Diacutaneous Fibrolysis in Patients with Mild-Moderate Carpal Tunnel Syndrome .
Diacutaneous Fibrolysis Intervention in Patients with Mild to Moderate Carpal Tunnel Syndrome May Avoid Severe Cases in Elderly: A Randomized Controlled Trial
Int J Environ Res Public Health. 2022 Sep 2;19(17):10983.Forty-four patients (60 wrists) with mild-moderate carpal tunnel syndrome were randomized to receive 5 sessions of diacutaneous fibrolysis treatment (n=20, 30 wrists) or a sham treatment (n=24, 30 wrists). The primary outcome of interest was the cross-sectional area of the median nerve. Secondary outcomes of interest included numbness on a Visual Analog Scale (VAS), the thickness of the transversal carpal ligament (TCL), Global Rating of Change (GROC) scores, and the incidence of adverse events. Outcomes were assessed upon completion of treatment. Results revealed significantly less numbness, a smaller cross-sectional area of the median nerve and thickness of the TCL, and better GROC outcomes with active diacutaneous fibrolysis treatment vs. sham.
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