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dc.contributor.authorPichitchai Atthakomolen_US
dc.contributor.authorWorapaka Manosroien_US
dc.contributor.authorAreerak Phanphaisarnen_US
dc.contributor.authorSureeporn Phrompaeten_US
dc.contributor.authorSawan Iammataveeen_US
dc.contributor.authorSiam Tongpraserten_US
dc.description.abstract© 2018 The Author(s). Background: Recent studies have reported that radial extracorporeal shock wave therapy (rESWT) reduces pain and improves function in patients with mild to moderately severe carpal tunnel syndrome (CTS) compared to a placebo. However, most of those studies used multi-session rESWT combined with wrist support and evaluation of efficacy was limited to a maximum of 14 weeks. Methods: The prospective randomized controlled trial compared efficacy in relieving pain and improving clinical function between single-dose rESWT and local corticosteroid injection (LCsI) over the mid-term (24 weeks). Twenty-five patients with mild to moderately severe CTS were randomized to receive either single-dose rESWT (n = 13) or LCsI (n = 12). Primary outcomes were evaluated using the Boston self-assessment questionnaire (BQ), while secondary outcomes used the Visual analogue scale (VAS) and electrodiagnostic parameters. Evaluations at baseline and at 1, 4, 12 and 24 weeks after treatment were performed. Results: There was significantly greater improvement in symptom severity scores, functional scores and Boston questionnaire scores at weeks 12 to 24 in the rESWT group compared to the LCsI group. When compared to the baseline, there was significant reduction of VAS and functional score in the rESWT group at weeks 12 and 24. The LCsI group had no statistically significant differences in VAS reduction and functional score of the same period. Conclusions: Treatment of CTS using single-dose rESWT has a carry-over effect lasting up to 24 weeks suggesting that single-dose rESWT is appropriate for treatment of mild to moderate CTS and provides longer-lasting benefits than LCsI. Trial registration: (TCTR20150709001). Registered 9 July 2015en_US
dc.titleComparison of single-dose radial extracorporeal shock wave and local corticosteroid injection for treatment of carpal tunnel syndrome including mid-term efficacy: A prospective randomized controlled trialen_US
article.title.sourcetitleBMC Musculoskeletal Disordersen_US
article.volume19en_US Mai Universityen_US Hospital Chiang Maien_US Hospitalen_US
Appears in Collections:CMUL: Journal Articles

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