Submit Manuscript  

Article Details


Electrophysiological and Clinical Improvement in Non-Invasive Treatment of Carpal Tunnel Syndrome

[ Vol. 21 , Issue. 2 ]

Author(s):

Riccardo Marvulli, Giancarlo Ianieri, Grazia De Venuto, Marta Falcicchio, Giulia A. Gallo, Catia Mennuni, Maria F. Gallone, Pietro Fiore, Maurizio Ranieri and Marisa Megna*   Pages 345 - 351 ( 7 )

Abstract:


Background and Objective: Carpal tunnel syndrome (CTS) is the most common form of nerve entrapment. Clinically, various signs and symptoms compare due to overexposure to mechanical vibrations transmitted to the wrist bones and cartilage, resulting in compression of the sensory and motor nerve fibers of the median nerve. Early symptoms include nocturnal paresthesia and electromyography reveals reduced sensory nerve conduction velocity. Aim of this study was to evaluate the efficacy of a dietary integrator composed of acetyl-L-carnitine, α-lipoic acid, quercetin, bromelain, pantothenic acid, C and B1 and B2 and B6 and B12 vitamins in patients with early (minimal) carpal tunnel syndrome.

Methods: 36 patients (28 female and 8 male) with early CTS characterized by sensory nerve demyelination and inflammation of the transverse carpal ligament. Patients were divided into two groups, group A (18 patients received physical therapy) and group B (18 patients received physical therapy and an oral integrator). Clinical (sleep quality questionnaire to measure severity of paresthesia) and neurophysiological assessment (Sensory Nerve Conduction Velocity) performed at baseline, and then at 30 and 60 days after treatment.

Results: Sleep quality and Sensory Nerve Conduction Velocity data analysis show improvement in both groups at 30 and 60 days, with statistical difference between them in both time of analysis.

Conclusion: In the early CTS, with sensory fibers damage, use of dietary integrator, such as Micronil Dol®, composed of acetyl-L-carnitine, α-lipoic acid, quercetin, bromelain, pantothenic acid, C and B1 and B2 and B6 and B12 vitamins can be effective in quick recovery of median nerve sensory.

Keywords:

Carpal tunnel syndrome, dietary integrator, median nerve, sensory nerve conduction velocity, physical therapy, non-invasive treatment.

Affiliation:

Department of Basic Medical Sciences, Neuroscience and Sensory Organs, University of Bari “Aldo Moro”, Policlinico of Bari, Piazza G. Cesare 11, 70124 Bari, Department of Basic Medical Sciences, Neuroscience and Sensory Organs, University of Bari “Aldo Moro”, Policlinico of Bari, Piazza G. Cesare 11, 70124 Bari, Department of Basic Medical Sciences, Neuroscience and Sensory Organs, University of Bari “Aldo Moro”, Policlinico of Bari, Piazza G. Cesare 11, 70124 Bari, Department of Basic Medical Sciences, Neuroscience and Sensory Organs, University of Bari “Aldo Moro”, Policlinico of Bari, Piazza G. Cesare 11, 70124 Bari, Department of Basic Medical Sciences, Neuroscience and Sensory Organs, University of Bari “Aldo Moro”, Policlinico of Bari, Piazza G. Cesare 11, 70124 Bari, Department of Basic Medical Sciences, Neuroscience and Sensory Organs, University of Bari “Aldo Moro”, Policlinico of Bari, Piazza G. Cesare 11, 70124 Bari, Local Healthcare Company, Bari-Health District, Bari, Department of Basic Medical Sciences, Neuroscience and Sensory Organs, University of Bari “Aldo Moro”, Policlinico of Bari, Piazza G. Cesare 11, 70124 Bari, Department of Basic Medical Sciences, Neuroscience and Sensory Organs, University of Bari “Aldo Moro”, Policlinico of Bari, Piazza G. Cesare 11, 70124 Bari, Department of Basic Medical Sciences, Neuroscience and Sensory Organs, University of Bari “Aldo Moro”, Policlinico of Bari, Piazza G. Cesare 11, 70124 Bari



Read Full-Text article