Alpha-Lipoic Acid Effectiveness in Early Stages of Carpal Tunnel Syndrome: Short Term Follow-up
Journal Title: Journal of Orthopaedic Science and Research - Year 2021, Vol 2, Issue 2
Abstract
Carpal Tunnel Syndrome (CTS) is still the most common nerve compression syndrome of the upper extremity. The aim of this paper is to analyze the effectiveness of Alpha-Lipoic Acid (ALA) in early stages of carpal tunnel syndrome. We conducted a double-blind prospective study. A total of 84 patients with instrumental diagnosis of carpal tunnel syndrome at an early stage, based on nerve conductions study, were evaluated. The primary endpoint was the search for improvement of parameters in electrophysiological studies, correlated with the administration of ALA. Secondary endpoints were static 2-points discrimination and the Boston Carpal Tunnel Syndrome Questionnaire (BCTSQ). The statistical analysis has not shown any type of correlation between the evolution of electromyographic measurements and the administration of ALA (p-value> 1.2) On the other side, the statistical analysis showed an improvement regarding the 2-point discrimination and the BCTSQ (p-value <0.05). Alphalipoic acid did not improve nerve conduction velocity, but a statistically significant reduction of symptoms referred by the Boston Carpal Tunnel score, and an improvement of the two-point discrimination test was obtained.
Authors and Affiliations
Pegoli Loris, Lombardo Michele DM*, Mangiavini Laura, Peretti Giuseppe M
Functional, Radiological Results and Quality of Life after Primary Total Hip Arthroplasty
Introduction: The objective of this work was to evaluate the clinical and radiological results; and the quality of life of patients with THA at final follow-up. Patients and Method: This was a prospective, multicenter...
Metformin and Bone Metabolism
Metformin is a member of biguanide antidiabetic drugs which has been widely used for treatment of Type 2 Diabetes Mellitus (T2DM) over 40 years. Bone is a highly dynamic tissue and its homeostasis mainly depends on the...
Epidemiology of Patella Instability Injuries in Collegiate Level Athletes in the United States
Objective: Patella instability injuries are often sports-related and occur in young athletes. These injuries severely impact the season and career trajectory of high-level competitors. This is the first large epidemiolog...
A Technical Tip to Treat the Intraoperative Lateral Cortex Fracture during a Medial Open-wedge High Tibial Osteotomy
Instability at the open-wedge osteotomy site due to disruption of the lateral cortex may contribute to displacement and may thus bring about delayed union or nonunion and recurrent varus deformity. Lateral cortex fractur...
Opioid Use for Postoperative Pain Control in Pediatric Supracondylar Humerus Fractures: A Pain-Diary Based Prospective Study
Introduction: There is limited research on postoperative pain control in pediatric populations following operative fixation of a Supracondylar Humerus (SCH) fractures. The purpose of the current study is to characteriz...