What is it about?

To compare effectiveness of ultrasound-guided local insulin injection, local steroid injection, and local steroid followed by insulin injections in treating mild to moderate carpal tunnel syndrome (CTS) in type 2 diabetes mellitus (DM).

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Why is it important?

To our knowledge, this is the first study that used ultrasonography in the evaluation of the median nerve after insulin injection, via measuring CSA at the inlet of CT.


• Local insulin injection is as effective as steroid in treating mild to moderate CTS in type 2 diabetic patients. • Measuring CSA of median nerve at CT inlet by US is a better tool for monitoring median nerve changes after treatment. • Adding insulin injections after steroid has more sonographic improvement than steroid alone.

Professor shereen refaat kamel
Minia University

Read the Original

This page is a summary of: Ultrasound-guided insulin injection for carpal tunnel syndrome in type 2 diabetes mellitus patients, Clinical Rheumatology, June 2019, Springer Science + Business Media, DOI: 10.1007/s10067-019-04638-7.
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