Skip to content

Comparison of the effects of hyaluronic acid and hyaluronidase injection in carpal tunnel syndrome

Comparison of ultrasound-guided local injection of hyaluronic acid and hyaluronidase in the treatment of patients with carpal tunnel syndrome

Status
Active, not recruiting
Phases
Phase 3
Study type
Interventional
Source
IRCT
Registry ID
IRCT20170311033000N5
Enrollment
90
Registered
2024-07-04
Start date
2024-08-22
Completion date
Unknown
Last updated
2024-07-22

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Carpal Tunnel Syndrome. Carpal tunnel syndrome

Interventions

Intervention 1: Intervention group 1: patients received an injection of 0.5 mL of 2% Lidocaine with 1 mL of 2% Hyaluronic acid. Intervention 2: Control group: patients received 0.5 mL of 2% Lidocaine

Sponsors

Research Assistant of Shahid Beheshti University of Medical Sciences
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to 65 Years

Inclusion criteria

Inclusion criteria: Patient aged between 18 and 85 years. Patient with signs of carpal tunnel syndrome in the last 3 months. Patient with mild to moderate carpal tunnel syndrome according to electrodiagnostic criteria (modified Stevens criteria). Patient with pain intensity of 4 and more.

Exclusion criteria

Exclusion criteria: Severe Carpal Tunnel Syndrome requiring surgical intervention. Pregnancy and malignancy Concomitant neuropathy or radiculopathy. Patient with allergic reactions to Lidocaine, Hyaluronic acid and Hyaluronidase History of steroid injection into the Carpal Tunnel in the last 3 months. History of metabolic diseases such as diabetes and thyroid, rheumatoid arthritis. Patient with thoracic outlet syndrome (TOS). Previous Carpal Tunnel release surgery . Patient with severe atrophy of the tendon .

Design outcomes

Primary

MeasureTime frame
Symptom severity scale index in patients with CTS. Timepoint: Before the study,10 weeks after intervention,29 weeks after intervention. Method of measurement: Boston Carpal Tunnel Questionnaire (BCTQ).;Functional severity scale in patients with CTS. Timepoint: Before the study,10 weeks after intervention,29 weeks after intervention. Method of measurement: Boston Carpal Tunnel Questionnaire (BCTQ).

Secondary

MeasureTime frame
Pain index in patients with carpal tunnel syndrome. Timepoint: Before the study,10 weeks after intervention,29 weeks after intervention. Method of measurement: Visual Analog Scale.;Median nerve cross sectional area. Timepoint: Before the study,10 weeks after intervention,29 weeks after intervention. Method of measurement: By Ultrasound.;Severity of carpal tunnel syndrome . Timepoint: Before the study,10 weeks after intervention,20 weeks after intervention. Method of measurement: Based on Steven's modified criteria.;Patient satisfaction. Timepoint: Before intervention ,10 week after injection. Method of measurement: Likert 5 score questionnare.;Median peak sensory latency at wrist. Timepoint: Before intervention ,10 weeks and 20 weeks after injection. Method of measurement: Electrodiagnostic evaluation.;Median onset motor latency at wrist. Timepoint: Before intervention ,10 weeks and 20 weeks after injection. Method of measurement: Electrodiagnostic evaluation.;Motor wave amplitude of the median nerve in the wrist. Timepoint: Before intervention ,10 weeks and 20 weeks after injection. Method of measurement: Electrodiagnostic evaluation.

Countries

Iran (Islamic Republic of)

Contacts

Public ContactAtie Tehrani nejd

Shahid Beheshti University of Medical Sciences

atietehrani1@gmail.com+98 21 5506 2628

Outcome results

None listed

Source: IRCT (via WHO ICTRP) · Data processed: Feb 4, 2026