TO DETERMINE RELATION OF SYMPTOM DURATION IN OUTCOME OF CTS
Keywords:Symptom, CTS, MMA & SDL
Background & Method: The study was conducted at the neurology Department of Amaltas Institute of Medical Sciences, Dewas, M.P. In our laboratory, the hands are evaluated for CTS using standard techniques with Nicolet Viking IV (ver12). The skin temperature of the body part, under evaluation, is measured using a probe connected to the machine and is maintained at 310c using a commercial hot air blower.
Result: The number of symptomatic hands was more in females (73 vs. 27%) and persons with high BMI (61.5 vs. 38.5); 27.7% of the hands belonged to the persons having concomitant medical issues. Female gender showed slightly higher odds (OR 1.2, CI 0.5-2.6, two-tailed p= 0.5) for remission on medical therapy. The median duration of symptoms of our study population was12 months (mean 24.16 ± 28.93 months). We had 40 patients having CTS in bilateral hands (n= 80 hands), while 50 patients had unilateral hand symptoms (n= 50 hands). Forty-one (31.5%) hands were symptomatic for 10 months or less (median 6 months) while remaining 89 hands were symptomatic for longer than 10 months (median 24 months). Shorter duration of the symptoms, at presentation, had significant higher odds of spontaneous remission (OR 9.47 CI 3.8-23.1, two-tailed p= <0.0001).
Conclusion: In conclusion, it seems reasonable to treat subjects of CTS, conservatively for first ten months after symptom onset, more so when they have four or more out of the seven favorable factors.
Keywords: Symptom, CTS, MMA & SDL.
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