Comparing Corticosteroid Injection and Saline Nerve Hydrodissection Treatments for Carpal Tunnel Syndrome Using Pain, Function, and Nerve Tests

What this Trial Is About

Carpal tunnel syndrome CTS is a common condition caused by compression of the median nerve in the wrist, leading to symptoms like pain, numbness, and tingling in the fingers. This research aims to compare different treatment methods for CTS, focusing on the effects of corticosteroid injections, nerve hydrodissection with saline, and exercise therapy, to find the most suitable approach for patients experiencing nerve compression in the wrist. Both men and women aged 18 to 65 with CTS are invited to participate in this study. The study involves three groups one receiving corticosteroid injections with tendon and nerve gliding exercises, another receiving saline hydrodissection with the same exercises, and a third group performing only the exercises. Injections are performed under ultrasound guidance to target the median nerve accurately. Exercises include specific hand and wrist positions to improve tendon and nerve mobility, done daily for three weeks. The study compares these treatments over a 12-week period. Participants will be evaluated at the start, at three weeks, and at 12 weeks after treatment begins. Assessments include nerve conduction studies, pain questionnaires, functional questionnaires, and ultrasound measurements of the median nerve area. Researchers will monitor symptoms, nerve function, and nerve size to understand how each treatment affects CTS. The total study duration for each participant is 12 weeks, with a focus on safety and effectiveness of the treatments.

Efficacy of Corticosteroid Injection and Nerve Hydrodissection in Carpal Tunnel Syndrome