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Surgical decompression, often considered the definitive solution, gives excellent results in only 75% of cases in ordinary practice and leaves 8% of patients worse than previously. The only other interventions that are clearly of benefit are neutral\u2010angle wrist splinting, with a success rate of 37%, and steroids, which are better given by local injection than as oral treatment. The initial response rate to injection is 70% but there are frequent relapses. Nevertheless, these conservative treatments have a negligible incidence of serious complications and should be used more widely until surgical failures can be reduced to similar levels. 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