Participants who have failed therapy for chronic wrist pain on the little finger side of the wrist will recieve dextrose prolotherapy. Their results will be compared to a cohort of consecutive participants who have not failed therapy, and receive 4 weeks of usual care.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
60
Therapeutic ultrasound, myofascial release of extensor and flexor muscles of forearm and stabilization exercises for the wrist.
Injection of 1 ml of 12.5% dextrose in 1% lidocaine at 0, 3 and 6 weeks in 5 locations: Origin of ulnar collateral ligament, insertion of ulnar collateral ligament on the triquetrum, insertion of the extensor carpi ulnaris on the base of the 5th metacarpal, triquetral hamate ligament and ulnotriquetral joint space.
Scanner Centro de Diagnostico
Rosario, Santa Fe Province, Argentina
RECRUITINGChange from Baseline PRWE (Patient Rated Wrist Evaluation) at 9 weeks
The PRWE is a 15-item questionnaire designed to measure wrist pain and disability in activities of daily living.
Time frame: 9 weeks
Change from baseline PRWE between 0 weeks and 1 year
Time frame: 1 year
Percentage of participants exceeding a PRWE change of plus 14 between baseline and 9 weeks
Time frame: 9 weeks
Percentage of participants exceeding a PRWE change of plus 14 between baseline and 1 year
Time frame: 1 year
Satisfaction score at 9 weeks
On a scale from 1-5 please rate satisfaction with your results. 1 means 'no satisfaction' and 5 means 'complete satisfaction'.
Time frame: 9 weeks
Satisfaction score at 1 year
On a scale from 1-5 please rate satisfaction with your results. 1 means 'no satisfaction' and 5 means 'complete satisfaction'
Time frame: 1 year
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