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KMID : 0363120240370010034
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Korean Journal of Pain
2024 Volume.37 No. 1 p.34 ~ p.40
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Neuromodulation of the median nerve in carpal tunnel syndrome, a single-blind, randomized controlled study
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Gevher Rabia Genc Perdecioglu
Mehlika Panpallı Ates
Damla Yuruk
Omer Taylan Akkaya
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Abstract
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Background: This study aimed to evaluate the efficacy of pulsed radiofrequency applied using transcutaneous electrodes in carpal tunnel syndrome (CTS).
Methods: After randomization, the patients received two cycles of noninvasive pulsed radiofrequency (NiPRF), once weekly, or splinting (the control group) for three months. Clinical evaluations were recorded at baseline and weeks 4 and 8. The Boston Carpal Tunnel Syndrome Questionnaire (BCTQ) was used to determine the functional status and symptom severity.
Results: Sixty-two patients were followed up for three months. There was no difference between the groups in the BCTQ scores before and after treatment. The NiPRF group found a significant difference between the BCTQ measurements at all time intervals (paired sample t -test; P < 0.001). In the splint group, there was a significant difference only between the basal-1st month and basal-3rd month (paired samples t -test; P < 0.001). The main effect of the time variable was statistically significant (ANOVA; P < 0.001), but the group variable was not. There was no correlation between the BCTQ results measured at any time and the electroneuromyelogragphy findings in either group.
Conclusions: NiPRF effectively improves symptoms and functionality in patients with CTS for up to 3 months. Thus, NiPRF can be considered an easy, safe, and useful alternative treatment modality for CTS.
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KEYWORD
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Carpal Tunnel Syndrome, Chronic Pain, Median Neuropathy, Neuralgia, Pain Management, Pulsed Radiofrequency Treatment, Randomized Controlled Trial, Splints
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