Non-surgical Treatment of Carpal Tunnel Syndrome: Night Splint Versus Local Corticosteroid Infiltration

• Status: Unknown status
• Trial end date: 2017-12-01
• Target enrollment: 0
• Participant gender: All

Summary

Carpal tunnel syndrome (CTS) is the most common neuropathic compression syndrome of the upper limbs, caused by compression of the median nerve in the wrist. There is no gold standard for establishing the diagnosis of STC. The diagnosis can be based on clinical findings and electrodiagnostic tests. Treatment options can be divided into surgical and non-surgical procedures. Surgical interventions include open carpal tunnel release, mini incision or release of the endoscopic carpal tunnel. Nonsurgical include daily activities modification, oral anti-inflammatory drugs (NSAIDs), oral corticosteroids, splints, corticosteroid injections or other options (laser therapy, ultrasound or acupuncture)

The aim of this study is to compare randomly, conservative treatment for CTS with night splint of the wrist versus local infiltration of corticosteroids after a min-imum period of six months follow-up.

Patients will be divided into two groups: night orthesis group that will receive the prescription to purchase the orthesis and guide the use of it; and infiltration group of patients will be referred to the Moema Alvorada Hospital to carry out infiltration. These patients will be evaluated before application, one week, one month, three months and six months after intervention.

• Phase: Phase 4
• Accepts Healthy Volunteers?: No

Details

• Lead Sponsor: Hospital Alvorada
• Treatments: Betamethasone; Betamethasone benzoate; Betamethasone sodium phosphate; Betamethasone Valerate; Betamethasone-17,21-dipropionate; Lidocaine

Criteria

Inclusion Criteria:

• Adult patients aged 40 years or more,

• Have the diagnosis confirmed with electromyography (EMG),

• Four or more than six of the following clinical signs and symptoms suggested by Graham et al (CTS-6):

• Paraesthesia in the territory of the median nerve.

• Night hand paresthesia

• Atrophy of thenar muscles

• Positive Tinel Sign

• Phalen Test Positive

• Loss of two point discrimination

• Sign a Research Ethics Committe, after reading and explanation of the proposed study.

Non-inclusion criteria:

• Pretreatment with corticosteroids and splint

• Prior surgical treatment

• Traumatic or nontraumatic pathologies associated

• Hypersensitivity to corticosteroids

• CTS secondary to other pathology

• Refusal to sign a Research Ethics Committe.

• Fixed Paresthesia