Comparative study between blind and ultrasound-guided steroid injection for carpal tunnel syndrome

Abstract Background Carpal tunnel syndrome is the most common entrapment neuropathy. Local injections of corticosteroids have proven to be an effective treatment option. Injections are either blind (non-guided) or guided by ultrasound. The current study aimed compare efficiency both approaches and determine which one yields better results. Method This involved 30 patients (8 males, 22 females, aged 36–58 years, mean age 48.3 years) with affected hands mild moderate carpal syndrome. Patients were randomly divided into two equal groups. Steroid performed blindly in group 1 ultrasound-guided 2. A mixture 2 ml triamcinolone lidocaine was administered at Follow-up (using Boston Tunnel Questionnaire ultrasound assessment) 4 weeks after injection. Results symptom severity scale, functional status cross-sectional area, flattening ratio significantly reduced groups procedure. showed a statistically significant improvement compared injected group. Conclusions steroid injection method management idiopathic secondary Although clinical sonographic achieved injections, results obtained when used.