Comparison of ultrasound-guided pulsed radiofrequency versus steroid injection in the treatment of carpal tunnel syndrome

Celenlioglu, Alp Eren; Unal-Artık, Hanzade Aybuke; Güler, Gülen

doi:10.1007/s11845-022-02923-0

Cited by 3 publications

(9 citation statements)

References 28 publications

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“…In total, 12 studies were further excluded as they had not yet been completed (n = 2), performed the wrong intervention (n = 2), had the wrong study design (n = 5), included the wrong patient population (n = 3), leaving a final number of eight studies for inclusion (Figure 1). Of the final included studies, one was a case report, 6 three studies were retrospective in nature, 1,7,8 and four were prospective [9][10][11][12] (with three being randomized trials [9][10][11] ). Six of the eight studies were available in full-text, 1,6,8,[10][11][12] whereas two were available in abstract-only form from the same conference.…”

Section: R E Su Lt Smentioning

confidence: 99%

“…Of the final included studies, one was a case report, 6 three studies were retrospective in nature, 1,7,8 and four were prospective [9][10][11][12] (with three being randomized trials [9][10][11] ). Six of the eight studies were available in full-text, 1,6,8,[10][11][12] whereas two were available in abstract-only form from the same conference. 7,9 From a search of the reference sections of included studies, we found no additional studies that satisfied the inclusion criteria for this review.…”

Section: R E Su Lt Smentioning

confidence: 99%

“…We found three retrospective studies that report on the application of PRF in CTS. 1,7,8 In an abstract, Ruiz-López 7 describes the application of bipolar PRF for 21 cases (n = 13 patients). The technical methods described the fluoroscopic-guided placement of two radiofrequency cannulas 3-4 cm, both distal and proximal to the carpal tunnel, which, following sensory and motor stimulation, underwent PRF simultaneously at both sites for 20 min.…”

Section: Retrospective Studiesmentioning

confidence: 99%

“…There is heterogeneity in the methodology of every included study. Heterogeneity extended beyond the nature of the study design (eg, retrospective versus observational) to include the nature of the PRF treatment (eg, bipolar 7,12 and the use of sensory/motor stimulation 1,7,10,12 ). Notably, the technical parameters varied quite significantly across the studies.…”

Section: Limitations Of Reviewmentioning

confidence: 99%

“…Carpal tunnel syndrome (CTS), entrapment of the median nerve at the wrist, is the most common peripheral nerve entrapment syndrome 1 . Neuropathic pain disorders, such as CTS, can be disabling and have a significant effect on quality of life.…”

Section: Introductionmentioning

confidence: 99%

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A narrative review of pulsed radiofrequency for the treatment of carpal tunnel syndrome

Gupta,

Vance,

Bansal

et al. 2023

Pain Practice

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ObjectiveCarpal tunnel syndrome (CTS), which is the most common peripheral nerve entrapment syndrome, can commonly persist despite conservative treatment modalities such as wrist splinting or medications. Pulsed radiofrequency represents a minimally invasive pain intervention technique to alleviate pain. The literature was reviewed to establish the effectiveness of PRF therapy for CTS.Study DesignThis is a narrative review of relevant articles on the effectiveness of PRF for CTS.MethodFour databases, MEDLINE, Cochrane Central Register of Controlled Trials, Embase, OVID Emcare, and Web of Science, were systematically searched. 804 records were screened, and the reference lists of eligible articles were examined. For this review, eight extracted studies were narratively explored.ResultsOne case report, three retrospective cohorts, one observational prospective study, and three randomized‐controlled trials were included. PRF likely provides both an analgesic and functional benefit in patients with mild to severe CTS, and it also shows benefit as an adjunct to carpal tunnel release surgery. Long‐term data is limited. It also appears likely that steroid injection may represent a comparable treatment modality to PRF, and there have been positive results when these modalities are used together. Notably, all studies differed in their methodology, making direct comparisons between studies challenging.ConclusionsThe evidence for PRF in the treatment of CTS, across the range of spectrum of severity or peri‐operative to CTS surgery, appears favorable and avoids known side effects of steroid injections. Potential mechanisms for PRF and future directions for research are explored.

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Section: R E Su Lt Smentioning

confidence: 99%

Section: R E Su Lt Smentioning

confidence: 99%

Section: Retrospective Studiesmentioning

confidence: 99%

Section: Limitations Of Reviewmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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A narrative review of pulsed radiofrequency for the treatment of carpal tunnel syndrome

Gupta,

Vance,

Bansal

et al. 2023

Pain Practice

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Local corticosteroid injection versus physical therapy for the treatment of carpal tunnel syndrome: A systematic review and meta-analysis of randomized controlled trials

Mao

Yin

et al. 2024

Asian Journal of Surgery

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Neuromodulation of the median nerve in carpal tunnel syndrome, a single-blind, randomized controlled study

Genç Perdecioğlu,

Panpallı Ateş,

Yürük

et al. 2023

Korean J Pain

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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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Comparison of ultrasound-guided pulsed radiofrequency versus steroid injection in the treatment of carpal tunnel syndrome

Cited by 3 publications

References 28 publications

A narrative review of pulsed radiofrequency for the treatment of carpal tunnel syndrome

A narrative review of pulsed radiofrequency for the treatment of carpal tunnel syndrome

Local corticosteroid injection versus physical therapy for the treatment of carpal tunnel syndrome: A systematic review and meta-analysis of randomized controlled trials

Neuromodulation of the median nerve in carpal tunnel syndrome, a single-blind, randomized controlled study

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