Carpal tunnel syndrome (CTS) is a common mononeuropathy due to entrapment of the median nerve in the carpal tunnel. a lot of modalities are available for treatment of mild to moderate CTS.
Carpal tunnel syndrome (CTS) is a common mononeuropathy due to entrapment of the median nerve in the carpal tunnel. a lot of modaleties are available for treatment of mild to moderate CTS. In case of failed conservative oral therapey, local hydro-dessction of the median nerve can be done with saline alone. local anethetics, steroids, hyalase,and ozone have been utilized to augment the symptoms reliefe. Dexmeditomidine (DEX) has been studied as adjuvant for nerve block to aumnet the pain reliefe. Recently, it has been discovered that DEX can offer some antinflammatory effects when injected in the perineural area. Upon such discovery, the goal of this study has been built.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
60
injection of 1 microgram/kg dexmeditomidine + 10 cc saline injection nearby median nerve as hydro-dissection
injection of 40 mg triamcinolone + 10 cc saline injection nearby median nerve as hydro-dissection
Assiut Universit Hospital
Asyut, Egypt
RECRUITINGpain visual analoge scale visual analog scale of pain value of (0 cm) no pain , and value of (10 cm) worst pain
visual analog scale of pain value of (0 cm) no pain , and value of (10 cm) worst pain
Time frame: 6 months
change of cross sectional area of the median nerve
change of cross sectional area of the median nerve mm2
Time frame: 6 months
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