Functional Recovery and Pain Reduction Post-hydrodissection vs Rehabilitation in Patients With Carpal Tunnel Syndrome (Hydrocarpal) (hydrocarpal)

Instituto Mexicano del Seguro Social

Status: Completed

Conditions: Carpal Tunnel Syndrome (CTS)

Treatments: Procedure: hydrodissection of median nerve; Other: Physiotherapy

Study type: Interventional

Funder types: Other

Identifiers

NCT06590129

R-2023-3201-068

Details and patient eligibility

About

This study pretend to evaluate the effectiveness of hydrodissection vs only rehabilitation in improving pain and function in patients with CTS.

Full description

This prospective, longitudinal, randomized in two groups clinical study pretend to evaluate the effectiveness of hydrodissection vs only rehabilitation in improving pain and function in patients with CTS, evaluated initially and at 4 and 12 weeks.

Enrollment: 50 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• men and women ≥18 years of age,
• members referred to and treated at the Physical Medicine and Rehabilitation Service of HGR N°1, IMSS Mérida Yucatán, and who had a clinical or electrophysiological diagnosis of carpal tunnel syndrome.

Exclusion criteria

• included a clinical or electrophysiological diagnosis of radiculopathy, plexopathy, polyneuropathy, or other peripheral neuropathy;
• current diagnosis of cancer, coagulopathy, thoracic outlet syndrome;
• active infectious process or current fracture in the thoracic limb;
• previous surgery for carpal tunnel release;
• inability to cooperate with filling out scales, physical examination, or infiltration, as clearly detailed.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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50 participants in 2 patient groups

Only Rehabilitation

Active Comparator group

Description:

Evaluated with the Boston questionnaire and the Visual Analogue Scale (VAS), then te patients were enroled to a 15-20 sessions in rehabilitation area with physical media: paraffin glove (10 coats for 15min), mobilizations of wrist and fingers, strectching of wrist and fingers tendons/muscles, muscle stregthening whit isometric or isotonic excercises to intrinsic muscles of the hand an forearm, and occupational therapy with techniques for sensory return, nerve and tendon sliding techniques, activities aimed at improving basic hand functions and work simulation activities.

Treatment:

Other: Physiotherapy

Median nerve ultrasound guided hidrodissection + rehabilitation

Experimental group

Description:

Evaluated with the Boston questionnaire and the Visual Analogue Scale (VAS), then an ultrasound guided hidrodissection of the median nerve with 4.5ml of glucosade solution was performed. The patients were enrolled into 15-20 sessions in rehabilitation área with the same protocolo of the control group.

Treatment:

Other: Physiotherapy

Procedure: hydrodissection of median nerve