Comparison of Ultrasound-Guided Injection With Traditional Median Nerve Decompression Surgery in Patients With Carpal Tunnel Syndrome: Randomized Controlled Study

What this Trial Is About

Carpal tunnel syndrome (CTS) is the most common type of nerve compression disorder, causing symptoms like numbness, tingling, pain, and weakness in the hand areas served by the median nerve. This research compares two treatments for people with mild to severe CTS: an ultrasound-guided injection around the median nerve and a traditional minimal incision surgery to relieve pressure on the nerve. The study aims to evaluate which approach better reduces symptoms and improves hand function. The study involves two treatment groups. One group will receive a minimal incision surgery where a small cut is made to relieve pressure on the median nerve by cutting the surrounding tissue. The other group will have an ultrasound-guided injection of 5 cc of 5% dextrose around the median nerve using a precise technique to reduce risk of injury. Both treatments target the same nerve but use different methods to reduce compression. Participants will be monitored throughout the study with assessments of wrist pain using a visual analog scale (VAS) at 4 and 12 weeks after treatment. Additional measurements include symptom questionnaires, nerve size by ultrasound, electrical nerve tests, and hand grip strength at the same time points. The study will track changes from baseline to understand each treatment’s impact on symptoms and nerve function over about three months.

Comparison of Ultrasound-Guided Injection With Median Nerve Decompression Surgery in Carpal Tunnel Syndrome