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to compare the efficacy of dextrose 5% with steroid hydrodissection in patients with carpal tunnel syndrome
in some cases there is prohibition to use steroid with example the patient rejection to use steroid the maneuver planned median nerve hydrodissection using ultrasound and 10 mld of dextrose 5%, unleash the median nerve for the surrounding structure and short follow up planned to be 2 weeks
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| dextrose 5% | Experimental | 10 mls of dextrose under ultrasound to separate the median nerve from adjacent structures |
|
| steroid | Active Comparator | 10 mls of steroid used to separate the median nerve from adjacent structures |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| dextrose 5% median nerve hydrodissection | Procedure | planned to be a good alternative to steroid hydrodissection |
|
| Measure | Description | Time Frame |
|---|---|---|
| pain relief in 2 weeks follow up | difference in sensory and functional symptoms post median nerve hydrodissection using dextrose and compare this effect with steroid population arm using Boston questionnaire | 6 months |
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Inclusion Criteria:
severe carpal tunnel syndrome failed medical management -
Exclusion Criteria:
previous failed surgery previous failed injection previous failed trial of hydrodissection cervical or brachial nerve entrapment wrist osteoarthritis or rheumatoid pregnant diabetes mellitus
-
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Baghdad Medical City | Baghdad | 10001 | Iraq |
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| ID | Term |
|---|---|
| D002349 | Carpal Tunnel Syndrome |
| ID | Term |
|---|---|
| D020423 | Median Neuropathy |
| D020422 | Mononeuropathies |
| D010523 | Peripheral Nervous System Diseases |
| D009468 | Neuromuscular Diseases |
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| ID | Term |
|---|---|
| D005947 | Glucose |
| ID | Term |
|---|---|
| D006601 | Hexoses |
| D009005 | Monosaccharides |
| D000073893 | Sugars |
| D002241 | Carbohydrates |
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2 groups comparing the efficacy of dextrose water 5 % in median nerve hydrodissection
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| D009422 | Nervous System Diseases |
| D009408 | Nerve Compression Syndromes |
| D012090 | Cumulative Trauma Disorders |
| D013180 | Sprains and Strains |
| D014947 | Wounds and Injuries |