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People with carpal tunnel syndrome and nocturnal symptoms have higher comorbidities and pain but experience greater pain relief after treatment.
Carpal tunnel syndrome (also named ‘median nerve compression’) frequently leads to painful and tingling symptoms, especially witnessed at night. This study published in ‘Musculoskeletal Surgery’ explored the risk factors and profiles of patients with nocturnal symptoms compared to those without.
In this retrospective case-control study by M S Dawod and colleagues, a total of 681 carpal tunnel syndrome patients were examined (581 with night-time symptoms and 90 without). Data were collected through phone interviews and health records, focusing on health profiles, comorbidities, perioperative factors, and outcomes.
Individuals with night symptoms were younger and were more prone to the risk of diabetes. They also experienced more severe paresthesia and disabling pain, weaker hand grip, and more frequent use of night splints. Although they had somewhat more intraoperative anxiety and longer recovery times, with no change in the pain scores.
Those with nighttime symptoms are at higher risk for comorbid conditions such as diabetes and renal issues, and they report more disabling symptoms and paresthesia.
Musculoskeletal surgery
Risk factors, associations, and high-risk patient profiles for nocturnal pain in carpal tunnel syndrome: implications for patient care
M S Dawod et. Al.
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