scholarly journals Electrophysiological evaluation of carpal tunnel syndrome female patients after vitamin D replacement

2020 ◽  
Vol 78 (4) ◽  
pp. 224-229
Author(s):  
Hikmet SAÇMACI ◽  
Nermin TANIK ◽  
Özlem BALBALOĞLU ◽  
Tülin AKTÜRK ◽  
Levent Ertuğrul İNAN
Keyword(s):  
Vitamin D ◽  
Nervous System ◽  
Carpal Tunnel Syndrome ◽  
Vitamin D Deficiency ◽  
Carpal Tunnel ◽  
Analogue Scale ◽  
Onset Latency ◽  
Female Patients ◽  
Before And After ◽  
Tunnel Syndrome

Abstract Objective: The effects of vitamin D on the central and peripheral nervous system continue to be investigated today. In the present study, we aimed to evaluate pain and electrophysiologic response in patients with carpal tunnel syndrome (CTS) who have undergone replacement therapy due to vitamin D deficiency. Methods: Fifty female patients diagnosed with mild and moderate CTS and accompanied by vitamin D deficiency were included in this study. Nerve conduction study (NCS) was performed before and after vitamin D replacement, and the patient’s pain was evaluated with Visual Analogue Scale (VAS). Results: When NCS were compared before and after treatment, there was a statistically significant improvement in the median distal sensory onset latency (DSOL) and sensory conduction velocity (CV) and motor distal latencies (DML) values (p=0.001; p<0.001; p=0.001, respectively). At the same time, there was a decrease in the VAS values in patients (p<0.001). When the two groups were compared there was an improvement in DSOL and sensory CV in both groups, but in DML only in moderate CTS group. Conclusion: In this study, it was shown that mild and moderate CTS patients had an improvement in pain and electrophysiological parameters after vitamin D replacement. Replacing vitamin D in early stages of CTS may be beneficial.

Does vitamin D deficiency trigger carpal tunnel syndrome?

2016 ◽  
Vol 29 (4) ◽  
pp. 835-839 ◽  
Author(s):  
Nermin Tanik ◽  
Özlem Balbaloğlu ◽  
Mehmet Ucar ◽  
Umıt Sarp ◽  
Tugay Atalay ◽  
...  
Keyword(s):  
Vitamin D ◽  
Carpal Tunnel Syndrome ◽  
Vitamin D Deficiency ◽  
Carpal Tunnel ◽  
Tunnel Syndrome

Evaluation of Vitamin D Deficiency in Patients with Carpal Tunnel Syndrome

2020 ◽  
Vol 23 (14) ◽  
Author(s):  
Mays Muhammad Ali A. Al- Obaidy ◽  
Farah Nabil Abbas
Keyword(s):  
Vitamin D ◽  
Carpal Tunnel Syndrome ◽  
Vitamin D Deficiency ◽  
Carpal Tunnel ◽  
Tunnel Syndrome

Evaluation of Functional and Symptomatic Outcomes After Vitamin D3 Administration in Carpal Tunnel Syndrome With Hypovitaminosis D

Hand ◽  
2021 ◽  
pp. 155894472098813
Author(s):  
Prakash D. Samant ◽  
Rohit M. Sane
Keyword(s):  
Vitamin D ◽  
Carpal Tunnel Syndrome ◽  
Vitamin D Deficiency ◽  
Carpal Tunnel ◽  
Serum Vitamin ◽  
Hypovitaminosis D ◽  
Serum Vitamin D ◽  
Quasi Experimental ◽  
Tunnel Syndrome ◽  
Carpal Tunnel Questionnaire

