Evaluating the effectiveness of local dexamethasone injection in pregnant women with carpal tunnel syndrome (original) (raw)
Related papers
Frequency of Local Treatment in Carpal Tunnel Syndrome during Pregnancy
Pakistan Journal of Medical and Health Sciences, 2021
Background and Aim: The most common entrapment neuropathy is carpal tunnel syndrome (CTS). Carpal tunnel syndrome is caused by median nerve compression at the wrist joint. Idiopathic carpal tunnel syndrome is the most common cause. Among the other physiologic causes of carpal tunnel syndrome (wrist trauma, diabetes, hypothyroidism, rheumatoid arthritis, occupation, contraception, and pregnancy), pregnancy is the most common. The objective of the present study was to determine the frequency of local treatment in carpal tunnel syndrome during pregnancy. Materials and Methods: This cross-sectional study was carried out on 45 pregnant women with carpal tunnel syndrome in the departments of Neurology and Gynaecology, Ayub Teaching Hospital, Abbottabad from May 2020 to April 2021. Individuals who met the inclusioncriteria were enrolled in this study. Ethical approval and consent forms were taken from the participants. All the patients were treated with local treatment (dexamethasone aceta...
Clinical Evaluation of the Treatment of Carpal Tunnel Syndrome Conservatively in Pregnant Women
2019
Original Research Article Background: Carpal tunnel syndrome (CTS) is the most common entrapment neuropathy. It is more common in the middle age group and more common in women than men. Several factors cause CTS, including pregnancy and lactation. Very few studies have been conducted regarding the treatment of CTS in Bangladesh. So the local data related to the issue are very limited. Aim of study: The aim of the study was to evaluate of carpal tunnel syndrome conservatively in pregnant women. Methods: This was an observational prospective study. The study was conducted in the Department of Orthopedics of Shaheed M. Monsur Ali Medical College, Sirajganj, Bangladesh during the period from January 2017 to December 2018. In total 60 pregnant women with carpal tunnel syndrome was the study population. Patients were classified into mild, moderate and severe carpal tunnel syndrome according to clinical and nerve conduction grading. Results: Based on clinical assessment, 56.67% had mild to...
Multicenter study on carpal tunnel syndrome and pregnancy incidence and natural course
Acta Neurochirurgica
Objective. To evaluate the incidence of carpal tunnel syndrome (CTS) in pregnancy through a validated and multiperspective assessment of CTS and to assess the course of carpal tunnel syndrome after pregnancy. Methods. During 2000-2001, the Italian CTS study group in 7 Italian centers studied the occurrence of CTS in women during the last period of pregnancy. The group enrolled and followed-up (10-15 months) 63 women during and after pregnancy with multiple measurements of CTS. In addition to the physician-centered and neurophysiologic traditional evaluations, a validated patientoriented measurement to obtain more comprehensive and consistent data for severity of symptoms and functional impairment was adopted. Results. CTS was clinically diagnosed in more than half of women (62%). Neurophysiological evaluation provided diagnosis of CTS in around half of women (43% were positive in one hand at least). Comparison of baseline and follow-up data showed a significant spontaneous improvement of patient-oriented and neurophysiologic measurements. Nevertheless, about half of women with CTS during pregnancy still complained of CTS symptoms one year after delivery. Conclusions. Our observations confirmed the frequent occurrence of CTS in pregnancy. At follow-up we observed that most CTS cases improve spontaneously without treatment but only in half of women CTS symptoms disappeared one year after delivery.
