Prevalence of Carpal Tunnel Syndrome among Third Trimester Pregnant Women – An Institutional Based Study

2019 ◽  
Vol 300 (3) ◽  
pp. 623-631
Author(s):  
Gladys Alexandra Dias de Oliveira ◽  
João Marcos Bernardes ◽  
Elisiane de Souza Santos ◽  
Adriano Dias

1998 ◽  
Vol 23 (1) ◽  
pp. 98-101 ◽  
Author(s):  
P. SEROR

Clinical and electrophysiological features were studied in 52 cases of carpal tunnel syndrome (CTS) associated with 30 pregnancies. The duration of symptoms was less than 3 months before electrodiagnosis was performed. This study revealed a higher incidence of persistent, painful diurnal symptoms in pregnancy-related CTS (PRCTS) than in idiopathic CTS. PRCTS usually occurs for the first time (de novo) (24/30 cases), in primigravidas (15 cases) as well as multigravidas. The onset of symptoms was in the first or second trimester in 11 women, the third trimester in 12 women, or the post-partum period in seven women. Nerve conduction studies demonstrated evidence of an acute median nerve lesion at the wrist with motor and/or sensory conduction blocks in 20/30 women and severe denervation signs in five women.


2007 ◽  
Vol 36 (6) ◽  
pp. 778-783 ◽  
Author(s):  
Mauro Mondelli ◽  
Stefania Rossi ◽  
Elena Monti ◽  
Irene Aprile ◽  
Pietro Caliandro ◽  
...  

Author(s):  
Yasar Keskin ◽  
Gokhan Kilic ◽  
Ozgur Taspinar ◽  
Sevde Posul ◽  
Gulistan Halac ◽  
...  

Author(s):  
Zaib un Nisa ◽  
Hafiz Muhammad Asim ◽  
Rehan Ramzan ◽  
Mariam Faraz ◽  
Sidra Nazeer ◽  
...  

Carpal Tunnel Syndrome (CTS) is one of the most common neuropathies and pregnancy is a risk factor of CTS. The frequency of CTS during pregnancy, especially that according to the gestational age, is not well determined, and here we attempted to determine it in three hospitals in Lahore, Pakistan. By the use of non-probability purposive sampling method, 286 samples of pregnant females were collected. The diagnosis of CTS was made using Phalens test and others. Phalen test was positive in 20.8, 29.6, and 45.3% during 1st, 2nd and 3rd trimester, respectively. The questionnaire data indicated that CTS was present in 11.2, 37.0 and 49.5% in 1st, 2nd and 3rd trimester, respectively. Swelling of the joint was observed in 31.6, 51.9 and 77.8% in 1st, 2nd and 3rd trimester, respectively. The same tendency of the occurrence of CTS according to the three trimesters was observed when using nerve compression test or Tinels test.


2020 ◽  
Vol 1 (1) ◽  
pp. 03-08
Author(s):  
Tooba Sherazi ◽  
Umara Yaqub ◽  
Muhammad Aazib Sherazi ◽  
Rabbiya Riaz ◽  
Summaiya Malik Zaman ◽  
...  

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 CTS is 86(28.3%) based on Tinel’s test. History of CTS (OR=3.38) is the most common risk factor. Swelling (OR=2.74) is very common in pregnancy. Other factors including kidney disease, weightlifting, excessive household, cooking, and obesity, use of oral contraceptives, stress, smoking, sewing, diabetes, and thyroid dysfunction are also associated with CTS except for Rheumatoid arthritis, computer work and forceful griping. Conclusion: This study showed significant results regarding the prevalence and risk factors of CTS among pregnant women in the hospitals of Islamabad and Rawalpindi.


Author(s):  
Janet Waters

Carpal tunnel syndrome is the most common neuropathy experienced by pregnant women. It has an incidence of 3.4% in the general population in the United States. It occurs more frequently in pregnant women than in the general population, with an incidence of 17%. It is the most common mononeuropathy in pregnant women. This chapter covers the symptoms and signs that allow a clinician to make the diagnosis of carpal tunnel syndrome. Neuroanatomy and physiological changes that predispose pregnant women to this disorder are described. Management and prognosis of carpal tunnel syndrome in pregnancy are discussed: conservative management with wrist splints worn at night is effective in over 80% of patients. Local steroid injections can provide relief in patients with severe symptoms.


1990 ◽  
Vol 15 (1) ◽  
pp. 93-95
Author(s):  
J. S. WAND

A retrospective study of 40 women with carpal tunnel syndrome developing in pregnancy and 18 women with carpal tunnel syndrome in the puerperium was undertaken. All the cases that developed in pregnancy occurred in the third trimester and resolved within two weeks of delivery. Those cases developing in the puerperium affected women who had breast-fed their infants and their symptoms lasted a mean of 5.8 months. These patients were older and more likely to be primiparous than if the condition occurred in pregnancy. All the pregnant women and none of the lactating women had symptoms of peripheral oedema. Spontaneous resolution with a good response to conservative measures occurred in both groups; only three cases were treated surgically. Residual clinical evidence of median nerve damage was present in 40% of all cases. Carpal tunnel syndrome which develops in pregnancy appears to be a separate clinical entity to that developing in the puerperium.


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