PREVALENCE OF CARPAL TUNNEL SYNDROME IN MULTIGRAVIDA PREGNANT WOMEN: A CROSS-SECTIONAL STUDY
Main Article Content
Keywords
Prevalence, pregnancy, carpal tunnel syndrome, multigravida
Abstract
Background: Carpal tunnel syndrome (CTS) occurs when the median nerve is compressed as it passes through the carpal tunnel, causing tingling, numbness, and pain in the hands and fingers. To diagnose CTS in pregnant women, the Boston Questionnaire was used alongside physical tests such as the Phalen test, carpal compression test, and Tinel's sign test.
Objective: To determine the prevalence of carpal tunnel syndrome among multigravida pregnant women.
Methodology: A cross-sectional study was conducted at Lady Reading Hospital, Peshawar, Khyber Pakhtunkhwa, over six months. Convenience sampling was employed to recruit 218 multigravida pregnant women of various age groups. Data were collected using a consent form and a questionnaire on carpal tunnel syndrome.
Results: Out of 218 participants, 90 (41.3%) were diagnosed with CTS, while 128 (58.7%) did not have CTS. Among the 218 women, 86 (39.4%) reported an impact on their activities of daily living (ADL), while 132 (60.6%) reported no difficulties in ADL. The association between age and the prevalence of Carpal Tunnel Syndrome (CTS) among the participants illustrated the highest prevalence of CTS among the 32–35 age group.
Conclusion: According to the study the overall finding was that the severity of symptoms of the CTS were not often seen in multigravida pregnant women. The general effect of the condition was mild and did not affect daily activities and participation to any significant extent. Furthermore, it was also observed that the prevalence of CTS among multigravida women was comparatively lower than that recorded for primigravida women.
References
2. Currie KB, Tadisina KK, Mackinnon SE. Common hand conditions: a review. Jama. 2022;327(24):2434-45.
3. Cîmpeanu M-C, Roman N, Grigorescu S, Grigorescu O-D, Miclăuș RS. Management of “De Novo” Carpal Tunnel Syndrome in Pregnancy: A Narrative Review. Journal of Personalized Medicine. 2024;14(3):240.
4. Nyrhi L. Fractures and Orthopaedic Disorders During Pregnancy and the Following Recovery Period: An Epidemiologic Nationwide Register Study. 2023.
5. Nourmahnad A, Shariyate MJ, Khak M, Grinstaff MW, Nazarian A, Rodriguez EK. Relaxin as a treatment for musculoskeletal fibrosis: What we know and future directions. Biochemical Pharmacology. 2024:116273.
6. Sikkandar MF, Abdullah S, Singh R, Gill PS, Akmal NA, Kamaludin T, et al. Carpal Tunnel Syndrome in Pregnancy: Is There Really Oedema in the Carpal Tunnel? Parity. 2020;7(1):1-6.
7. Zaottini F, Picasso R, Pistoia F, Pansecchi M, Tovt L, Macciò M, et al., editors. Imaging of Anatomical Variants Around the Wrist and Hand. Seminars in Musculoskeletal Radiology; 2023: Thieme Medical Publishers, Inc.
8. Hidayati HB, Subadi I, Fidiana F, Puspamaniar VA. Current diagnosis and management of carpal tunnel syndrome: A review. Anesthesia, Pain & Intensive Care. 2022;26(3):394-404.
9. Genova A, Dix O, Saefan A, Thakur M, Hassan A. Carpal tunnel syndrome: a review of the literature. Cureus. 2020;12(3).
10. Alahgholi A, Bagheri RB. Pregnancy-Related Hand & Wrist Problem; Focus in surgery: Systematic Review. Eurasian Journal of Chemical, Medicinal and Petroleum Research. 2022;1(4):237-49.
11. Afshar A, Tabrizi A. Pregnancy-related hand and wrist problems. Archives of Bone and Joint Surgery. 2021;9(3):345.
12. Oguntona DAS, Jose D, Hussein D. Clinical and neurophysiological characteristics of patients with carpal tunnel syndrome presenting at the tertiary rheumatology out-patient clinic. Saudi Medical Journal. 2022;7(3):135-40.
13. Rehman M, Masood Z, Shakeel R, Sabir HMA, Javeid A, Rasheed M, et al. Prevalence of Carpal Tunnel Syndrome in Middle-Aged Pregnant Females. American Journal of Health, Medicine and Nursing Practice. 2023;8(2):27-34.
14. Kisli M. Carpal Tunnel Syndrome After Recurrent Pregnancies. 2020.
15. Ajroud S, Younis M, Elzahaf RA. An epidemiological study of carpal tunnel syndrome among pregnant women at Al-Wahda Hospital Derna. Engineer. 2020;1:1.35.
16. Smitha D. Prevalence of Carpal Tunnel Syndrome among Third Trimester Pregnant Women Institutional Based Study. Indian Journal of Physiotherapy & Occupational Therapy. 2020;14(4).
17. Bukhari S, Naz K, Ahmed Z, Rashid A, Ayaz S, Khan AU, et al. Carpal tunnel syndrome and its prevalence in pregnant females of Faisalabad Pakistan. Pak J Med Biol Sci. 2018;2(1):10-9.
18. Pari S, Niaz M, Khan L, Aziz R, Aslam A, editors. Prevalence of Carpal Tunnel Syndrome in Third Trimester of Pregnancy. Med Forum; 2021.
19. Abd Elmoniem SO, Abd-Elhakm EM, Ibrahim HA-F. The Effect of an Educational Intervention about Carpal Tunnel Syndrome on Pregnant Women'Knowledge, Symptoms Severity, and Function Status.
20. Mateen A, Tanveer F, Abdullah MA. Prevalence of Carpal Tunnel Syndrome in Pregnancy; A Cross-Sectional Study: Prevalence of Carpal Tunnel Syndrome in Pregnancy. The Healer Journal of Physiotherapy and Rehabilitation Sciences. 2024;4(2):965-70
21. Khosrawi S, Maghrouri R. The prevalence and severity of carpal tunnel syndrome during pregnancy. Advanced biomedical research. 2012 Jan 1;1(1):43.
Article Sidebar
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
All articles published in JPTCP are licensed under Copyright Creative Commons Attribution-NonCommercial 4.0 International License.
Dr. Tayyaba Siddique
MBBS, FSPS Gynecology and Obstetrics consultant at THQ hospital Wazirabad Gujranwala
Dr. Aimen Kaleem
MBBS, FSPS Gynecology and Obstetrics Consultant at Brig. Shafiq Memorial Trust Hospital
Dr. Nadia Jabeen
MBBS, FSPS Gynecology and Obstetrics Rawal institute of health sciences, affiliated with Rawal Medical and dental college Islamabad
Dr. Tahreem Sehar
MBBS, FSPS Gynecology and Obstetrics PIMS, Islamabad
Dr. Tahreem Rasheed
MBBS, FSPS Gynecology and Obstetrics Assistant Professor, Gynecology and Obstetrics Department Bakhtawar Ameen Teaching Hospital, Multan
Dr. Muhammad Asim Iqbal Qureshi
MBBS, FSPS Gynecology and Obstetrics Associate Professor, Obstetrics and Gynecology Bakhtawar Amin Medical College and Teaching Hospital, Multan