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In Reply: Dr Weintraub cites 2 articles supporting the use of laser to treat CTS. The first is an observational study of 30 patients with early CTS as evidenced by their electrodiagnostic studies.¹ It should be noted that there was no control group and that the electrodiagnostic values of those patients studied by Weintraub were the same type of patient excluded by Gerritsen et al² in that they were considered to be mild cases. The patients who failed Weintraub's treatment were the ones included in the study by Gerritsen et al, thereby indicating that this treatment may be applicable only for those early cases.

The study by Naeser et al³ appears to be a well-designed, double-blind study, in which 11 patients were treated with low-level laser and microampere transcutaneous electric nerve stimulation. Of the 11 cases, 3 were excluded from the analysis due to the placebo effect. Of the remaining . . . [Full Text of this Article]

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