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IRCT20180416039323N3 IRCT 2021-11-27 Artesh University of Medical Sciences The effect of dextrose and corticosteroid injections in CTS patients Efficacy of neurofascial dextrose prolotherapy on pain and function of patients with carpal tunnel syndrome 2021-12-16 anticipated 44 Complete https://irct.ir/trial/59097 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Patients are randomly assigned to Prolotherapy or Corticosteroid by block randomization in one of two groups. To randomly assign two groups with 22participants in each group (44 patients in total), we use block randomization with different block sizes. The size of the blocks is a multiple of 2 and a divisor of 44 (2,4,8). Initially, the size of the blocks is randomly selected. Then for each block, different permutations are determined for the size of the equal group. Finally, one of the permutations is randomly selected. Random numbers are generated using a computer in an independent statistical unit. 2 carpal tunnel syndrom. Intervention 1: Intervention group 1 Under one injection with 5 cc D5W inside the carpal tunnel of the wrist. Intervention 2: Intervention group 2 Injected with 1 cc of methylprednisolone and 0.5 cc of lidocaine inside the carpal tunnel of the wrist. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is There is no more information
public Fahimeh Tafti
Imam Reza hospital, Etemad zade street, Fatemi street
Tehran Iran (Islamic Republic of) 1411718541 +98 21 8609 6350 fahimeh_tafti65@yahoo.com Artesh University of Medical Sciences scientific Fahimeh Tafti
Imam Reza hospital, Etemad zade street, Fatemi street
Tehran Iran (Islamic Republic of) 1411718541 +98 21 8609 6350 fahimeh_tafti65@yahoo.com Artesh University of Medical Sciences Iran (Islamic Republic of) Nocturnal paresthesia / dysplasia with or without excessive pain on the hands Numbness In the sensory distribution of the median nerve Weakness with atrophic changes in the Median nerve innervated Positive Phalen or Tinel test Age 20 to 80 years They have mild to moderate CTS and their symptoms last for more than three months And have been resistant to drug therapy and splints conscious patient satisfaction 20 years 80 years Both History of polyneuropathy History of inflammatory arthritis Current use of warfarin Previous steroid injection for CTS Trauma at the injection site Allergy to corticosteroid skin infection at the injection site neoplasm at the injection site History of Brachial plexiopathy History of thoracic outlet syndrome History of wrist surgery History of hypothyroidism History of pregnancy History of rheumatic disorders History of having a pacemaker Treatment - Drugs Treatment - Drugs Intervention group 1 Under one injection with 5 cc D5W inside the carpal tunnel of the wrist Intervention group 2 Injected with 1 cc of methylprednisolone and 0.5 cc of lidocaine inside the carpal tunnel of the wrist Intensity of pain. Timepoint: before intervention, 1 month after intervention, 3 months after intervention. Method of measurement: A 10-point VAS scale that the patient should give a score from 0 to 10. Evaluation of patient performance with Boston questionnaire. Timepoint: before intervention, 1 month after intervention, 3 months after intervention. Method of measurement: Boston Questionnaire Score. Electrodiagnostic criteria. Timepoint: before intervention, 1 month after intervention, 3 months after intervention. Method of measurement: Based on the latency duration and amp intensity in SNAP, CMAP median nerve, we determine the severity of involvement and recovery. Artesh University of Medical Sciences Approved 2021-09-08 Ethics Committees of AJA University of Medical Sciences Imam Reza hospital, Etemad zade street, Fatemi street, Tehran, Iran Tehran Tehran Iran (Islamic Republic of)