Corticosteroid injection for the treatment of carpal tunnel syndrome

Objective-To compare low and high dose, and short and long acting corticosteroids in the treatment of carpal tunnel syndrome. Methods-A randomised, controlled, single blind trial with electromyographic and subjective outcome measures. Results-25 mg hydrocortisone is as effective as higher doses or long acting triamcinolone at a sin week and six month follow up. Conclusion-As low dose steroid is as effective, and potentially less toxic, this should be the recommended dose for injection of carpal tunnel syndrome.