Transctunaous Pulsed Radiofrequency Therapy in Carpal Tunnel Syndrome

Study Overview
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Brief Summary
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The aim of this study is to examine the effect of transcutaneous pulsed radiofrequency current in the treatment of carpal tunnel syndrome.

Detailed Description
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Carpal tunnel syndrome (CTS) is the most common peripheral neuropathy. Wrist splint is the first-line treatment option for CTS. Pulsed radiofrequency therapy is used in the treatment of chronic pain. 60 carpal tunnel syndrome patients diagnosed with electroneuromyelography will be included in the study. 30 patients will wear wrist splints for 1 month. In the other 30 patients, pulsed radiofrequency current will be given through the wrist median nerve trace. RF current will be applied through transcutaneous pads. It will be applied once a week for a total of 2 sessions, 8 minutes each. Boston carpal tunnel syndrome questionnaire with visual analog scale (VAS) will be applied to all patients before and after the treatment at 1 week and 1 month. Our aim is to compare the effectiveness of wrist splint and pulsed rf therapy.

Official Title
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Efficacy of Transctunaous Pulsed Radiofrequency Therapy in Carpal Tunnel Syndrome

Conditions
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Peripheral Neuropathy, Chronic Pain

Intervention / Treatment
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* Device: Wrist splint
* Other: Pulsed radiofrequency current


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Carpal tunnel syndrome detected by electroneuromyography Positive Tinel sign Exclusion Criteria: Thenar muscle atrophy Weakness in the abductor pollicis brevis muscle

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Quadruple


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Wrist splint group<br>The group to be treated with a wrist splint | Device: Wrist splint<br>* A wrist splint is a It stabilizes your wrist. Wearing a wrist splint minimizes pressure on the median nerve.<br>|
| Active Comparator: Transcutaneous pulsed RF group<br>The group to be treated with transcutaneous pulsed RF | Other: Pulsed radiofrequency current<br>* Pulsed rf current is delivered to the median nerve trace via transcutaneous pads. Pain expression is suppressed in the dorsal horn of the spinal cord.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change From Baseline in Pain on the Visual Analog Scale (VAS) at Week 2 and 4 | The visual analog scale (VAS) is a validated, subjective measure for acute and chronic pain. Scores are recorded by making a handwritten mark on a 10-cm line that represents a continuum between 0=no pain and 10=worst pain. | Baseline, Week 2 and 4 | 
| Boston Carpal Tunnel Syndrome Questionnaire before treatment | The Boston Carpal Tunnel Questionnaire (BCTQ) is a disease-specific measure of self-reported symptom severity and functional status. It is frequently used in the reporting of outcomes from trials into interventions for carpal tunnel syndrome. ıncluding Symptom Severity Scale is 11: no symptoms, 55: worst symptoms and Functional Disability Scale (FDS) no difficulties:8, worst difficulties: 40 | Before treatment | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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carpal tunnel syndrome, pulsed radiofrequency treatment, transcutaneous pulsed radiofrequency