
  • Lifestyle modifications
  • Surgical intervention (if conservative treatment fails)

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