Limits...
Impact of carpal tunnel syndrome on the expectant woman's life.

Rozali ZI, Noorman FM, De Cruz PK, Feng YK, Razab HW, Sapuan J, Singh R, Sikkandar FM - Asia Pac Fam Med (2012)

Bottom Line: Malay race was found to have significant correlation with the diagnosis of CTS (p = 0.024) and are two times more likely to get CTS during pregnancy (OR = 2.26) compare to the non-Malays.Bilateral CTS was two times higher (n = 58, 63.4%) than unilateral cases (n = 30, 36.6%), however no significant correlation between the two was found with severity (p = 0.284) or functional (p = 0.906).All symptoms related to pain was found to have significant correlation with severity (p = 0.00, OR = 12.23) and function (p = 0.005, OR = 5.01), whereas numbness and tingling does not (Severity, p = 0.843, function, p = 0.632).

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Orthopaedic, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre, Jalan Yaacob Latiff, Bandar Tun Razak, 56000 Cheras, Kuala Lumpur, Malaysia. contactbonedoctor@gmail.com.

ABSTRACT

Introduction: Carpal Tunnel Syndrome is known to be a common complication during pregnancy especially during the third trimester.

Aim: This article focuses on its impact to the third trimester pregnant mothers with CTS.

Methods: Third trimester pregnant mothers with no other known risk factors for CTS, were interviewed and examined for a clinical diagnosis of CTS. The severity of CTS was assessed by means of symptoms severity and functionality using the Boston Carpal Tunnel Questionnaire.

Results: Out of 333 third trimester pregnant mothers, 82 (24.6%) were clinically diagnosed with CTS. Malay race was found to have significant correlation with the diagnosis of CTS (p = 0.024) and are two times more likely to get CTS during pregnancy (OR = 2.26) compare to the non-Malays. Bilateral CTS was two times higher (n = 58, 63.4%) than unilateral cases (n = 30, 36.6%), however no significant correlation between the two was found with severity (p = 0.284) or functional (p = 0.906). The commonest complaint was numbness/tingling during day time (n = 63, 76.8%). Majority of the CTS cases were mild (n = 66, 80.5%) and approximately one third (n = 28, 34.1%) had affected hand functions. All symptoms related to pain was found to have significant correlation with severity (p = 0.00, OR = 12.23) and function (p = 0.005, OR = 5.01), whereas numbness and tingling does not (Severity, p = 0.843, function, p = 0.632).

Conclusion: This study shows that even though CTS in third trimester pregnancy is prevalent, generally it would be mild. However, function can still be affected especially if patients complain of pain.

No MeSH data available.


Related in: MedlinePlus

Symptoms severity by each complaints.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC3295646&req=5

Figure 1: Symptoms severity by each complaints.

Mentions: The most common presenting symptom from the CTS-6 was numbness and tingling during daytime (n = 63, 76.8%), followed by numbness and tingling at night, (n = 59, 72%), relief by shaking (n = 43, 52.4%), waking up due to numbness (n = 27, 32.9%), pain during day and night time (both n = 20, 24.4%), and the least common symptom was waking up due to pain (n = 14, 17.1%). Similarly, the most common complaint from the BCTQ symptom severity scale (Figure 1) was also numbness (n = 76, 92.7%), where 45 (54.9%) had mild numbness, 27 (32.9%) moderate numbness and 4 (4.9%) had severe numbness. The other two common complaints were tingling sensation (n = 62, 75%) and numbness at night (n = 53, 64.6%). Even though pain was the least common complaint for CTS in pregnancy it was found that complains of any symptoms related to pain have significant correlation with severity (p = 0.00, OR = 12.23) and function (p = 0.005, OR = 5.01), whereas numbness and tingling did not (Severity, p = 0.843, function, p = 0.632). Among those who complained of pain, numbness or tingling at night, 13 (15.9%) woke up because of pain and 27 (32.9%) woke up because of numbness or tingling sensation. However, both complaint of waking up due to pain or waking up due to numbness had significant correlation with impaired function (p = 0.001, p = 0.000 respectively).