Journal of National Institute of Neurosciences Bangladesh, 2018
Background: Carpal Tunnel Syndrome (CTS) is the most common upper extremity compression neuropathy which is a common entrapment neuropathy seen in pregnant women. Objective: The purpose of the present study was to assess presentation and severity of various symptoms among women with CTS in pregnancy and to see the effect of conservative management protocols in alleviation of symptoms of the disease and restoration of functional capability of the affected hands. Methodology: This interventional study was included 36 pregnant women attended in the Outpatient Department of Physical Medicine and Rehabilitation Specialist in the Hi-Tech Multicare Hospital, Dhaka during the period from January 2015 to January 2016 for a period of one year and one month. Detail history was taken and examined physically by a specialist in physical medicine to ascertain the clinical diagnosis. Out of 48 referred cases, 42 pregnant women were identified clinically as CTS cases based on symptoms and signs. However, 2 cases were not enrolled because of severe form of pain and referred to other hospital for admission and 6 patient dropped out. Therefore, 36 cases with CTS symptoms included in this study. All the patients were given conservative treatment (Wrist splint, Exercise and activity modification) for 8 weeks. All patients were followed up at 4 weeks interval. Treatment outcome were measured by Boston carpal tunnel questionnaire (BCTQ). Result: The mean age of the patients is 30±3.5 years. 26 (78%) patients mild to moderate type of CTS symptoms showed improvement in conservative management. Before treatment the mean symptoms severity scale (SSS) of BCTQ) was 2.32±0.4 and for functional status scale (FSS) was it was 1.99±0.43. After treatment for SSS 1.86±0.47 and for FSS 1.53±0.42. And in SSS the p value<.05 and in FSS p value is <.05 which was statistically significant. Conclusion: In conclusion conservative management protocols are sufficient enough in alleviation of symptoms of the disease and is effective for the restoration of functional capability of the affected hand or hands.
Carpal tunnel syndrome in pregnancy: Frequency, severity, and prognosis
Archives of Physical Medicine and Rehabilitation, 1998
To determine the frequency, severity, prognosis, and patterns of carpal tunnel syndrome (CTS) in pregnancy. Descriptive retrospective chart review using the Rochester Epidemiology Project medical record diagnostic indexing system to identify patients with new CTS occurring during pregnancy from 1987 to 1992 at our institution. Obstetrical practice, where two thirds of pregnant women in the county receive primary obstetrical care. Women pregnant during 1987 to 1992 who had a new diagnosis of CTS. Women with pregnancies at other dates or women who had CTS with onset before or after pregnancy were excluded. Age, underlying medical problems, gestation interval, weight gain, number of pregnancies, presenting symptoms, onset and duration of symptoms before diagnosis, trimester of CTS diagnosis, treatment and response, and results of electrophysiologic studies are described. Of 10,873 pregnant patients receiving antenatal care for 14,579 pregnancies, 50 (.34%) fulfilled the inclusion criteria. Their mean age was 30.5 +/- 4.0 yrs. Twelve patients (24%) were primigravid. Mean weight gain was 12.1 +/- 5.7 kg. CTS was diagnosed most frequently during the third trimester (n = 25, 50%). Symptom onset, when recorded, occurred with even distribution during each trimester: first, n = 11 (32%); second, n = 11 (32%); third, n = 12 (35%). For 37 patients in whom symptom duration was recorded, duration before diagnosis was 9.3 +/- 9.0 weeks. Paresthesia (88%) was most often bilateral (68%), and 67% of patients had pain. The Tinel sign was present over the median nerve at the wrist in 95%. Only nine patients had nerve conduction studies performed. During pregnancy, 37 women were treated nonsurgically with wrist orthoses, steroid injections, or both. Of treated patients for whom follow-up data were available, 25 of 26 improved, and 4 of 26 required surgery. Thirteen women had no treatment during pregnancy; three underwent surgery in the postpartum period. All 7 women in whom conservative treatment failed who underwent surgery had resolution of symptoms. These results represent the frequency and patterns of clinically significant CTS in a large population of pregnant women. CTS severe enough to warrant treatment occurs infrequently in pregnancy and generally resolves spontaneously postpartum or responds to conservative treatment.
