EVALUATING CORTICOID INJECTIONS FOR THE TREATMENT OF CARPAL TUNNEL SYNDROME IN PATIENTS AT THE OUTPATIENT DEPARTMENT OF CAN THO CARDIOVASCULAR HOSPITAL

Ngoc Phen Nguyen 1,, Hoang Toan Ngo 2, Thanh Dien Luong 2, Van Minh Le 2
1 Can Tho Cardiovascular Hospital
2 Can Tho University of Medicine and Pharmacy

Main Article Content

Abstract

Background: Carpal tunnel syndrome is a common peripheral nervous system disorder encountered in clinical practice. Objective: To investigate the clinical characteristics, electromyography, and evaluate the outcomes of corticosteroid injection treatment for carpal tunnel syndrome in patients attending Can Tho Cardiovascular Hospital during 2022-2023. Materials and methods: A cross-sectional descriptive study to assess outcomes in 53 patients with 100 affected hands suffering from carpal tunnel syndrome treated with corticosteroid injections into the carpal tunnel, with a one-month follow-up. Results: Before the injection, 62% of patients experienced pain symptoms, and 100% had tingling symptoms; after the injection, pain symptoms remained in 17% of patients, and tingling symptoms remained in 79%. Pain intensity improved significantly, with 83% reporting no pain after treatment. Improvement in tingling sensations was notable, with 71% reporting no tingling symptoms after treatment, p<0.001. Conclusion: Clinical symptoms significantly improved after corticosteroid injection into the carpal tunnel.

Article Details

References

1. Nguyễn Văn Hướng. Hiệu quả lâm sàng sau tiêm corticosteroid tại chỗ trong điều trị hội chứng ống cổ tay. Tạp chí nghiên cứu y học.2018. 112(3), 68-74.
2. Phan Hồng Minh. Nghiên cứu đặc điểm lâm sàng, điện sinh lý thần kinh và điều trị hội chứng ống cổ tay vô căn ở người trưởng thành. Luận án tiến sĩ. Trường đại học Y Hà Nội; 2019.
3. Nguyễn Văn Thái, Lê Ngọc Tuấn. Đánh giá kết quả điều trị phẫu thuật hội chứng ống cổ tay ở người lớn. Tạp chí Y học thành phố Hồ Chí Minh. 2016. 20(1), 385-390.
4. American Academy of Orthopaedic Surgeons. Clinical practice guideline on the diagnosis of carpal tunnel syndrome. Rosemont: AAOS.2007.
5. Atroshi I, Flondell M. Methylprednisolone injections for the carpal tunnel syndrome: a randomized, placebo-controlled trial. Annals of internal medicine. 2013. 159(5), 309-317, DOI: 10.7326/0003-4819-159-5-201309030-00004.
6. Chammas Michel, Jorge Boretto. Carpal tunnel syndrome – Part I: anatomy, physiology, etiology, and diagnosis. Revista Brasileira de Ortopedia. 2014. 5(49), 429–436, DOI: 10.1016/j.rboe.2014.08.001.
7. Chesterton L. S, Bucknall M. B. The clinical and cost-effectiveness of corticosteroid injection versus night splints for carpal tunnel syndrome (INSTINCTS trial): an open-label, parallel group, randomized controlled trial. The Lancet. 2018. 329, 1423-1433, DOI: 10.1016/S01406736(18)31572-1.