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Background Carpal tunnel syndrome (CTS) is a common cause of pain, weakness, sensory loss, and activity limitations. Currently, the most common initial treatment is use of a rigid splint immobilizing the wrist, usually during night-time, for several weeks. Evidence regarding the efficacy and effect durability of wrist splinting is weak. The treatment is associated with costs and may cause discomfort...
Background Sleep disturbance is common in carpal tunnel syndrome (CTS), and we hypothesize that it has an important impact on the quality of life of CTS patients. The characteristic of sleep problems associated with CTS has not been evaluated. Methods We performed a case–control study to measure the association between a variety of sleep disturbances and CTS. Sixty-two cases with clinically diagnosed...
Background Although carpal tunnel syndrome is the most common compressive neuropathy, there is no comprehensive theory of its etiology. Because of the prevalence of night symptoms, we are interested in the role of sleep position in the causation of carpal tunnel syndrome. Methods We performed a case–control study comparing the prevalence of preferred sleep position in 68 cases and 138 controls....
Purpose To test the hypothesis that an important step in a causative mechanism for carpal tunnel syndrome (CTS) is sleeping in a lateral position (sleeping on the side), we designed a cross-sectional survey to measure the association between sleep position, age, gender, and body mass index (BMI). Methods and Findings We surveyed 247 patients in a primary care setting. Fifty percent of men and 73%...
Introduction Carpal tunnel syndrome (CTS) is thought to be due to compression of the median nerve in the carpal tunnel. It is known that carpal tunnel pressures are elevated in wrist postures of flexion and extension and in those patients with CTS. Classic symptoms of CTS include night waking with pain, tingling, and numbness. These classic symptoms stimulated our interest in the relationship of sleep...
To identify the change score in the Symptom Severity Scale (SSS) of the Carpal Tunnel Syndrome (CTS) Questionnaire that is associated with an important change in clinical status. Twenty-eight patients with CTS treated with a carpal tunnel steroid injection completed the Brigham and Women’s Hospital CTS Questionnaire before steroid injections and at the 3-week follow-up visit. Satisfaction was determined...
The purpose of this cross-sectional study was to evaluate the prevalence and intensity of nerve compression symptoms and to estimate the prevalence of carpal tunnel syndrome (CTS) in the general population. A survey that included the Katz hand diagram, the Carpal Tunnel Instrument (CTI), and the Short Form-36 questionnaire was sent to 1,559 people. A short telephone survey was conducted to a random...
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