Online ISSN: 2515-8260

Keywords : Carpal tunnel syndrome

Effect of Low- Level Laser Therapy in the management of Carpal Tunnel Syndrome - A Systematic Review

Jannani T.P; Prathap Suganthirababu; Kumaresan A; Vignesh Srinivasan; Divyalaxmi P; Aravind Ganesh; Swetha Hari

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 8, Pages 333-339

Carpal tunnel syndrome is by far most noticeable kind of peripheral compression neuropathy (CTS). The great majority of cases are idiopathic, with median nerve compression caused by nonspecific tenosynovitis. The goal of this research is to test the efficacy of low-level laser therapy (LLLT) in the intervention of CTS. The study intended to undertake a thorough review. Studies were gathered using databases including PubMed Central, Google Scholar, Rehab Data, Research Gate, and SAGE Journals. Reviews and case study were not included, but clinical research and randomized controlled trials were. Using keywords, 134 manuscripts were screened, 118 were discarded, 16 were included, and three were eventually retrieved for analysis. The study looked at the feasibility of LLLT in treating CT syndrome. Pain incidence alleviation and increased functional performance in persons with the syndrome of carpel tunnel was investigated in this study.

Prevalence of Carpal Tunnel Syndrome among Dental Students and Dental Assistants of Dental Colleges in Riyadh, Saudi Arabia- A Cross Sectional Study

Shaista Haleem , Yasmine T Ahmed , Mahesh Suganna , Zainab I Alhumaid , Wajd J Assiri , Asma F Alanazi

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 7, Pages 7291-7305

Background: Dentists in their practice are exposed to work-related vibrations on a daily basis. Carpel tunnel syndrome occurs due to overuse of the hand while using vibratory equipment such as sizing, turbines, and handles with slow speeds, gripping and working with tools or other small objects such as endodontic files.
Objectives: The main aim of this cross-sectional study was to measure the prevalence of carpal tunnel syndrome among dental students and dental assistants
Methodology: A questionnaire was utilized in this study to determine the prevalence of CTS. The prevalence was measured using the Symptom Severity Scale. We got 209 responses from dental colleges in Saudi Arabia.
Results: More than 100 participants indicated that they had symptoms of carpal tunnel syndrome. The patient with symptoms generally complained of little hand pain at night. They are often encountered with mild to severe hand pain during the day. It was determined whether the hand numbness was slight, moderate, or severe. The individuals mainly described slight hand numbness.
Conclusion: Carpal tunnel syndrome is a prevalent condition, and dental assistants and students in our investigation were more likely to develop it than the general population. To prevent severity since students are more likely to be affected, it would be advantageous if good ergonomics were used and taught to students at the academic level.


Dr. Vipin Garg, Dr. Parul Trichal, Dr. Vijerdra Damor, Dr. Pradeep Dubey, Dr. Roma Sharma

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 6, Pages 664-672

Background: Carpal tunnel syndrome (CTS) is a most common type of upper limb compression neuropathies. Carpal tunnel syndrome is common during pregnancy and the symptoms are mostly high in the third trimester. Various physiological and electro diagnostic tests are used to detect carpal tunnel syndrome in this stage. Aim: this study was aimed to find the prevalence of carpal tunnel syndrome among pregnant women.
Materials & Methods: A cross-sectional study was carried out in the department of orthopedics in Gajara Raja Medical College, Gwalior, India. Pregnant women presenting with sign and symptoms of CTS were enrolled in our study.
Results: Among 300 pregnant women, prevalence of CTS was 24 (8%). Majority of the women (66%) were found in third trimester of pregnancy. 37.4% pregnant women were 26-30 years age group, 54% was primiparous and 65.3% women were obese category. Physiologic tests (Phalen’s Test, Tinel’s sign and Carpal Compression Test) used for diagnosis of CTS.
Conclusion: Prevalence of carpal tunnel syndrome was higher among pregnant women mainly in third trimester.

Ulnar Nerve Entrapment InCubital Tunnel: Transposition Versus Decompression Alone

Randa Abd Eldayem A. Said, Magdy El-Sayed Rashed, Hosni Hassan Salama and Ibrahim Metwally Abdel Fattah

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 3, Pages 4065-4077

Background: Ulnar nerve entrapment at the elbow is the second most common
compression neuropathy after carpal tunnel syndrome (CTS). Surgery is usually necessary
to treat chronic neuropathy associated with muscle weakness or neuropathy that does not
respond to conservative measures. The aim of the present study was to evaluate patientreported
and surgeon-evaluated outcome of ulnar nerve entrapment in cubital tunnel
decompression versus transposition.Patients and Methods: The study was conducted at
Neurosurgery Department, Zagazig University Hospitals on 18 ulnar nerve entrapment
patients 9 cases undergone simply decompression operation and 9 cases undergone
transposition operation.All cases were subjected to medical records of all cases, clinical
diagnosis and Electrodiagnostic tests. Postoperative outcome was assessed and graded,
based on patient-reported and surgeon-evaluated outcome, into four groups: cured,
improved, unchanged or exacerbated Results:88.9% of the decompression group shows
full motor power (FMP) postoperatively while this was shown in 44.4% of transposition
group with no significant difference(P<0.05) between the two groups.All patients of both
groups show postoperative improved sensory manifestations. There was highly significant
difference (p<0.05) between the two studied groups regarding postoperative nerve
conduction velocity NCV as it was higher in decompression group than transposition
group (57.28±2.5 vs. 54.18±3.35)m/s. while there was no significant difference between
them regarding nerve thickness by ultrasound.Conclusion:Perioperative assessment of
ulnar nerve subluxation at primary surgery for UNE should be routine and, if found, an
ulnar nerve transposition should be performed in the same surgical session, to minimize
the need for revision surgery.


Ellisa Dwijayanti, Isti Suharjanti

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 3, Pages 4710-4712

Background: Carpal Tunnel Syndrome (CTS) is the most common form of median nerve neuropathy and about 90% of all types of neuropathy. This syndrome is also one of the most common hand disorders associated with work.This study aimed to demonstrate the epidemiological characteristics in patients treated for carpal tunnel syndrome in a general hospital.
Objective:To report clinical and epidemiological characteristics of patients with CTS in outpatient care unit of a general hospital.
Methods:This is a retrospective study. All patients who were treated in outpatient care unit in January-September 2021.
Results: We obtained data from 44 patients in outpatient care unit. The ratio of men and women was 1:3.4. The mean of age was 49 years old.Bilateral manifestation is more common than unilateral (59.1%).
Conclusion: Female with bilateral symptoms of median nerve neuropathy was the most common characteristic in CTS patient’s profile.