Prevalence of Carpal Tunnel Syndrome in Pregnant Women: A Prevalence Study
2019
Objectives: To find out the prevalence of Carpal Tunnel Syndrome in pregnant women including both primagravida and multigravida women of all three trimesters of pregnancy and to find out functional limitation in affected women with Carpal Tunnel Syndrome. Methods: A cross sectional survey was conducted. Closed ended questionnaire, clinical tests and physical examination were used to collect data from 200 pregnant women by using non-probability convenience sampling technique in different hospitals of Punjab, Pakistan. Primagravida and multigravida women, 1st, 2nd and 3rd trimester pregnant women were included. Fisher's Exact Test was used for associations and Spearman correlation between wrist pain and nature of pain. The duration of study was 3 months from December 2016 to end of February 2017. Results: The result revealed that prevalence of Carpal Tunnel Syndrome in pregnant women with classical sign and symptoms of wrist pain with alteration of sensation and functional limitation is 40%. Conclusion: This study concluded that prevalence of Carpal Tunnel Syndrome is more common in multigravida pregnant women in third trimester of pregnancy with alteration of sensation and functional limitation occurs due to this syndrome.
Carpal tunnel syndrome in females: pregnancy and lactation the major risk factors
International Journal of Reproduction, Contraception, Obstetrics and Gynecology
Background: Carpal Tunnel Syndrome (CTS) is the most common entrapment neuropathy. CTS is more common in the age group of 45-65 years and more common in women than men. Several factors cause CTS, including pregnancy and lactation.Methods: The study was conducted on 60 females with carpal tunnel syndrome. Each patient was subjected to detailed history and relevant clinical examination with emphasis on elaborate neurological examination. Informed consent regarding participation into the study was taken from the patients. Patients suspected of suffering from carpal tunnel syndrome were subjected to nerve conduction study. Patients were classified into mild- moderate and severe carpal tunnel syndrome according to clinical and nerve conduction grading.Results: Out of 60 females, 21 were pregnant (35%) and 19 were lactating (31.7%). The mean age of presentation was 44.6±14.14 years with range from 22 to 63 years. Causes were attributed to Pregnancy (35%) lactation (31.7%), hypothyroidis...
Carpal tunnel syndrome and its associated factors in third trimester of pregnancy
2020
Objective: To assess Carpal tunnel syndrome (CTS) presence and its associated factors in third trimester of pregnancy. Methodology: By using convenient sampling this cross-sectional study of 150 Patients was done in 6 months at Madinah teaching Hospital and Allied Hospital, Faisalabad. Boston Carpal tunnel questionnaire, Tinel's test and Phalen's test were used. Data were analyzed through SPPS version 20. Result: Out of 150 females, Only 24(16%) had CTS symptoms measured through Tinel's test and Phalen's test. There was no significant association (P=0.179) between CTS and third trimester of pregnancy. CTS occurrence was not associated (P=0.251) with age of patient. Conclusion: The study shows low presence of CTS in third trimester of pregnancy. Moreover, there is no significant association exists among age of patient, month of pregnancy and carpal tunnel syndrome. CTS can occur at any age and during any month of pregnancy.
Prevalence and individual risk factors of carpal tunnel syndrome in pregnant women
Journal of Bashir Institute of Health Sciences
Background: Prevalence of carpal tunnel syndrome (CTS) among pregnant women is very much common among the whole population. Due to rapid economic and social changes, an increasing trend of this disorder, as well as its individual risk factors, has also been observed in Pakistan. Objective: The present study aimed to find out the prevalence of CTS in pregnant women and to identify the risk factors associated with CTS in pregnancy. Material & Methods: Descriptive cross-sectional survey for the prevalence of CTS and a case-control study to find out the risk factors were administered on a sample of n=304 participants of pregnant women of Rawalpindi and Islamabad hospitals for six months from October 2016 to March 2017. Data was collected by non-probability convenient sampling through a self-structured questionnaire. The Association of risk factors was measured by odds ratio. Result: The present study showed the prevalence of CTS is 76(25%) based on Phalen’s test and the prevalence of CT...