Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Carpal tunnel syndrome (CTS) is a common peripheral entrapment neuropathy in Rheumatoid arthritis patients proved by nerve conduction studies and ultrasound parameters, this study aims to evaluate the effect of hydro-dissection using insulin versus hyalase versus saline, ultrasounic guided as an effective treatment
Carpal tunnel syndrome (CTS) is a common peripheral entrapment neuropathy in Rheumatoid arthritis patients proved by nerve conduction studies and ultrasound parameters, this study aims to evaluate the effect of hydro-dissection of median nerve inside CT twice injections with interval 2 weeks using insulin and 10 cc saline versus hyalase and 10 cc saline versus 10 cc saline, ultrasounic guided as an effective treatment of CT
Not provided
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Hyalase | Experimental | injection and hydro-dissection of median nerve using hyaluronidase followed by 10 cc normal saline ultrasonic guided |
|
| Placebo | Placebo Comparator | injection and hydro-dissection of median nerve hydro-dissection using 10 cc saline injection ultrasonic guided |
|
| Insilin | Active Comparator | injection and hydro-dissection of median nerve hydro-dissection using 10 IU insuline followed by 10 cc normal saline ultrasonic guided |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Hylase | Drug | hydro-dissection injection of median nerve inside carpal tunnel using hyalase and 10 cc saline |
|
| Measure | Description | Time Frame |
|---|---|---|
| pain intensity | Visual analog scale 0-100 | 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| nerve conduction | sensory velocity | 6 months |
| ultrasound | cross sectional area | 6 months |
Not provided
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Manal Hassanien, MD | Contact | 01062679200 | manal_hassanien@yahoo.com | |
| Abdelraheem Elawamy, MD | Contact | 01000032655 | arawamyyy@yahoo.com |
| Name | Affiliation | Role |
|---|---|---|
| Manal Hassanien, MD | Assiut University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Manal Hassanien | Recruiting | Asyut | Assuit | 71111 | Egypt |
after complete recruiting of patients
1 year
Not provided
Not provided
Not provided
| ID | Term |
|---|---|
| C021430 | hylase |
| D006821 | Hyaluronoglucosaminidase |
| D007328 | Insulin |
| D012965 | Sodium Chloride |
| D000077330 | Saline Solution |
| ID | Term |
|---|---|
| D006026 | Glycoside Hydrolases |
| D006867 | Hydrolases |
| D004798 | Enzymes |
| D045762 | Enzymes and Coenzymes |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Insulin | Drug | hydro-dissection injection of median nerve inside carpal tunnel using 10 IU insulin and 10 cc saline |
|
|
| saline | Other | hydro-dissection injection of median nerve inside carpal tunnel using 10 cc saline |
|
|
| D011133 |
| Polysaccharide-Lyases |
| D019757 | Carbon-Oxygen Lyases |
| D008190 | Lyases |
| D011384 | Proinsulin |
| D061385 | Insulins |
| D010187 | Pancreatic Hormones |
| D036361 | Peptide Hormones |
| D006728 | Hormones |
| D006730 | Hormones, Hormone Substitutes, and Hormone Antagonists |
| D010455 | Peptides |
| D000602 | Amino Acids, Peptides, and Proteins |
| D002712 | Chlorides |
| D006851 | Hydrochloric Acid |
| D017606 | Chlorine Compounds |
| D007287 | Inorganic Chemicals |
| D017670 | Sodium Compounds |
| D000077324 | Crystalloid Solutions |
| D007552 | Isotonic Solutions |
| D012996 | Solutions |
| D004364 | Pharmaceutical Preparations |