Letters Section Editor: Stephen J. Lurie,
MD, PhD, Senior Editor.
In Reply: Dr Weintraub cites 2 articles supporting
the use of laser to treat CTS. The first is an observational study of 30 patients
with early CTS as evidenced by their electrodiagnostic studies.1 It
should be noted that there was no control group and that the electrodiagnostic
values of those patients studied by Weintraub were the same type of patient
excluded by Gerritsen et al2 in that they
were considered to be mild cases. The patients who failed Weintraub's treatment
were the ones included in the study by Gerritsen et al, thereby indicating
that this treatment may be applicable only for those early cases.
Wilgis EFS. Splinting vs Surgery for Carpal Tunnel Syndrome. JAMA. 2003;289(4):420-423. doi:10.1001/jama.289.4.420-a