Profile of patients with carpal tunnel syndrome: A study in a tertiary care hospital
Background: Carpal tunnel syndrome (CTS) is one of the most common ‘peripheral neuropathy which is usually associated with the compression of the median nerve at the level of carpal tunnel. CTS is generally characterized by tingling, numbness, weakness of the thumb, and thenar atrophy. In Bangladesh, we do have not enough research-based data regarding the features and presentations of carpal tunnel syndrome.
Aim of the study: This study aimed to determine the features and demography of patients with carpal tunnel syndrome (CTS).
Methods: This prospective observational study was conducted in the Department of Physical Medicine & Rehabilitation, Cumilla Medical College Hospital, Cumilla, Bangladesh during the period from January 2019 to January 2020. In total 100 patients with carpal tunnel syndrome were included as the study subjects of this study. This study was approved by the ethical committee of the mentioned hospital. Proper written consent was taken from all the participants before data collecting. All data were collected, processed and analyzed by using MS Office and SPSS version 23 programs as per need.
Results: The mean (±SD) age of the participants was found 47.25±9.50 years. The male-female ratio was 1:3. The mean (±SD) BMI (kg/m2) was 26.9±4.77. Most of the participants were married which was 62% (n=62). We found paraesthesia weakness in thenar eminence, numbness, nocturnal pain, pain after physical activity and sensitivity alteration were associated in more than 75% of patients. Among all the participants, more than half (53%) of the patients were mild in condition. Besides this, 43%, 8% and 4%of patients were in moderate, severe and very severe condition respectively.
Conclusion: Women are most vulnerable to carpal tunnel syndrome. Most of the cases for CTS are found in the middle age group. Paraesthesia may be considered the most common symptom of this disease. Early diagnosis may reduce the suffering of patients with carpal tunnel syndrome.
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