Clinical study on the Patients with Carpal tunnel syndrome

수근관 증후군에 대한 임상적 고찰

  • Kim, Il-du (Department of Acupuncture & Moxibustion, Won-Kwang University Oriental Medical Hospital) ;
  • Oh, Hee-hong (Department of Acupuncture & Moxibustion, Won-Kwang University Oriental Medical Hospital) ;
  • Byun, Jae-young (Department of Acupuncture & Moxibustion, Won-Kwang University Oriental Medical Hospital) ;
  • Moon, Hyung-cheol (Department of Acupuncture & Moxibustion, Won-Kwang University Oriental Medical Hospital) ;
  • Koh, Kang-hoon (Department of Acupuncture & Moxibustion, Won-Kwang University Oriental Medical Hospital) ;
  • Park, So-young (Department of Acupuncture & Moxibustion, Won-Kwang University Oriental Medical Hospital) ;
  • Chang, Byoung-sun (Department of Acupuncture & Moxibustion, Won-Kwang University Oriental Medical Hospital)
  • 김일두 (원광대학교 부속 광주한방병원 침구과) ;
  • 오희홍 (원광대학교 부속 광주한방병원 침구과) ;
  • 변재영 (원광대학교 부속 광주한방병원 침구과) ;
  • 문형철 (원광대학교 부속 광주한방병원 침구과) ;
  • 고강훈 (원광대학교 부속 광주한방병원 침구과) ;
  • 박소영 (원광대학교 부속 광주한방병원 침구과) ;
  • 장병선 (원광대학교 부속 광주한방병원 침구과)
  • Received : 2002.09.04
  • Accepted : 2002.11.23
  • Published : 2002.12.20

Abstract

Objective : Carpal tunnel syndrome has gained increasing attention and acceptance as a significant cause of peripheral neuropathy, since it was first reported in 1836. The purpose of this study is to inspect the effect of oriental medical treatment on Carpal tunnel syndrome patients who is not come under surgical decompession. Methods : 20 patients who visited Won-Kwang University Hospital during the period from January 1998 to May 2000 were analysed for clinical manifestations. Results : 1. Among 20 patients, 3 were male and 17 were female. 2. The syndrome occurred on the right side in 5 patients, on the left side in 0 patients, and on both 15 patients 3. The most of causes were overwork. 4. Numbness was the most common symptom followed by night pain, paresthesis, morning stiffness, puffiness and resting pain 5. Among 20 patients, 12 were Tinel's sign positive, 16 were Phalen's test positive Conclusions : When the symptom is mild and duration is short, conservative treatment is effetive, but when neurological deficit is prominent and conservative treatment is not effective, surgical decompession is indicated. We treated 19 among 20 cases of the patients which Carpal Tunnel syndrome. We achieved effective results.

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