Patient-reported symptom-mapping in carpal tunnel syndrome

Muscle Nerve. 2019 Mar;59(3):321-325. doi: 10.1002/mus.26398. Epub 2019 Jan 11.

Abstract

Introduction: To date, no method has been described or utilized to study the distribution of symptoms in carpal tunnel syndrome. We describe a technique of symptom-mapping that yields a population-based "anatomic profile" of carpal tunnel syndrome.

Methods: Symptoms were mapped on visual questionnaires depicting the volar hand, wrist, and forearm. Thirty-four hands in 26 patients with isolated carpal tunnel syndrome were included in the study.

Results: Painful symptoms were clearly centered over the carpal tunnel and were reported much less frequently in the digits. Nonpainful sensory disturbances (e.g., numbness, paresthesias) were found to have a much more peripheral and lateral distribution.

Discussion: Our technique serves to establish a population-based "anatomic profile" of carpal tunnel syndrome, assisting with clinical diagnosis and serving as a reference point for the comparison of pretreatment and posttreatment clinical data. Muscle Nerve 59:321-325, 2019.

Keywords: carpal tunnel; neuropathy; pain; paresthesias; symptomatology.

MeSH terms

  • Adult
  • Aged
  • Carpal Tunnel Syndrome / physiopathology*
  • Electromyography
  • Female
  • Forearm / physiopathology
  • Hand / physiopathology
  • Humans
  • Hypesthesia / etiology
  • Hypesthesia / physiopathology
  • Male
  • Middle Aged
  • Pain / etiology
  • Pain / physiopathology
  • Paresthesia / etiology
  • Paresthesia / physiopathology
  • Patient Reported Outcome Measures
  • Population
  • Retrospective Studies
  • Surveys and Questionnaires
  • Wrist / physiopathology