| Clinical recommendation | Evidence rating | References |
|---|---|---|
| Flick sign, hypalgesia, square wrist sign, and a classic or probable pattern on hand symptom diagram are most discriminating for ruling in carpal tunnel syndrome. | C | 7, 9, 10 |
| Neutral and cock-up wrist splints produce short-term symptom relief in persons with carpal tunnel syndrome, with full-time use more effective than night-only use. | B | 19, 20 |
| Local and systemic corticosteroids yield significant resolution of symptoms in mild carpal tunnel syndrome for up to one month. | A | 21 |