Non-surgical Treatment of Carpal Tunnel Syndrome: Night Splint Versus Local Corticosteroid Infiltration
Status:
Unknown status
Trial end date:
2017-12-01
Target enrollment:
Participant gender:
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.