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No effective conservative treatment exists for carpal tunnel syndrome,
and surgical decompression is often performed. In a randomised,
"sham" controlled study of an intensive schedule of 20 sessions of
ultrasound treatment, Ebenbichler et al (p 731) found that treatment
led to short and medium term relief of pain and neurological symptoms
in patients with mild to moderate forms of the syndrome. Optimal
schedules of ultrasound treatment used alone or in combination with
other medical treatments await elucidation. Long term efficacy is yet
to be determined.