Relationship of electrodiagnostic findings with severity of symptoms and function in subjects with carpal tunnel syndrome

Bhatt, Noopur G; Sheth, Megha; Vyas, Neeta J

doi:10.5455/ijtrr.00000053

Cited by 1 publication

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“…Carpal tunnel syndrome (CTS) is a common entrapment neuropathy of the median nerve at the wrist (Demino & Fowler, 2021 ). Much as the name implies, the median nerve is compressed when entering the carpal tunnel as it travels beneath the transverse carpal ligament (Bhatt et al., 2015 ). Though the underlying cause of the compression can be idiopathic, it can be attributable to a number of different factors such as malpositioning of the wrist, any condition that leads to an excess fluid within the body that leads to an increased volume in the tunnel, and masses that could occupy the volume of the tunnel (Genova et al., 2020 ).…”

Section: Introductionmentioning

confidence: 99%

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Is psychological distress associated with carpal tunnel syndrome symptoms and nerve conduction study findings? A case–control study from Syria

Alsharif

Habbal

Daaboul³

et al. 2022

Brain and Behavior

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Background:Carpal tunnel syndrome (CTS) is a common entrapment neuropathy of the median nerve at the wrist which causes severe symptoms. However, psychological aspects can affect how patient perceive this pain and can cause similar pain in some instances. This study aims to determine the association between symptoms severity, functional status, and nerve conduction studies (NCS) of adult patients with carpal tunnel syndrome (CTS) and their anger, anxiety, and depression status. Methods:This case-control study was conducted in clinics in Damascus, Syria. Controls were frequency matched by gender and age from a general clinic. Interviews based on questionnaires were used that included Boston carpal tunnel questionnaire (BCTQ-A), Hospital Anxiety and Depression Scale (HADS), Dimensions of Anger Reactions Scale-5 (DAR-5) and Nerve Conduction Studies (NCS). Results:Overall, 242 patients (121 cases) were included in this study. Cases with CTS had signi cantly higher anxiety and depression when compared with controls, but not higher anger. Cases with higher anxiety, depression and anger had signi cantly more CTS symptoms and less functional status. Anxiety was also higher in cases with normal NCS in case group. When using regression, anxiety and depression remained signi cantly associated with having CTS. Conclusion:Anxiety and depression are more prominent with CTS. Furthermore, having anxiety and depression were associated with more CTS symptoms in the hand. Having anger was also associated with more CTS symptoms among cases. These ndings emphasise on the importance of psychological aspects when having hand pain or CTS symptoms as these patients might have these symptoms despite having normal NCS.

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Section: Introductionmentioning

confidence: 99%

“…As the disease progresses, soft tissue injury occurs, and disabling motor symptoms such as reduction of grip strength become apparent. This impairment may progress into thenar atrophy in advanced cases (Bhatt et al., 2015 ; Genova et al., 2020 ; McCallum et al., 2019 ).…”

Section: Introductionmentioning

confidence: 99%