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IRCT20190326043118N1 IRCT 2019-09-17 Vice chancellor for research, Tabriz University of Medical Sciences Comparison of clinical effectiveness of ketorolac and Triamcinolone injection in patients with moderate to severe carpal tunnel syndrome Comparison of clinical effectiveness of ketorolac and Triamcinolone injection in patients with moderate to severe carpal tunnel syndrome 2019-04-14 anticipated 45 Complete https://irct.ir/trial/38621 interventional Randomization: Not randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Blinding description: After randomization and informed patient satisfaction, each patient is randomly assigned a number that is paired for triamcinolone injection and individual for ketorolac injection.Clinical care according to numbers will inject one of the drugs for the patient. 2 CARPAL TUNNEL SYNDROME. Intervention 1: Intervention group 1: Ketorolac group 30 mg Alborz Daru group injected under ultrasound guide ide. Intervention 2: Intervention group2: Triamcinolone group 40 mg manufactured by Iran hormone injected under ultrasound guide. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is No more information
public Amirreza Ghanbari
Department of Physical Medicine and Rehabilitation,Imam Reza Hospital, Golshat Street, Tabriz, Iran
Tabriz Iran (Islamic Republic of) 5138636762 +98 41 3542 2706 amirrezaghanbari1372@yahoo.com Tabriz University of Medical Sciences scientific Alireza Pishghahi
Department of Physical Medicine and Rehabilitation,Imam Reza Hospital, Golshat Street, Tabriz, Iran
Tabriz Iran (Islamic Republic of) 5138636762 +98 41 3336 1928 Alirezapishgahi1364@gmail.com Tabriz University of Medical Sciences Iran (Islamic Republic of) Proof of Carpal Tunnel Syndrome Moderate with STEVENS Electrodiogenesis Criteria CMAP latency>4.2msec SNAP latency>3.0msec SNAP latency>3.0msec+low amplitude SNAP NCV across wrist<40m/sec CMAP Amplitude <4mv with SNAPs amplitude <12uv without symptoms of degeneration (fib / psw) in tension in Nidal EMG no limit no limit Both Symptoms of atrophy of the tenar Contraindication of corticosteroid injection such as corticosteroid hypersensitivity and injection site infection Treatment of carpal tunnel syndrome with surgery or corticosteroid injection over the past 6 months Traumatic or neoplastic origin of symptoms No consent for injection Symptoms of denervation in electromyography suggestive of severe axonal injury Symptoms of active cervical radiculopathy in electromyography or cervical disc protrusion in MRI G56.0 Carpal tunnel syndrome Treatment - Drugs Treatment - Drugs Intervention group 1: Ketorolac group 30 mg Alborz Daru group injected under ultrasound guide ide Intervention group2: Triamcinolone group 40 mg manufactured by Iran hormone injected under ultrasound guide Total score of Carpal Tunnel Syndrome Questionnaire Boston To measure severity of symptoms and dysfunction. Timepoint: Before intervention and 3 months later. Method of measurement: boston carpal tunnel questionnaire. Hand power. Timepoint: Before intervention and 3 months later. Method of measurement: hand dynamometer. Vice chancellor for research, Tabriz University of Medical Sciences Approved 2019-08-21 Ethics Committee of Tabriz University of Medical Sciences Central Office of the University of Medical Sciences,Golgasteh Street , Azadi Avenue , TABRIZ tabriz East Azarbaijan Iran (Islamic Republic of)