Carpal Tunnel Syndrome Clinical Trial
Official title:
Combined Effect of Insulin and Sodium Hyaluronate Injection Guided by Ultrasound in Carpal Tunnel Syndrome
Carpal tunnel syndrome (CTS) is the most common peripheral entrapment neuropathy with
involving compression of the median nerve in the carpal tunnel. The technique of perineural
injection therapy (PIT) is now commonly used for peeling the nerve from surrounding soft
tissue (called nerve hydrodissection), which may help to reduce neuro-inflammation, ischemic
damage and allow impulse transmission.
The objective of this study is to evaluate the efficacy of ultrasound guided insulin plus
Sodium Hyaluronate injection in reducing symptoms caused by carpal tunnel syndrome.
In this randomized clinical trial, 90 patients with both a clinical and electromyographic diagnosis of mild to moderate carpal tunnel syndrome will be recruited from Assiut University Hospital (AUH). After obtaining written informed consent, patients will be randomized into three groups. Group A, patients will receive ultrasound-guided PIT with 10 IU of crystalline insulin; Group B, patients will receive ultrasound-guided PIT with 20 mg of Sodium Hyaluronate; Group C, patients will receive ultrasound-guided PIT with 10 IU of crystalline insulin and 20 mg of Sodium Hyaluronate. The primary outcome will be the Boston Carpal Tunnel Syndrome Questionnaire - Symptom Severity Scale at baseline, 1 month and 3 months post injection. All participants, investigator, outcomes assessor will be blinded (Triple blind) ;
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