Ulnar Wrist Pain
Conditions
Keywords
tendinopathy, wrist, chronic pain, sprain
Brief summary
Participants who have failed therapy for chronic wrist pain on the little finger side of the wrist will recieve dextrose prolotherapy. Their results will be compared to a cohort of consecutive participants who have not failed therapy, and receive 4 weeks of usual care.
Interventions
OTHERUsual Care
Therapeutic ultrasound, myofascial release of extensor and flexor muscles of forearm and stabilization exercises for the wrist.
PROCEDUREDextrose
Injection of 1 ml of 12.5% dextrose in 1% lidocaine at 0, 3 and 6 weeks in 5 locations: Origin of ulnar collateral ligament, insertion of ulnar collateral ligament on the triquetrum, insertion of the extensor carpi ulnaris on the base of the 5th metacarpal, triquetral hamate ligament and ulnotriquetral joint space.
Sponsors
Gonzaolo Yaumauchi, M.D.
Universidad Abierta Interamericana
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
Participants are assigned to one of two groups in parallel. After that the study becomes one arm as both groups are offered dextrose.
Eligibility
Sex/Gender
ALL
Age
21 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
* Pain on the ulnar side of the wrist. * PRWE greater than 40
Exclusion criteria
* Radioulnar instability more than moderate as determined by a positive ulna fovea sign or ulna grinding test * Surgery in the wrist area * Infection in the wrist area * Other wrist pathology on examination * Other pain area that is constant, interferes with sleep, or is as bad, or worse, than shoulder pain. * Diabetes or other peripheral neuropathy * Radiculopathy * Unstable psychiatric function. * Current opioid use. * Vulnerable patients * Pregnancy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change from Baseline PRWE (Patient Rated Wrist Evaluation) at 9 weeks | 9 weeks | The PRWE is a 15-item questionnaire designed to measure wrist pain and disability in activities of daily living. |
| Change from baseline PRWE between 0 weeks and 1 year | 1 year | — |
| Percentage of participants exceeding a PRWE change of plus 14 between baseline and 9 weeks | 9 weeks | — |
| Percentage of participants exceeding a PRWE change of plus 14 between baseline and 1 year | 1 year | — |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Satisfaction score at 9 weeks | 9 weeks | On a scale from 1-5 please rate satisfaction with your results. 1 means 'no satisfaction' and 5 means 'complete satisfaction'. |
| Satisfaction score at 1 year | 1 year | On a scale from 1-5 please rate satisfaction with your results. 1 means 'no satisfaction' and 5 means 'complete satisfaction' |
Countries
Argentina
Contacts
Primary ContactMiguel Slullitel, M.D.
Backup ContactEzequiel Mailand, M.D.
Outcome results
None listed