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January 22/29, 2003

Splinting 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 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.