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Steroid injections to the mouth of the carpal tunnel are particularly useful for symptomatic women in the third trimester of pregnancy. However inadvertent neural injection may cause disabling chronic pain. Referral to a minority of practitioners trained in the technique would ensure sufficient patient numbers to maintain skill levels.<\/jats:p>","DOI":"10.1136\/pmj.79.934.433","type":"journal-article","created":{"date-parts":[[2003,9,3]],"date-time":"2003-09-03T23:53:00Z","timestamp":1062633180000},"page":"433-437","source":"Crossref","is-referenced-by-count":47,"title":["Primary care management of carpal tunnel syndrome"],"prefix":"10.1093","volume":"79","author":[{"given":"F D","family":"Burke","sequence":"first","affiliation":[{"name":"Pulvertaft Hand Centre, Derbyshire Royal Infirmary , Derby"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J","family":"Ellis","sequence":"additional","affiliation":[{"name":"Pulvertaft Hand Centre, Derbyshire Royal Infirmary , Derby"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H","family":"McKenna","sequence":"additional","affiliation":[{"name":"Pulvertaft Hand Centre, Derbyshire Royal Infirmary , Derby"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M J","family":"Bradley","sequence":"additional","affiliation":[{"name":"Pulvertaft Hand Centre, Derbyshire Royal Infirmary , Derby"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2003,9,3]]},"reference":[{"key":"2023042410333573600_R1","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1016\/0266-7681(91)90119-9","article-title":"Providing care for hand disorders\u2014the Derby Hand Unit experience 1989\u201390","volume":"16","author":"Burke","year":"1991","journal-title":"J Hand Surg [Br]"},{"key":"2023042410333573600_R2","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1054\/jhsb.1999.0328","article-title":"Carpal tunnel syndrome\u2014reconciling \u201cdemand management\u201d with clinical need","volume":"25","author":"Burke","year":"2000","journal-title":"J Hand Surg [Br]"},{"key":"2023042410333573600_R3","doi-asserted-by":"crossref","first-page":"134","DOI":"10.1212\/WNL.38.1.134","article-title":"Carpal tunnel syndrome in Rochester, Minnesota 1961\u20131980","volume":"38","author":"Stevens","year":"1988","journal-title":"Neurology"},{"key":"2023042410333573600_R4","doi-asserted-by":"crossref","first-page":"692","DOI":"10.1016\/S0363-5023(98)80057-9","article-title":"Maine carpal tunnel study: small area variations","volume":"23","author":"Keller","year":"1998","journal-title":"J Hand Surg [Am]"},{"key":"2023042410333573600_R5","doi-asserted-by":"crossref","first-page":"373","DOI":"10.1016\/0895-4356(92)90038-O","article-title":"Carpal tunnel syndrome prevalence in the general population","volume":"45","author":"De Krom","year":"1992","journal-title":"J Clin Epidemiol"},{"key":"2023042410333573600_R6","doi-asserted-by":"crossref","first-page":"630","DOI":"10.1093\/rheumatology\/37.6.630","article-title":"Estimating the prevalence of delayed median nerve conduction in the general population","volume":"37","author":"Ferry","year":"1998","journal-title":"Br J Rheumatol"},{"key":"2023042410333573600_R7","doi-asserted-by":"crossref","first-page":"264","DOI":"10.1136\/oem.55.4.264","article-title":"Surveillance case definitions for work related upper limb pain syndromes","volume":"55","author":"Harrington","year":"1988","journal-title":"Occup Environ Med"},{"key":"2023042410333573600_R8","doi-asserted-by":"crossref","first-page":"704","DOI":"10.1053\/jhsu.1999.0704","article-title":"The value of diagnostic testing in carpal tunnel syndrome","volume":"24","author":"Szabo","year":"1999","journal-title":"J Hand Surg [Am]"},{"key":"2023042410333573600_R9","doi-asserted-by":"crossref","first-page":"1585","DOI":"10.2106\/00004623-199311000-00002","article-title":"A self administered questionnaire for the assessment of severity of symptoms and functional status in carpal tunnel syndrome","volume":"75","author":"Levine","year":"1993","journal-title":"J Bone Joint Surg Am"},{"key":"2023042410333573600_R10","doi-asserted-by":"crossref","first-page":"202","DOI":"10.1016\/0266-7681_85_90018-X","article-title":"Relationship of the double crush to carpal tunnel syndrome. 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