Does fibromyalgia affect the outcomes of local steroid treatment in patients with carpal tunnel syndrome?
Carpal tunnel syndrome (CTS) and fibromyalgia (FM) are common diseases in adult women. The aim of this study was to investigate the effect of FM on the outcome of local steroid treatment in patients with CTS. Forty-eight female patients with CTS and 26 female patients with CTS who also met the 1990...
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| Veröffentlicht in: | Rheumatology international 2002-07, Vol.22 (3), p.112-115 |
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| container_title | Rheumatology international |
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| creator | AKKUS, Selami KUTLUHAN, Suleyman AKHAN, Galip TUNC, Ercan OZTURK, Mustafa KOYUNCUOGLU, Hasan Rifat |
| description | Carpal tunnel syndrome (CTS) and fibromyalgia (FM) are common diseases in adult women. The aim of this study was to investigate the effect of FM on the outcome of local steroid treatment in patients with CTS. Forty-eight female patients with CTS and 26 female patients with CTS who also met the 1990 American College of Rheumatology (ACR) criteria for FM were enrolled the study. All patients underwent single steroid injections into the carpal tunnel. Response to injection was measured using Boston Questionnaire (BQ) and electrophysiological tests. The BQ scores and electrophysiological findings showed significant improvement 3 months after the treatment in both groups ( P |
| doi_str_mv | 10.1007/s00296-002-0205-z |
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The aim of this study was to investigate the effect of FM on the outcome of local steroid treatment in patients with CTS. Forty-eight female patients with CTS and 26 female patients with CTS who also met the 1990 American College of Rheumatology (ACR) criteria for FM were enrolled the study. All patients underwent single steroid injections into the carpal tunnel. Response to injection was measured using Boston Questionnaire (BQ) and electrophysiological tests. The BQ scores and electrophysiological findings showed significant improvement 3 months after the treatment in both groups ( P<0.001). However, less improvement in BQ symptom severity scores was observed in the FM group than the other group ( P<0.05). Bilateral CTS was also more common in the FM group ( P<0.05). The present data suggest that FM must be kept in mind in patients with CTS giving poor response to local steroid treatment.</description><identifier>ISSN: 0172-8172</identifier><identifier>EISSN: 1437-160X</identifier><identifier>DOI: 10.1007/s00296-002-0205-z</identifier><identifier>PMID: 12111086</identifier><language>eng</language><publisher>Berlin: Springer</publisher><subject>Adult ; Anti-Inflammatory Agents - administration & dosage ; Anti-Inflammatory Agents - therapeutic use ; Betamethasone - administration & dosage ; Betamethasone - therapeutic use ; Biological and medical sciences ; Carpal tunnel syndrome ; Carpal Tunnel Syndrome - complications ; Carpal Tunnel Syndrome - drug therapy ; Carpal Tunnel Syndrome - physiopathology ; Diseases of the osteoarticular system. Orthopedic treatment ; Electrophysiology ; Female ; Fibromyalgia ; Fibromyalgia - complications ; Fibromyalgia - drug therapy ; Fibromyalgia - physiopathology ; Humans ; Injections, Intralesional ; Median Nerve - drug effects ; Median Nerve - physiopathology ; Medical sciences ; Middle Aged ; Neural Conduction - drug effects ; Neural Conduction - physiology ; Prospective Studies ; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) ; Surveys and Questionnaires ; Treatment Outcome ; Ulnar Nerve - drug effects ; Ulnar Nerve - physiopathology</subject><ispartof>Rheumatology international, 2002-07, Vol.22 (3), p.112-115</ispartof><rights>2003 INIST-CNRS</rights><rights>Springer-Verlag 2002</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c355t-aa21531e6469fe0c5fb71b586d111570a78d4d9a617b392e4a17a524063666d73</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=14014893$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12111086$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>AKKUS, Selami</creatorcontrib><creatorcontrib>KUTLUHAN, Suleyman</creatorcontrib><creatorcontrib>AKHAN, Galip</creatorcontrib><creatorcontrib>TUNC, Ercan</creatorcontrib><creatorcontrib>OZTURK, Mustafa</creatorcontrib><creatorcontrib>KOYUNCUOGLU, Hasan Rifat</creatorcontrib><title>Does fibromyalgia affect the outcomes of local steroid treatment in patients with carpal tunnel syndrome?