The Effect of Carpal Tunnel Release on Neuropathic Pain in Carpal Tunnel Syndrome
Purpose. The aim of this study was to determine the risk factors of neuropathic pain (NP) in the patient with carpal tunnel syndrome (CTS) before and after the carpal tunnel release. Materials and Methods. One hundred and two CTS patients were enrolled in the study. The pain score was measured by th...
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Pain Research and Management |
| Online Access: | http://dx.doi.org/10.1155/2017/8098473 |
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| author | Motoki Sonohata Toshiyuki Tsuruta Hiroko Mine Akihiko Asami Hideki Ishii Kenji Tsunoda Masaaki Mawatari |
| author_facet | Motoki Sonohata Toshiyuki Tsuruta Hiroko Mine Akihiko Asami Hideki Ishii Kenji Tsunoda Masaaki Mawatari |
| author_sort | Motoki Sonohata |
| collection | DOAJ |
| description | Purpose. The aim of this study was to determine the risk factors of neuropathic pain (NP) in the patient with carpal tunnel syndrome (CTS) before and after the carpal tunnel release. Materials and Methods. One hundred and two CTS patients were enrolled in the study. The pain score was measured by the visual analogue score. NP was determined by the painDETECT (PD) questionnaire. All subjects were divided into 3 groups at 12 weeks after surgery: an Improved, Unchanged, and Worsened group. The risk factors of worsening NP after surgery were evaluated. Results. We found that 36% and 18% of patients with CTS had neuropathic pain before and 12 weeks after surgery, respectively, and pain was significantly stronger than in those without NP. The PD score of eight hands worsened after surgery. In the “Improved group,” the average age at the surgery was younger and the pain score was lower than in the “Unchanged group.” Conclusions. The surgery was very effective on NP of CTS; however, the PD in 7% of hands worsened after surgery. Risk factors before surgery that predicted worse NP after surgery were found to be a younger age, weaker pain, and the absence of night pain. |
| format | Article |
| id | doaj-art-88a2a9f672c54aadb6b4e84fb0f8325c |
| institution | Kabale University |
| issn | 1203-6765 1918-1523 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Pain Research and Management |
| spelling | doaj-art-88a2a9f672c54aadb6b4e84fb0f8325c2025-02-03T01:12:24ZengWileyPain Research and Management1203-67651918-15232017-01-01201710.1155/2017/80984738098473The Effect of Carpal Tunnel Release on Neuropathic Pain in Carpal Tunnel SyndromeMotoki Sonohata0Toshiyuki Tsuruta1Hiroko Mine2Akihiko Asami3Hideki Ishii4Kenji Tsunoda5Masaaki Mawatari6Department of Orthopaedic Surgery, Faculty of Medicine, Saga University, 5-1-1 Nabeshima, Saga 849-8501, JapanTsuruta Orthopaedic Clinic, No. 1241-6, Katsu, Ushizu-cho, Ogi City, Saga 849-0306, JapanTsuruta Orthopaedic Clinic, No. 1241-6, Katsu, Ushizu-cho, Ogi City, Saga 849-0306, JapanDepartment of Orthopaedic Surgery, Saga Insurance Hospital, Saga 849-8522, JapanDepartment of Orthopaedic Surgery, Saga Insurance Hospital, Saga 849-8522, JapanSakaemachi Orthopaedic Clinic, 2-8 Sakaemachi, Saga City, Saga 840-0803, JapanDepartment of Orthopaedic Surgery, Faculty of Medicine, Saga University, 5-1-1 Nabeshima, Saga 849-8501, JapanPurpose. The aim of this study was to determine the risk factors of neuropathic pain (NP) in the patient with carpal tunnel syndrome (CTS) before and after the carpal tunnel release. Materials and Methods. One hundred and two CTS patients were enrolled in the study. The pain score was measured by the visual analogue score. NP was determined by the painDETECT (PD) questionnaire. All subjects were divided into 3 groups at 12 weeks after surgery: an Improved, Unchanged, and Worsened group. The risk factors of worsening NP after surgery were evaluated. Results. We found that 36% and 18% of patients with CTS had neuropathic pain before and 12 weeks after surgery, respectively, and pain was significantly stronger than in those without NP. The PD score of eight hands worsened after surgery. In the “Improved group,” the average age at the surgery was younger and the pain score was lower than in the “Unchanged group.” Conclusions. The surgery was very effective on NP of CTS; however, the PD in 7% of hands worsened after surgery. Risk factors before surgery that predicted worse NP after surgery were found to be a younger age, weaker pain, and the absence of night pain.http://dx.doi.org/10.1155/2017/8098473 |
| spellingShingle | Motoki Sonohata Toshiyuki Tsuruta Hiroko Mine Akihiko Asami Hideki Ishii Kenji Tsunoda Masaaki Mawatari The Effect of Carpal Tunnel Release on Neuropathic Pain in Carpal Tunnel Syndrome Pain Research and Management |
| title | The Effect of Carpal Tunnel Release on Neuropathic Pain in Carpal Tunnel Syndrome |
| title_full | The Effect of Carpal Tunnel Release on Neuropathic Pain in Carpal Tunnel Syndrome |
| title_fullStr | The Effect of Carpal Tunnel Release on Neuropathic Pain in Carpal Tunnel Syndrome |
| title_full_unstemmed | The Effect of Carpal Tunnel Release on Neuropathic Pain in Carpal Tunnel Syndrome |
| title_short | The Effect of Carpal Tunnel Release on Neuropathic Pain in Carpal Tunnel Syndrome |
| title_sort | effect of carpal tunnel release on neuropathic pain in carpal tunnel syndrome |
| url | http://dx.doi.org/10.1155/2017/8098473 |
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