Indian Journal of Physical Medicine and Rehabilitation

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VOLUME 28 , ISSUE 4 ( October-December, 2017 ) > List of Articles

Original Article

Comparative Study of Electrophysiological Improvement in Carpal Tunnel Syndrome by Local Infiltration of Steroid vs Ultrasonic Therapy

Mohit Kataruka, Rathindranath Haldar

Keywords : Methyl prednisolone, Nerve conduction study, Ultrasound treatment,Carpal tunnel syndrome

Citation Information : Kataruka M, Haldar R. Comparative Study of Electrophysiological Improvement in Carpal Tunnel Syndrome by Local Infiltration of Steroid vs Ultrasonic Therapy. Indian J Phy Med Rehab 2017; 28 (4):122-129.

DOI: 10.5005/jp-journals-10066-0014

License: CC BY-NC 4.0

Published Online: 00-12-2017

Copyright Statement:  Copyright © 2017; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Introduction: Carpal Tunnel Syndrome (CTS) was effectively treated by lots of conservative management including splints, exercise, different types of heat modality like Ultrasound treatment (UST), steroid, etc. This is our humble attempt to explore and find out the electrophysiological improvement pattern after treatment with ultrasonic therapy and methylprednisolone injection in CTS. This analytical study was conducted at the Department of Physical Medicine and Rehabilitation (PMR), IPGME&R, SSKM Hospital, Kolkata from January 15, 2012 to July 15, 2013. Materials and methods: After getting the institutional ethical committee clearance, patients with symptoms of nerve compression at wrist were included in the study group according to the inclusion and exclusion criteria and randomly divided into two groups. Group I received UST for 15 minutes per session for 15 days to the palmer carpal tunnel area at a frequency of 1 MHz and intensity of 1.0 W/cm2, pulsed mode, with a transducer of 5 cm2, and group II received 40 mg methylprednisolone injection. The patients were examined after intervals of 2, 4 and 8 weeks post intervention. Results: The results of our study suggest that there was a marked improvement for all the clinical and electrophysiological parameters in both the groups, but there is no statistically significant difference between the groups. Conclusion: Ultrasound treatment and intralesional steroid injection are both effective methods of treatment for CTS with clinical and electrophysiological improvement. This is one of the effective modalities of treatment for CTS.


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