Background Vitamin D deficiency is now recognized as an independent risk factor and is involved in the pathogenesis of carpal tunnel syndrome (CTS). The purpose of this study was to evaluate the effects of vitamin D3 supplementation on functional and symptomatic outcomes in CTS patients with vitamin D deficiency. Methods This was a prospective, single-arm study with a pretreatment or posttreatment quasi-experimental design. Carpal tunnel syndrome patients with vitamin D deficiency were treated with vitamin D3 (60 000 IU/week) plus standard treatment for a period of 3 months. Carpal tunnel syndrome–related pain and functional and symptomatic outcomes were assessed at baseline and at 3 months posttreatment using the Visual Analogue Scale (VAS) and the Boston Carpal Tunnel Questionnaire, respectively, along with serum vitamin D. Results A total of 42 patients were analyzed. At 3 months posttreatment, there was a significant reduction in the severity of pain (VAS score) from baseline ( Z = −5.71, P < .001). Similarly, the functional and symptomatic outcomes (Boston symptoms severity scale [SSS] and Boston functional status scale [FSS] score) at 3 months posttreatment significantly improved in comparison with baseline (Boston SSS: Z = −5.66, P < .001; Boston FSS: Z = −5.68, P < .001). Conclusions Vitamin D3 supplementation was associated with improvement in functional and symptomatic outcomes and CTS-related pain in CTS with vitamin deficiency. However, further robust randomized controlled trials are warranted to validate the results.

Use of a Wheel Aesthesiometer for Testing Sensibility in the Hand Results in patients with carpal tunnel syndrome

1986 ◽  
Vol 11 (2) ◽  
pp. 182-186
Author(s):  
D. R. MARSH
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Surgical Decompression ◽  
Spatial Discrimination ◽  
Sensory Impairment ◽  
Discrimination Test ◽  
New Instrument ◽  
Before And After ◽  
Tunnel Syndrome

Tests of spatial discrimination were performed on the hands of patients with carpal tunnel syndrome, before and after surgical decompression. Impairment of sensibility and its recovery after treatment were better demonstrated by a new instrument, the wheel aesthesiometer, than by the moving two-point discrimination test. The psychophysics of the new test and the nature of the sensory impairment in carpal tunnel syndrome are discussed.

Comparison of Peak Versus Onset Latency Measurements in Electrodiagnostic Tests for Carpal Tunnel Syndrome

2014 ◽  
Vol 31 (4) ◽  
pp. 382-386 ◽  
Author(s):  
Kristel M. Kasius ◽  
Franka Claes ◽  
Jan Meulstee ◽  
Henry C. Weinstein ◽  
Wim I. M. Verhagen
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Onset Latency ◽  
Tunnel Syndrome ◽  
Peak Versus

Differences in characteristics of carpal tunnel syndrome between male and female patients

2020 ◽  
Vol 25 (5) ◽  
pp. 843-846 ◽  
Author(s):  
Tatsunori Mitake ◽  
Katsuyuki Iwatsuki ◽  
Hitoshi Hirata
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Male And Female ◽  
Female Patients ◽  
Tunnel Syndrome

Use of Nerve Conduction Studies and the Pressure-Specified Sensory Device in the Diagnosis of Carpal Tunnel Syndrome

2009 ◽  
Vol 34 (1) ◽  
pp. 60-65 ◽  
Author(s):  
D. J. SLUTSKY
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Nerve Conduction ◽  
Diagnostic Yield ◽  
Carpal Tunnel Release ◽  
Nerve Conduction Studies ◽  
Control Group ◽  
Asymptomatic Volunteers ◽  
Before And After ◽  
Tunnel Syndrome

Sixty-nine patients with signs of carpal tunnel syndrome (CTS) underwent nerve conduction studies (NCS) and testing with the Pressure-Specified Sensory Device (PSSD). A total of 102 tests were performed (28 bilateral). Twenty patients underwent a carpal tunnel release and were retested after 4 to 6 months. The Symptom Severity Score (SSS) was calculated before and after surgery. A control group of 20 hands in 10 asymptomatic volunteers underwent identical testing. The NCS sensitivity was 87% with a specificity of 90% whereas the PSSD sensitivity was 81% with a specificity of 65%. The combined sensitivity of the two tests was 93%. In the operative group the SSS improved from a mean of 3.34 pre-operatively to 1.95 postoperatively. The NCS improved in 19/21 hands whereas the PSSD improved in 16/19 hands. The non-invasive SSS and PSSD can increase the diagnostic yield in CTS, especially when the NCS are normal.

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