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January 22/29, 2003

Splinting vs Surgery for Carpal Tunnel SyndromeSplinting vs Surgery for Carpal Tunnel Syndrome

Author Affiliations

Letters Section Editor: Stephen J. Lurie, MD, PhD, Senior Editor.

JAMA. 2003;289(4):420-423. doi:10.1001/jama.289.4.420-a

In Reply: Dr Bleecker states that we should have excluded individuals with work-related CTS. We doubt that absence of exposure to ergonomic stressors in the surgery group is the major reason for the difference in success rates between the groups. In our study, only 28% of the patients in the surgery group and 37% in the splint group indicated that their complaints might have been due to their normal daily activities, including work. Furthermore, absence from paid labor (during the whole trial) was only 12 days on average in the surgery group.