THE EFFECT OF VITAMIN D TREATMENT ON NEUROPATHIC PAIN AND FUNCTIONAL ACTIVITY IN PATIENTS WITH CARPAL TUNNEL SYNDROME

2021 ◽  
pp. 234-237
Author(s):  
Ümit Yalçın ◽  
Sevtap Badıl Güloğlu
Keyword(s):  
Vitamin D ◽  
Carpal Tunnel Syndrome ◽  
Visual Analog Scale ◽  
Carpal Tunnel ◽  
Functional Activity ◽  
Vitamin D Supplementation ◽  
Post Treatment ◽  
Analog Scale ◽  
Tunnel Syndrome ◽  
Pre Treatment

Background: Vitamin D deciency is a very common condition throughout the world and is known to be associated with many chronic systemic diseases. It has been shown to have neuroprotective effects in several studies. This study aimed to investigate the effect of vitamin D supplementation on pain, functional activity, and electrophysiological values in patients with carpal tunnel syndrome. Methods: This study included a total of 50 patients (72 wrists) with vitamin D deciency and mild CTS. Pre-treatment and posttreatment pain levels of the patients were measured using visual analog scale and painDETECT questionnaire whereas the Boston Carpal Tunnel Syndrome Questionnaire was used to assess the functional status. Furthermore, nerve conduction study was performed in all patients before and after treatment. Results: There was a signicant increase in post-treatment serum vitamin D levels compared to pre-treatment (p<0.05). A statistically signicant decrease was observed in the visual analog scale, painDETECT, and Boston Carpal Tunnel Syndrome Questionnaire scores after treatment compared to pre-treatment (p<0.05). Median nerve distal sensory latency and distal motor latency values decreased signicantly after treatment (p<0.05). Post-treatment sensory action potential and sensory conduction velocity values increased signicantly compared to pre-treatment values (p<0.05). Conclusions: This study shows that vitamin D supplementation improves pain scores, functional activity, and more importantly, electrophysiological ndings in carpal tunnel syndrome cases.

scholarly journals Gambaran Penurunan Nyeri Pada Carpal Tunnel Syndrome Setelah Diberikan Kinesiotaping : Literature Review

2021 ◽  
Vol 1 ◽  
pp. 1855-1862
Author(s):  
O Oktavia ◽  
Nurul Aktifah
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Literature Review ◽  
Visual Analog Scale ◽  
Carpal Tunnel ◽  
Analog Scale ◽  
Exclusion Criteria ◽  
Long Period ◽  
Tunnel Syndrome ◽  
Review Study ◽  
Selection Of

AbstractCarpal Tunnel Syndrome is caused by repeated movements for a long period of time causing pressure on the median nerve causing pain in the wrist. Intervention to reduce pain in Carpal Tunnel Syndrome using Kinesiotaping modality. This literature review study aims to determine the description of pain reduction in Carpal Tunnel Syndrome after being given Kinesiotaping intervention. The selection of articles in this study used the PICO mnemonic design. The writing of this article uses a literature search through Google Scoolar, PubMed with predetermined inclusion and exclusion criteria. The results of a literature review of five articles show that Kinesiotaping can reduce pain in Carpal Tunnel Syndrome patients. Kinesiotaping can reduce pain in Carpal Tunnel Syndrome. Actions in performing physiotherapy management on the problem of Carpal Tunnel Syndrome (CTS) pain, physiotherapy can handle using the Kinesiotaping modality.Keywords: Carpal Tunnel Syndrome (CTS), Kinesiotaping, Visual Analog Scale (VAS), Pain AbstrakCarpal Tunnel Syndrome disebabkan gerakan yang berulang dalam jangka waktu yang lama menyebabkan penekanan pada saraf medianus menimbulkan rasa nyeri pada pergelangan tangan. Intervensi penurunan nyeri pada Carpal Tunnel Syndrome menggunakan modalitas Kinesiotaping. Penelitian literature review ini bertujuan untuk mengetahui gambaran penurunan nyeri pada Carpal Tunnel Syndrome setelah diberikan intervensi Kinesiotaping. Pemilihan artikel pada penelitian ini menggunakan desain mnemonic PICO. Penulisan artikel ini menggunakan penulusuran literature melalui Google Scoolar, PubMed dengan kreteria inklusi dan eksklusi yang telah ditentukan. Hasil literature review lima artikel menunjukan bahwa Kinesiotaping dapat menurunkan nyeri pada pasien Carpal Tunnel Syndrome. Kinesiotaping dapat menurunkan nyeri pada Carpal Tunnel Syndrome. Tindakan dalam melakukan management fisioterapi pada masalah nyeri Carpal Tunnel Syndrome (CTS), fisioterapi dapat melakukan penanganan dengan menggunakan modalitas Kinesiotaping. Kata kunci : Carpal Tunnel Syndrome (CTS), Kinesiotaping, Visual Analog Scale (VAS), Nyeri

