CARPAL TUNNEL SYNDROME ASS0SIATION WITH PREGNANCY AND TYPE II DIABETES

Abstract

Carpal Tunnel Syndrome (CTS) is a common condition resulting from the compression of the median nerve at the wrist, often influenced by factors such as pregnancy and Type 2 diabetes. Pregnancy-related CTS is primarily caused by hormonal changes, fluid retention, and ligament laxity, while diabetes exacerbates CTS through nerve ischemia and tissue changes due to prolonged hyperglycemia. This study aimed to evaluate the prevalence and severity of CTS in multiparous women diagnosed with Type 2 diabetes. Conducted over a six-month period from 11-03-2023 to 31-07-2023, and approved by the Timergara Orthopedic Department on 11-02-2023, the study included 63 female participants, divided into two groups: those with pregnancy-related CTS and those with Type 2 diabetes-related CTS. The findings revealed that 47.62% of participants exhibited CTS, with 52.38% of those with CTS also diagnosed with Type 2 diabetes. The severity of CTS ranged from mild to moderate, with the majority of cases being relatively mild (23.81% mild, 19.05% moderate, and 4.76% severe). The study found a higher prevalence of CTS in women aged 32-35 years, highlighting the role of age and diabetes in CTS development. Despite the presence of CTS, 60.32% of women reported no significant impairment in activities of daily living (ADLs). The study concludes that early diagnosis and management of CTS are essential for improving outcomes, particularly in diabetic and multiparous populations. The findings suggest that future studies should focus on the long-term effects of CTS in Type 2 diabetic women and explore effective treatment protocols tailored for this group.