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New ultrasound procedure could free patients from carpal tunnel pain without surgery

NCT ID NCT05675046

What the study statuses mean

This study's is highlighted.

Recruitment status, easiest to join first

Recruiting now
This trial is taking on new participants right now.
Not yet recruiting
Registered, but not yet taking participants.
By invitation only
Not open to general applications. Only people the study team invites can take part.
Paused
Paused for now. It may or may not start again.
Ongoing
Running, but no longer taking on new participants.
Completed This study
The trial has finished. Results may not be published yet.
Stopped early
Stopped early, before it reached the end. That can be for many reasons, including safety.
Cancelled
Cancelled before anyone took part.

Expanded access (not trials)

Expanded access
Not a trial. This treatment can be requested outside a study, case by case, for people who qualify.
Expanded access (paused)
Not a trial. The treatment can normally be requested outside a study, but is unavailable right now.
Expanded access (ended)
Not a trial. The treatment could once be requested outside a study, but no longer can.
Approved
The treatment has been approved, so it is available normally rather than through this programme.

When the status isn't known

Details not published
The full record has not been published yet, so there is little to show here.
Status unknown
This status has not been confirmed recently, so it may be out of date.

First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time

Summary

This study tested a new way to treat carpal tunnel syndrome using ultrasound guidance to perform the release procedure right in the doctor's office. 149 adults with carpal tunnel syndrome who had not improved with other treatments took part. The goal was to see if this office-based approach could safely reduce symptoms and speed up return to daily activities.

What this could mean

Our plain-language read of the trial. This is informational only, not medical advice or a prediction.

Active substance
UltraGuideCTR device (ultrasound-guided carpal tunnel release procedure)
What this could lead to
If successful, this could offer a less invasive, office-based option for carpal tunnel release, potentially reducing recovery time and avoiding hospital visits.
What could go wrong
This was a single-arm study without a comparison group, so results may not prove superiority over standard surgery. Long-term outcomes and rare complications need further study.

This is an AI summary of the original study and may miss details. Read our disclaimer.

Study facts

What this study's own registry entry says, in plain language.

Phase

Not a phased trial

Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.

Participants

149 people

The number who actually took part.

Started

Feb 2023

Finished

Aug 2025

Lead sponsor

A company

The lead sponsor is a pharmaceutical, biotech, or medical-device company.

Who can take part

This study's own entry requirements. Only the study team can say for certain whether you qualify.

Ages

18 years and older

Sex

Anyone

Healthy volunteers

Not accepted

This study is not open to healthy volunteers. The entry requirements below say who it is open to.

Show the full entry requirements

Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.

Inclusion Criteria: 1. ≥18 years of age 2. Clinical diagnosis of unilateral or bilateral idiopathic CTS 3. CTS-6 score \>12 in target hand\* 4. Median nerve cross-sectional area ≥10 mm2 in the proximal carpal tunnel region of the target hand measured by diagnostic ultrasound\* 5. Prior failure of one or more nonsurgical treatment options (e.g., physical activity modification, bracing, splinting, corticosteroid injection)\* 6. Subject agrees to complete follow-up questionnaires over a 24-month period 7. Subject has a valid smart phone number and/or email address to receive and answer follow-up questionnaires Exclusion Criteria: 1. Prior surgery on the target wrist or hand with the exception of (a) trigger finger release or similar minor finger procedure (e.g., digital ganglion cyst removal, foreign body removal) that has clinically recovered, or release for DeQuervain's syndrome (1st dorsal compartment) that has clinically recovered\* 2. History of prior surgical CTR in the target hand\* 3. History of infection in the target hand\* 4. History of prior surgery in the non-target hand, including CTR, within 3 months of enrollment or with persistent symptoms that interfere with normal daily activities or work at the time of consent 5. Planned surgical or interventional procedure on the contralateral hand within 3 months of the target hand procedure date\* 6. Corticosteroid injection in the target hand within 6 weeks of study procedure date\* 7. Presence of additional process in the target hand requiring additional intervention beyond carpal tunnel release (e.g. neurolysis, mass removal, tenosynovectomy)\* 8. Clinically significant degenerative arthritis of the upper limb (shoulder to hand) on the target side\* 9. Clinically significant inflammatory disease (including tenosynovitis) of the upper limb (shoulder to hand) on the target side\* 10. Clinically significant trauma or deformity of the upper limb (shoulder to hand) on the target side\* 11. Clinically significant vascular disease (including Raynaud's phenomenon) of the upper limb (shoulder to hand) on the target side\* 12. Clinically significant neurological disorder (including complex regional pain syndrome) of the upper limb (shoulder to hand) on the target side\* 13. Systemic inflammatory disease (e.g., rheumatoid arthritis, lupus) 14. Amyloidosis 15. Chronic renal insufficiency requiring dialysis 16. Diabetes not controlled by a stable dose of medication 17. Uncontrolled thyroid disease 18. Pregnant or planning pregnancy in the next 24 months 19. Workers' compensation subjects 20. Inability to provide a legally acceptable Informed Consent Form and/or comply with all follow-up requirements 21. Subject has other medical, social, or psychological conditions that, in the opinion of the investigator, preclude them from receiving the pre-treatment, required treatment, and post-treatment procedures and evaluations Note: An asterisk (\*) denotes that this criterion must be applied to the target hand for unilateral CTR-US procedures, or to both hands for simultaneous bilateral CTR-US procedures. Clinically significant is defined as likely to interfere with the performance of the procedure in a safe and/or effective manner.

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Conditions

The condition(s) this trial relates to.

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Locations

  • Bluegrass Orthopaedics

    Lexington, Kentucky, 40509, United States

  • Georgia Hand, Shoulder & Elbow

    Atlanta, Georgia, 30309, United States

  • New Braunfels Orthopaedic Surgery and Sports Medicine

    New Braunfels, Texas, 78130, United States

  • Orthopedic Associates

    Fort Walton Beach, Florida, 32547, United States

  • The Bone & Joint Surgery Clinic

    Raleigh, North Carolina, 27609, United States

  • University of Nevada, Las Vegas

    Las Vegas, Nevada, 89128, United States

  • Vero Orthopaedics

    Vero Beach, Florida, 32960, United States

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