From Dr. Z - Carpal tunnel syndrome specialist
Carpal tunnel steroid shots are injections into your wrist which can manage the most common symptoms of carpal tunnel syndrome. This is a popular, “go-to” remedy for almost every carpal tunnel doctor. The reason is because when the shots works, the results are dramatic. But when don’t, it’s a big disappointment.
Overall, steroid shots for carpal tunnel syndrome are effective 45% of the time. That's not a bad result, especially if you have excruciating hand or finger
pain or crushing
numbness. But that success rate doesn't come without risks. In other words, steroid shots should be used
cautiously.
If steroid injections were harmless there wouldn’t be a problem. This is why the University of Michigan Health System says such steroid injections should be used very carefully.
This caution is due to the possible side effects of the steroid injection. Indeed, they can be severe (on rare occasion, they can be life threatening). More often, the side effects primarily include tendon weakening and bone loss (called steroid-induced osteoporosis).
In addition, steroid injection therapy is not cheap.
Therefore, the high cost combined with the fact steroid injections don’t work for everybody is a concern. For these reasons many healthcare professionals are seriously heeding the precautions of carpal tunnel steroid shots announced by the University of Michigan.
In addition to tendon weakening and bone loss, carpal tunnel steroid shots have other side effects to consider. The more severe side effects that can result are:
Less severe side effects are not as debilitating. However, they can result in pain and misery for weeks to months. Those minor side effects include:
Carpal tunnel syndrome is a serious condition. It may not seem like that in the beginning. In fact, it usually starts out as just annoying pain or numbness.
But within a few months the pain and numbness can get severe. It interferes with your life and consumes every waking minute. It even robs you of a good night's sleep. You must address the issue head on, and as soon as possible.
Carpal tunnel syndrome requires real therapy. That therapy should go to the heart of the matter: inflammation inside your wrist. Every serious therapy for carpal tunnel syndrome focuses on reducing that inflammation. Steroid injections reduce that inflammation, even if it is temporary.
Surgery, however, does not reduce inflammation. That's why carpal tunnel surgery is effective only 50% of the time. (This is based upon patient satisfaction with their results at 2 years.)
The best ways to reduce inflammation is a combination of:
When used daily for about 4 weeks, these combined remedies are proven to reduce inflammation. They resolve symptoms in 97% of patients.
Carpal tunnel steroid shots are used frequently by doctors to relieve symptoms. They work by reducing inflammation. And they well in about half of carpal tunnel patients. But they are not without risks. Other remedies also reduce inflammation, have a higher success rate, and have no such risks.