Impact of carpal tunnel syndrome on the expectant woman's life.

Rozali ZI, Noorman FM, De Cruz PK, Feng YK, Razab HW, Sapuan J, Singh R, Sikkandar FM - Asia Pac Fam Med (2012)

Symptoms severity by each complaints.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3295646&req=5

Figure 1: Symptoms severity by each complaints.
Mentions: The most common presenting symptom from the CTS-6 was numbness and tingling during daytime (n = 63, 76.8%), followed by numbness and tingling at night, (n = 59, 72%), relief by shaking (n = 43, 52.4%), waking up due to numbness (n = 27, 32.9%), pain during day and night time (both n = 20, 24.4%), and the least common symptom was waking up due to pain (n = 14, 17.1%). Similarly, the most common complaint from the BCTQ symptom severity scale (Figure 1) was also numbness (n = 76, 92.7%), where 45 (54.9%) had mild numbness, 27 (32.9%) moderate numbness and 4 (4.9%) had severe numbness. The other two common complaints were tingling sensation (n = 62, 75%) and numbness at night (n = 53, 64.6%). Even though pain was the least common complaint for CTS in pregnancy it was found that complains of any symptoms related to pain have significant correlation with severity (p = 0.00, OR = 12.23) and function (p = 0.005, OR = 5.01), whereas numbness and tingling did not (Severity, p = 0.843, function, p = 0.632). Among those who complained of pain, numbness or tingling at night, 13 (15.9%) woke up because of pain and 27 (32.9%) woke up because of numbness or tingling sensation. However, both complaint of waking up due to pain or waking up due to numbness had significant correlation with impaired function (p = 0.001, p = 0.000 respectively).

Bottom Line: Malay race was found to have significant correlation with the diagnosis of CTS (p = 0.024) and are two times more likely to get CTS during pregnancy (OR = 2.26) compare to the non-Malays.Bilateral CTS was two times higher (n = 58, 63.4%) than unilateral cases (n = 30, 36.6%), however no significant correlation between the two was found with severity (p = 0.284) or functional (p = 0.906).All symptoms related to pain was found to have significant correlation with severity (p = 0.00, OR = 12.23) and function (p = 0.005, OR = 5.01), whereas numbness and tingling does not (Severity, p = 0.843, function, p = 0.632).

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Orthopaedic, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre, Jalan Yaacob Latiff, Bandar Tun Razak, 56000 Cheras, Kuala Lumpur, Malaysia. contactbonedoctor@gmail.com.

ABSTRACT

Introduction: Carpal Tunnel Syndrome is known to be a common complication during pregnancy especially during the third trimester.

Aim: This article focuses on its impact to the third trimester pregnant mothers with CTS.

Methods: Third trimester pregnant mothers with no other known risk factors for CTS, were interviewed and examined for a clinical diagnosis of CTS. The severity of CTS was assessed by means of symptoms severity and functionality using the Boston Carpal Tunnel Questionnaire.

Results: Out of 333 third trimester pregnant mothers, 82 (24.6%) were clinically diagnosed with CTS. Malay race was found to have significant correlation with the diagnosis of CTS (p = 0.024) and are two times more likely to get CTS during pregnancy (OR = 2.26) compare to the non-Malays. Bilateral CTS was two times higher (n = 58, 63.4%) than unilateral cases (n = 30, 36.6%), however no significant correlation between the two was found with severity (p = 0.284) or functional (p = 0.906). The commonest complaint was numbness/tingling during day time (n = 63, 76.8%). Majority of the CTS cases were mild (n = 66, 80.5%) and approximately one third (n = 28, 34.1%) had affected hand functions. All symptoms related to pain was found to have significant correlation with severity (p = 0.00, OR = 12.23) and function (p = 0.005, OR = 5.01), whereas numbness and tingling does not (Severity, p = 0.843, function, p = 0.632).

Conclusion: This study shows that even though CTS in third trimester pregnancy is prevalent, generally it would be mild. However, function can still be affected especially if patients complain of pain.

No MeSH data available.


Related in: MedlinePlus