Carpal tunnel syndrome Nervous System Diseases Carpal tunnel syndrome
Conditions
Interventions
Local steroid injection versus surgical decompression for new-onset CTS.
All surgical procedures are performed on an outpatient basis using a limited palmar incision technique. Local steroid injectio
Sponsors
University Hospital Puerta de Hierro Majadahonda (Spain)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. At least 18 years old 2. Symptoms of CTS of at least 3 months? duration 3. Referred by their primary care physicians to a CTS unit specifically created for this study 4. A presumptive diagnosis of CTS, and had been unresponsive to a course of at least 2 weeks of non-steroidal anti-inflammatory drugs (NSAIDs) and splinting. 5. CTS confirmed by electrodiagnostic testing according to Kimura´s criteria.
Exclusion criteria
Exclusion criteria: 1. Patients with wrists with thenar atrophy 2. Previous carpal tunnel release surgery, or local injection for CTS 3. Patients who are pregnant 4. Patients which have diabetes mellitus 5. Patients which have hypothyroidism 6. Patients which have inflammatory arthropathy 7. Patients which have polyneuropathy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Percentage of wrists reaching at least a 20% reduction in the VAS score for nocturnal paresthesias at 3 months of follow up. | — |
Secondary
| Measure | Time frame |
|---|---|
| Percentages of wrists with a 20% reduction in the VAS score for nocturnal paresthesias at 6 and 12 months, a 20% response for pain and functional impairment, as well as a 50% and a 70% response in nocturnal paresthesias, pain, and functional impairment. | — |
Countries
Spain
Outcome results
None listed