Carpal tunnel syndrome is at least three times more common in women than in men and affects about 3% of the population, causing considerable pain and disability. Studies have found that the condition often resolves on its own with no intervention. However, when it does not resolve, many treatment modalities may be tried – from surgical release of the transverse ligament to acupuncture to corticosteroid injections.

Local corticosteroid injections, used widely to manage inflammation and pain in arthritis and tendonitis, have been used to treat carpal tunnel syndrome for more than 50 years. The treatment is relatively low cost – much less expensive than surgery – making it worthwhile to consider if you are experiencing on-going symptoms.

An international team of researchers (Cochrane Review) searched medical databases in 2023 for studies that examined the effects of local steroid injections for the treatment of carpal tunnel syndrome and found that local corticosteroid injections are indeed beneficial for mild and moderate carpal tunnel syndrome. The benefits of the procedure can last up to 6 months and might reduce the need for surgery for as long as 12 months, according to reviewed evidence.

The review also confirmed that steroid injections are safe. Serious complications are rare.

Dr Dirk Venter is able to inject corticosteroids or PRP into the carpal tunnel under ultrasound guidance at his surgery. The consultation and procedure can be done in 30 minutes.