carpal tunnel syndrome
Conditions
Interventions
GroupA:Wearing a neutral position wrist splint at night for 6 weeks.
Sponsors
Shanghai Sixth People's Hospital
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: 1. Patients are 18 years of age or older and have been diagnosed with unilateral or bilateral carpal tunnel syndrome (CTS) by a specialist physician according to the Katz diagnostic criteria, and have at least one associated rheumatic disease. 2. The patient's CTS symptoms have persisted for more than 6 weeks, and the side with more severe current symptoms is designated as the target side for the study. 3. The target side of the CTS episode has not been previously treated.
Exclusion criteria
Exclusion criteria: 1) Patients who are planned to undergo surgical treatment for CTS within the next 6 months; 2) Patients who have received corticosteroid injections in the wrist within the past 6 months; 3) Patients who are unable to wear a splint due to trauma or other reasons; 4) Patients with clinical manifestations or electrophysiological changes indicative of severe axonal loss or denervation, including thenar muscle atrophy, sensory loss (two-point discrimination greater than 8 mm), absence of SNAP (Sensory Nerve Action Potential), absence of thenar muscle CMAP (Compound Muscle Action Potential), etc. 5) Patients who require long-term use of any form of opioid medication; 6) Patients who have used opioid medications (e.g., tramadol) or neuropathic pain relief medications (e.g., gabapentin, pregabalin) within the past 2 weeks; 7) Patients who have received non-recommended wrist injection treatments within the past 6 months (e.g., 5% glucose, platelet-rich plasma, ozone, chitosan, hyaluronic acid, etc.); 8) Patients who have undergone non-recommended physical therapies within the past 6 months (e.g., electrotherapy, magnetotherapy, laser therapy, etc.); 9) Patients who are pregnant or plan to become pregnant within the next 6 months.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The severity of carpal tunnel syndrome symptoms; | — |
Secondary
| Measure | Time frame |
|---|---|
| pain;Sleep Quality;The cross-sectional area of the median nerve ;Surgical rate within 18 weeks; | — |
Countries
China
Contacts
Public ContactYun Qian
Shanghai Sixth People's Hospital
Outcome results
None listed