What is the role of sensitization in carpal tunnel syndrome where pain impacts functional capacity?

Author:

GÜLER Emel1ORCID,POLAT Musa2ORCID,SOYKÖK Gülay3ORCID,YAVUZ MOLLAVELİOĞLU Tuğçe4ORCID

Affiliation:

1. Sivas Cumhuriyet Üniv. Tıp Fakültesi FTR AD/ Algoloji BD

2. SIVAS CUMHURIYET UNIVERSITY

3. SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, KAYSERİ ŞEHİR SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ, DAHİLİ TIP BİLİMLERİ BÖLÜMÜ, NÖROLOJİ ANABİLİM DALI

4. HACETTEPE ÜNİVERSİTESİ

Abstract

Aims: Expression of carpal tunnel syndrome (CTS) caused by the entrapped median nerve includes pain, paraesthesia and numbness. Extra median spread of pain can furthermore be seen as a clinical requirement defined by neuro inflammation. Central sensitization (CS) constructs a similar mechanism. This study aims to evaluate sensitization in patients diagnosed with CTS. Methods: A total number of 152 patients diagnosed with CTS were evaluated, prospectively. Patients data such as gender, age, body mass index (BMI), disease duration, pain severity (NRS), painDETECT questionnaire, Boston CTS symptom severity scale (SSS) and functional status scale (FSS), CS scale, electroneuromyography results have been collected by the author and then the patients are divided into three groups. Results: Regarding the age, BMI and CS rate, there was no statistical difference between the three patient groups (p>0.05). However, a statistically significant difference was found between these groups in disease duration, day-time and night-time NRS, Boston SSS, FSS, and pain DETECT scores (p0.05). Yet, statistically significant differences were found in a comparison of the patients with and without CS, in disease duration, NRS night scores, and painDETECT scores (p

Publisher

Anatolian Current Medical Journal

Subject

General Medicine

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