Health Condition 1: G560- Carpal tunnel syndrome
Conditions
Interventions
Intervention1: Ultrasound guided median nerve hydrodissection using five percent dextrose.
:
Dextrose group will receive a single 10 millilitre perineural injection prepared by mixing 2 millilitres o
follow-up assessments at 1 and 3 months.
Control Intervention1: Ultrasound guided median nerve hydrodissection using forty milligrams per milliliter triamcinolone acetate.: Triamcinolone group will re
Sponsors
AIIMS Jodhpur
Eligibility
Inclusion criteria
Inclusion criteria: Patients diagnosed with mild to moderate carpal tunnel syndrome based on electrophysiological studies and meeting the following criteria. Primary symptom includes nocturnal paresthesia or dysesthesia in the affected hand, possibly associated with hand posture, overuse, or relief by shaking the hand, also known as the flick sign. At least one of the following features must be present. Numbness in the median nerve sensory distribution of the hand. Weakness with atrophy of the thenar muscles. Positive Phalen s sign or Tinel s sign.
Exclusion criteria
Exclusion criteria: Pre existing neurological conditions such as polyneuropathy, brachial plexopathy, or thoracic outlet syndrome. Recent wrist surgery. Inflammatory conditions such as rheumatoid arthritis, hypothyroidism, or other rheumatological disorders. Pregnancy. Uncontrolled diabetes mellitus. Current warfarin use or previous steroid injections at the wrist. Any trauma, tumor, or infection at the injection site. Allergy to corticosteroids or lidocaine.
Design outcomes
Secondary
| Measure | Time frame |
|---|---|
| boston carpal tunnel questionnaireTimepoint: base line 1 month and 3 month;cross sectional area of median nerve in ultrasoundTimepoint: base line 1 month 3 month;nerve conduction studiesTimepoint: base line 1 month and 3 month;grip strength of handTimepoint: base line 1 month and 3 month | — |
Primary
| Measure | Time frame |
|---|---|
| Visual analog scale (VAS)Timepoint: base line 1 month and 3 month | — |
Countries
India
Contacts
Public ContactDr Ravi Gaur
All India Institute Of Medical Sciences Jodhpur
Outcome results
None listed