scholarly journals The effects of vitamin D supplementation in carpal tunnel syndrome treatment outcomes: a systematic review

2021 ◽  
Vol 8 (1) ◽  
Author(s):  
Chirathit Anusitviwat ◽  
Porames Suwanno ◽  
Sitthiphong Suwannaphisit
Keyword(s):  
Vitamin D ◽  
Carpal Tunnel Syndrome ◽  
Functional Status ◽  
Treatment Outcomes ◽  
Conduction Velocity ◽  
Carpal Tunnel ◽  
Nerve Conduction ◽  
Nerve Conduction Velocity ◽  
Vitamin D Supplementation ◽  
Tunnel Syndrome

Abstract Purpose Vitamin D deficiency is related to carpal tunnel syndrome symptoms. Correcting vitamin D levels by supplementation was supposed to improve carpel tunnel symptoms, though there is a lack of aggregated data about treatment outcomes. This study aimed to examine whether vitamin D supplementation could improve the treatment outcomes in carpal tunnel syndrome patients. Methods A comprehensive search of the PubMed, Cochrane Library, Scopus, and Web of Science databases for articles on vitamin D and carpel tunnel syndrome from January 2000 to March 2021 was performed. The article screening and data extraction were performed by two investigators independently with blinding to decisions on selected studies. All included studies had assessed the quality of evidence using the Methodological Index for Non-Randomized Studies (MINORS) scoring system. Results We retrieved four studies that met the eligibility criteria. The treatment outcomes were evaluated by visual analog scale (124 wrists), functional scores (176 patients), muscle strength (84 patients), and nerve conduction velocity (216 wrists). After vitamin D supplementation, two studies reported improved pain scores and nerve conduction velocity, and three studies showed enhancement of functional status. Conclusion Vitamin D administration could offer favorable outcomes in pain improvement, better functional status, and increased sensory conduction velocity in carpal tunnel syndrome. However, there is to date no recommendations concerning a standardized dose or duration of vitamin D administration in carpal tunnel syndrome; prescribing vitamin D at the usual appropriate dose is suggested as an additional treatment in patients with mild to moderate carpel tunnel symptoms. Level of Evidence Level IV, therapeutic study

Effects of Anthropometric Measurements on Treatment Outcomes in Patients with Carpal Tunnel Syndrome

2018 ◽  
Vol 23 (04) ◽  
pp. 528-532
Author(s):  
Hazim Avsaroglu ◽  
Suheda Ozcakir
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Treatment Outcomes ◽  
Median Nerve ◽  
Visual Analog Scale ◽  
Carpal Tunnel ◽  
Symptomatic Improvement ◽  
Anthropometric Measurements ◽  
Analog Scale ◽  
Cross Sectional ◽  
Tunnel Syndrome

Background: The purpose of this study was to investigate the relationship between anthropometric hand/wrist measurements and outcomes following static wrist splintage in patients with mild-to-moderate carpal tunnel syndrome (CTS). Methods: Thirty nine patients with mild-to-moderate CTS were enrolled in this study. Anthropometric measurements of hand and wrist including wrist width, wrist depth, palm length, hand length, wrist ratio (wrist depth/wrist width) and wrist/palm ratio (wrist depth/palm length) were recorded as well as body mass index and ultrasonographic cross sectional area of median nerve. Patients were treated with static wrist splints and evaluated at 2nd, 4th and 12th weeks with Boston Carpal Tunnel Questionnaire, median nerve nerve conduction studies, Visual Analog Scale for pain and Likert Scale for numbness. Results: Following treatment with a static wrist splint, the wrist ratio was correlated significantly with improvements in Boston Functional Status Scale at the second and forth weeks (r = −0.354, p = 0.027 and r = −0.320, p = 0.050 respectively) and Visual Analog Scale at the forth and 12th weeks (r = −0.352, p = 0.030 and r = −0.360, p = 0.029 respectively). Conclusions: Splinting provides symptomatic improvement in mild-to-moderate CTS and this study suggests that the wrist anthropometric measurements may influence treatment outcomes.

