AAOS Clinical Guidelines on the Treatment of Carpal Tunnel Syndrome

Summary of Recommendations
See the online version of the guidelines, available at
www.aaos.org/guidelines, for a complete description of how the quality of evidence is rated and the recommendations are graded.

Recommendation 1
A course of nonoperative treatment is an option in patients diagnosed with carpal tunnel syndrome (CTS). Early surgery is an option when there is clinical evidence of median nerve denervation or the patient elects to proceed directly to surgical treatment. (Grade C, Level V)

Recommendation 2
We suggest another nonoperative treatment or surgery when the current treatment fails to resolve the symptoms within 2 weeks to 7 weeks. (Grade B, Level I and II)

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