Comparison of the Efficacy of Corticosteroid Injection and ESWT in Patients With CTS
Status:
Completed
Trial end date:
2019-05-29
Target enrollment:
Participant gender:
Summary
In this study, the investigators aimed to demonstrate the efficacy of ESWT (extracorporeal
shock wave therapy) and local corticosteroid injection in patients with carpal tunnel
syndrome(CTS) compared to participants receiving only splint and exercise therapy. And the
investigators wanted to show that ESWT, a noninvasive treatment modality, is as effective and
reliable as local corticosteroid injection, which is the least invasive treatment. Mild and
moderate CTS patients will be determined according to American Association of
Electrodiagnostic Medicine (AAEM) criteria. 90 idiopathic moderate and mild CTS patients will
be included in the study. The participants will be informed about their participation in a
study and written informed consent will be obtained.The demographic characteristics and
disease duration of the participants will be recorded.The participants will be randomly
divided into 3 groups.40 mg of local methylprednisolone (depomedrol) injection will be
applied to Group 1 once.
And group 1 will also be given a hand wrist rest splint to use for 3 months, especially at
night, when not using the hand. ESWT will be applied to Group 2 once a week for a total of 3
weeks and hand wrist rest splints will be given for 3 months especially at night when it is
not in use. Group 3 (control group) will be given a hand wrist rest splint to use for 3
months, especially at night, when not using the hand. The evaluations will be repeated before
treatment, after the first week after treatment (first ESWT application) and at the 3rd
month. Hand grip strength measurement will be performed using Boston carpal tunnel syndrome
questionnaire, visual analog scale and dynamometer.
Electromyogram (EMG) data will be recorded before and 3 months after treatment. During the
trial, the routine will not be excluded.
Phase:
Phase 4
Details
Lead Sponsor:
Ahi Evran University Education and Research Hospital