This article originally posted 16 November, 2004 and appeared in Issue 234
Surgery Effective in Diabetics with Carpal Tunnel Syndrome
Based on the study results, physicians should consider surgery as a viable treatment for diabetic patients with symptomatic CTS.
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Diabetics with Carpal Tunnel Syndrome (CTS), an acquired entrapment
neuropathy causing pain and weakness of the hands, can benefit from surgery
suggests research.
Some in the medical community have questioned whether diabetics who undergo
surgery for CTS release actually improve. Surgery is sometimes recommended to
remove or "release" compression of the median nerve, the nerve that
passes from the forearm to the palm.
Hee-Kyu Kwon, M.D, Ph.D., (Korea University Hospital in Seoul) and her research
colleagues conducted a study to compare the outcomes of CTS release surgery in
diabetic and non-diabetic patients. Two groups who received CTS release-one
group with diabetes,
the second without-were evaluated using several electrodiagnostic tests.
Physicians use electrodiagnostic procedures to diagnose problems created when
the electrical signals within nerves and muscles become weakened or stop
altogether.
No meaningful difference between the two groups was found. The authors concluded
that, based on these results, physicians should consider surgery as a viable
treatment for diabetic patients with symptomatic CTS. The results of the study
were presented at the 51st Annual Scientific Meeting of the American Association
of Electrodiagnostic Medicine in Savannah, Georgia, November 3-6, 2004.
American Association of
Electrodiagnostic Medicine (AAEM) http://www.aaem.net
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An estimated 7 in 10 diabetic patients have nerve damage that impairs feeling
in their feet. Fifteen percent of diabetic patients eventually will develop a
foot ulcer. Among those with ulcers, one in four will lose a foot. Each year
more than 86,000 amputations are performed as a direct result of diabetes, and
studies show half of those who have a foot or leg amputated will lose the other
within five years. Proper diabetic foot care, prevents foot loss.
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