scholarly journals Pengaruh Ultra Sound Dan Terapi Latihan terhadap Carpal Tunnel Syndrome

2017 ◽  
Vol 1 (1) ◽  
pp. 24-31
Author(s):  
Nurwahida Puspitasari ◽  
Suci Amanati ◽  
Zainal Abidin
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Visual Analog Scale ◽  
Carpal Tunnel ◽  
Ultra Sound ◽  
Analog Scale ◽  
Free Exercise ◽  
Tunnel Syndrome

ABSTRAKCarpal Tunnel Syndrome (CTS) adalah entrapment neuropaty yang paling sering terjadi pada pergelangan tangan. Selama tahun 2003 sampai 2005 terjadi peningkatan kasus CTS padakaryawan akibat gerakan repetitif pada penggunaan komputer dalam frekuensi yang sering dan durasi yang lama dari 76 kasus menjadi 112 kasus. Rumusan masalah dalam penelitian ini adalah bagaimana pengaruh ultra sound dan terapi latihan pada penderita carpal tunnel syndrome. Populasi penelitian ini adalah pasien penderita carpal tunnel syndrome di RSUP Dr. Kariadi Semarang sebanyak 10 pasien yang secara keseluruhan diambil sebagai sampel penelitian. Pengumpulan data didapat dari pemeriksaan nyeri dengan visual analog scale (vas). Visual Analoque Scale (VAS) sebagai pemeriksaan derajat nyeri. Hasil uji t menunjukkan Sig. = 0,000(<0,05), maka Ho ditolak dan Ha diterima. Hal ini berarti nyeri diam sebelum dan sesudah tindakan penggunaan ultra sound dan terapi latihan (free exercise, assisted exercise, assisterdresisted exercise dan resisted exercise) tidak sama. Berdasarkan hasil penelitian, dapat disimpulkan adanya pengaruh penggunaan ultra sound dan terapi latihan (free exercise, assisted exercise, assisterd-resisted exercise dan resisted exercise) terhadap nyeri pada kasus Carpal Tunnel Syndrome (CTS).

1287 A Comparison of Surgical Decompression and Steroid Injections to Treat Carpal Tunnel Syndrome: A Meta-Analysis

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
F La Costa
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Steroid Injection ◽  
Muscular Atrophy ◽  
Meta Analysis ◽  
Surgical Decompression ◽  
Optimal Treatment ◽  
Post Treatment ◽  
Entrapment Neuropathies ◽  
Tunnel Syndrome

Abstract Introduction Carpal tunnel syndrome (CTS) is caused by compression of the median nerve at the wrist. It accounts for 90% of all entrapment neuropathies, with a 7-16% in the UK. It has a significant impact on patients’ daily lives. Clinically, CTS results in paraesthesia, while extreme cases may involve muscular atrophy and weakness. There is currently a disparity between optimal treatments for CTS. Therefore, this paper aims to identify the optimal treatment for CTS with post-treatment BCTQ (Boston Carpal Tunnel Questionnaire) scores (including both functional and symptomatic severity) at 1, 3 and 6 months. Method The BCTQ scores for were sited from PubMed, Google Scholar and the University of Dundee Library search engine by entering key words such as “carpal tunnel syndrome”, “surgical decompression”, “surgical release” and “steroid injection”. Means and standard deviations for pre- and post-treatment after 1, 3 and 6 months were obtained. From this, forest plots were constructed using a software where steroid injection and surgical decompression were inputted separately, and effect sizes were then compared for 1, 3 and 6 months. Results The meta-analysis included reviewing 133 articles. The effect size was determined using the random effects model. Steroid injection was more effective than surgical decompression after 1 and 3 months. However, after 6 months, surgical decompression was more effective. Conclusions Identification of long-term relief of CTS through surgical decompression allows the reduction of symptom recurrence and thus costly follow-up appointments. This study provides robust clinical findings for the optimal treatment of CTS.