</title><title>Rheumatology international</title><addtitle>Rheumatol Int</addtitle><description>Carpal tunnel syndrome (CTS) and fibromyalgia (FM) are common diseases in adult women. The aim of this study was to investigate the effect of FM on the outcome of local steroid treatment in patients with CTS. Forty-eight female patients with CTS and 26 female patients with CTS who also met the 1990 American College of Rheumatology (ACR) criteria for FM were enrolled the study. All patients underwent single steroid injections into the carpal tunnel. Response to injection was measured using Boston Questionnaire (BQ) and electrophysiological tests. The BQ scores and electrophysiological findings showed significant improvement 3 months after the treatment in both groups ( P<0.001). However, less improvement in BQ symptom severity scores was observed in the FM group than the other group ( P<0.05). Bilateral CTS was also more common in the FM group ( P<0.05). The present data suggest that FM must be kept in mind in patients with CTS giving poor response to local steroid treatment.</description><subject>Adult</subject><subject>Anti-Inflammatory Agents - administration & dosage</subject><subject>Anti-Inflammatory Agents - therapeutic use</subject><subject>Betamethasone - administration & dosage</subject><subject>Betamethasone - therapeutic use</subject><subject>Biological and medical sciences</subject><subject>Carpal tunnel syndrome</subject><subject>Carpal Tunnel Syndrome - complications</subject><subject>Carpal Tunnel Syndrome - drug therapy</subject><subject>Carpal Tunnel Syndrome - physiopathology</subject><subject>Diseases of the osteoarticular system. Orthopedic treatment</subject><subject>Electrophysiology</subject><subject>Female</subject><subject>Fibromyalgia</subject><subject>Fibromyalgia - complications</subject><subject>Fibromyalgia - drug therapy</subject><subject>Fibromyalgia - physiopathology</subject><subject>Humans</subject><subject>Injections, Intralesional</subject><subject>Median Nerve - drug effects</subject><subject>Median Nerve - physiopathology</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Neural Conduction - drug effects</subject><subject>Neural Conduction - physiology</subject><subject>Prospective Studies</subject><subject>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. 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Orthopedic treatment</topic><topic>Electrophysiology</topic><topic>Female</topic><topic>Fibromyalgia</topic><topic>Fibromyalgia - complications</topic><topic>Fibromyalgia - drug therapy</topic><topic>Fibromyalgia - physiopathology</topic><topic>Humans</topic><topic>Injections, Intralesional</topic><topic>Median Nerve - drug effects</topic><topic>Median Nerve - physiopathology</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Neural Conduction - drug effects</topic><topic>Neural Conduction - physiology</topic><topic>Prospective Studies</topic><topic>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. 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The aim of this study was to investigate the effect of FM on the outcome of local steroid treatment in patients with CTS. Forty-eight female patients with CTS and 26 female patients with CTS who also met the 1990 American College of Rheumatology (ACR) criteria for FM were enrolled the study. All patients underwent single steroid injections into the carpal tunnel. Response to injection was measured using Boston Questionnaire (BQ) and electrophysiological tests. The BQ scores and electrophysiological findings showed significant improvement 3 months after the treatment in both groups ( P<0.001). However, less improvement in BQ symptom severity scores was observed in the FM group than the other group ( P<0.05). Bilateral CTS was also more common in the FM group ( P<0.05). The present data suggest that FM must be kept in mind in patients with CTS giving poor response to local steroid treatment.</abstract><cop>Berlin</cop><pub>Springer</pub><pmid>12111086</pmid><doi>10.1007/s00296-002-0205-z</doi><tpages>4</tpages></addata></record> |
| fulltext | fulltext |
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| ispartof | Rheumatology international, 2002-07, Vol.22 (3), p.112-115 |
| issn | 0172-8172 1437-160X |
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| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Adult Anti-Inflammatory Agents - administration & dosage Anti-Inflammatory Agents - therapeutic use Betamethasone - administration & dosage Betamethasone - therapeutic use Biological and medical sciences Carpal tunnel syndrome Carpal Tunnel Syndrome - complications Carpal Tunnel Syndrome - drug therapy Carpal Tunnel Syndrome - physiopathology Diseases of the osteoarticular system. Orthopedic treatment Electrophysiology Female Fibromyalgia Fibromyalgia - complications Fibromyalgia - drug therapy Fibromyalgia - physiopathology Humans Injections, Intralesional Median Nerve - drug effects Median Nerve - physiopathology Medical sciences Middle Aged Neural Conduction - drug effects Neural Conduction - physiology Prospective Studies Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) Surveys and Questionnaires Treatment Outcome Ulnar Nerve - drug effects Ulnar Nerve - physiopathology |
| title | Does fibromyalgia affect the outcomes of local steroid treatment in patients with carpal tunnel syndrome? |
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