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June 9, 1999

Yoga for Carpal Tunnel Syndrome

Author Affiliations

Margaret A.WinkerMD, Deputy EditorIndividualAuthorPhil B.FontanarosaMD, Interim CoeditorIndividualAuthor

JAMA. 1999;281(22):2087-2089. doi:10-1001/pubs.JAMA-ISSN-0098-7484-281-22-jbk0609

To the Editor: It is promising to read that a regimen of stretching and relaxation as part of a yoga program, as reported by Dr Garfinkel and colleagues,1 may offer an effective treatment alternative for patients with CTS. It has been documented in the literature, though, that wearing a neutral-angle wrist splint is an effective treatment.2,3 In contrast to the study by Garfinkel et al, it has been demonstrated that applying properly fitted wrist splints, especially within 3 months of symptom onset, significantly improves the median nerve distal sensory latency on standard nerve conduction testing. Such testing is considered the criterion standard in the diagnosis of CTS.2