Single versus repetitive injection of lignocaine in the management of carpal tunnel syndrome – a randomized controlled trial

2014 ◽  
Vol 40 (2) ◽  
pp. 179-183 ◽  
Author(s):  
S. Akarsu ◽  
Ö. Karadaş ◽  
F. Tok ◽  
H. Levent Gül ◽  
E. Eroğlu
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Controlled Trial ◽  
Post Treatment ◽  
Randomized Controlled ◽  
Electrophysiological Findings ◽  
Tunnel Syndrome ◽  
Group 2 ◽  
Single Versus ◽  
Group 1

The aim of this study was to determine the efficacy of single versus repetitive injection of lignocaine into the carpal tunnel for the management of carpal tunnel syndrome. The 42 patients included were randomly assigned to two Groups: group 1 was injected with 4 mL of 1% lignocaine once and Group 2 was injected with 4 mL of 1% lignocaine twice a week for 2 weeks. Clinical and electrophysiological evaluations were performed at the study onset, and at 6 and 12 weeks following the final injection. Initially, the groups were similar with respect to clinical and electrophysiological findings. All parameters in Group 2 improved 6 weeks post treatment ( p < 0.05), and these improvements persisted at 12 weeks post treatment ( p < 0.05). Repetitive local lignocaine injection was effective in reducing the symptoms of carpal tunnel syndrome and improving electrophysiological findings.

scholarly journals The evaluation of the effect of vitamin D replacement on the symptoms of carpal tunnel syndrome in patients with low vitamin D levels

2021 ◽  
Vol 4 (3) ◽  
pp. 244-254
Author(s):  
Ayse Gul Korkut ◽  
Sebnem Koldas Dogan ◽  
Meral Bilgilisoy Filiz ◽  
Naciye Fusun Toraman
Keyword(s):  
Vitamin D ◽  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Vitamin D Levels ◽  
Tunnel Syndrome

scholarly journals Evaluation of Vitamin D Levels in Women With Carpal Tunnel Syndrome

Hand ◽  
2016 ◽  
Vol 11 (1_suppl) ◽  
pp. 89S-89S
Author(s):  
Seung Hoo Lee ◽  
Hyun Sik Gong ◽  
Jihyeong Kim ◽  
Goo Hyun Baek
Keyword(s):  
Vitamin D ◽  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Vitamin D Levels ◽  
Tunnel Syndrome

scholarly journals Efficacy of Sensory Rehabilitation on Pain and Hand Function in Patients with Median Nerve Entrapment

2020 ◽  
Vol 11 (4) ◽  
pp. 7021-7026
Author(s):  
Youssef M Elbalawy ◽  
Ebtesam M Fahmy ◽  
Rasha M ElRewainy ◽  
Fairouz H Ameen ◽  
Dina O Galal ◽  
...  
Keyword(s):  
Physical Therapy ◽  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Hand Function ◽  
Post Treatment ◽  
Aged People ◽  
Therapy Program ◽  
Group I ◽  
Tunnel Syndrome ◽  
Physical Therapy Program

A common Carpal tunnel syndrome (CTS) is aneuropathic entrapment for the upper limbs with middle-aged people being at higher risk. To study how sensory rehabilitation impacts pain and functional outcome of hand in carpal tunnel syndrome patients. Twenty females with CTS, aged 25-45 years were enrolled. They were allocated at random to two groups; Group I: provided for sensory rehabilitation in addition to a standard physical therapy program and Group II: received only the standard physical therapy program only.  Pre and post-treatment assessment included Visual Analogue Scale (VAS) and the Boston Carpal Tunnel Syndrome Questionnaire (BCTQ). In both post-treatment groups, the decrease of mean VAS and BCTQ scores was statistically significant. No substantial difference between the two groups in the measured parameters pre or post treatment. Adding sensory rehabilitation has nearly the same efficacy as the standard physical therapy program alone in decreasing pain, enhancing hand function in mild and moderate patients with CTS.

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