]> 2026-07-31T10:06:39+00:00 WBR0242 0 en Observation and tight sugar control '''Incorrect''' : Tight blood glucose control does not relive CTS symptoms. Oral prednisone Steroid injection into carpel tunnel Continuous wrist splint Surgical release of the ligament '''Incorrect''' : Surgical treatment of CTS appears to be more effective than splinting. It is usually indicated when conservative measures fail. Primary Care Office A 65 year old women comes to see you at the office with complaints of right wrist pain for the past 3 months. She has numbness and tingling sensation in the first two fingers and her symptoms increase with activities requiring prolonged flexion or extension of the wrist. Her other medical problems are hypothyroidism, diabetes, chronic renal failure, coronary heart disease, hypertension and osteoporosis. A clinical diagnosis of carpel tunnel syndrome is made. Which is the most appropriate initial approach to manage her symptoms? D Musculoskeletal/Rheumatology 2020-10-27T23:53:02Z 2459150.495162 WBR0242