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IRCT20221228056965N1 IRCT 2023-09-06 Hamedan University of Medical Sciences Comparing the efficacy of laser and injection in de Quervain’s tenosynovitis Comparing the efficacy of local corticosteroid injection and high-level laser therapy in patients diagnosed with de Quervain’s tenosynovitis. 2023-04-21 anticipated 30 Complete https://irct.ir/trial/67677 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: We made 30 cards and write letter C on 15 for corticosteroid and on the other 15 letter L for the laser therapy group. Then put them inside the envelope with aluminum wrap and put in a box. At the time of patient arrival, one of the envelopes randomly will be selected and open it, based on selected letter ( C or L) patients will be assigned to local corticosteroid injection and high-level laser therapy, Blinding description: The outcome assessor will be blinded to the treatment group of the patients. 3 de Quervain’s tenosynovitis. Intervention 1: "The first Intervention group": high-power laser therapy, in this group, a gallium aluminum arsenide diode laser with a wavelength of 1064 nm, an output power of 8 watts, and an average energy intensity of 4 joules per square centimeter will be used. The laser wave is a pulse type with a frequency of 50 Hz and will be applied by scanning method. The total duration of treatment in each session will be 5-7 minutes. All patients will be treated for 3 consecutive weeks (5 sessions). Intervention 2: The second Intervention group : "intervention group 2": For patients in this group , local injection of corticosteroids will be performed. First, an ultrasound of the wrist is performed and the appropriate point for injection is marked. Then, under the sono guide, 1 ml of hydrocortisone and 1 ml of 2% lidocaine are injected at the site of the mark. 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 I am not sure yet
public Motahareh Pourgholam
Hokama St, Besat Hospital
Hamedan Iran (Islamic Republic of) 6514845411 +98 81 3264 0033 M.akbarikia@yahoo.com Hamedan University of Medical Sciences scientific Motahareh Pourgholam
Hokama St, Besat Hospital
Hamedan Iran (Islamic Republic of) 6514845411 +98 81 3264 0033 M.akbarikia@yahoo.com Hamedan University of Medical Sciences Iran (Islamic Republic of) diagnosis of de Quervain’s tenosynovitis Duration of diagnosis is at least 3 months Age 18-65 years Minimum pain intensity according to VAS>3. 18 years 65 years Both History of recent wrist surgery or trauma Vascular diseases Corticosteroid treatment currently or within the past 4 months M65.4 Radial styloid tenosynovitis [de Quervain] Rehabilitation Rehabilitation "The first Intervention group": high-power laser therapy, in this group, a gallium aluminum arsenide diode laser with a wavelength of 1064 nm, an output power of 8 watts, and an average energy intensity of 4 joules per square centimeter will be used. The laser wave is a pulse type with a frequency of 50 Hz and will be applied by scanning method. The total duration of treatment in each session will be 5-7 minutes. All patients will be treated for 3 consecutive weeks (5 sessions). The second Intervention group : "intervention group 2": For patients in this group , local injection of corticosteroids will be performed. First, an ultrasound of the wrist is performed and the appropriate point for injection is marked. Then, under the sono guide, 1 ml of hydrocortisone and 1 ml of 2% lidocaine are injected at the site of the mark. Changes in the intensity of pain in the wrist. Timepoint: On arrival, 4 weeks After the intervention, 12 weeks After the intervention. Method of measurement: visual analog scale. Quality of Life. Timepoint: On arrival, 4 weeks After the intervention, 12 weeks After the intervention. Method of measurement: 12- item short form survay. Hamedan University of Medical Sciences Approved 2022-12-03 Ethics Committee of Hamedan University of Medical Sciences Shahid Fahmideh St, Pazhouhesh Hamedan Hamadan Iran (Islamic Republic of)