Incidence of Complex Regional Pain Syndrome Following the Carpal Tunnel Release Surgery

Abstract

Background: Complex regional pain syndrome (CRPS) is a chronic syndrome of pain usually caused by an initiating noxious event in the periphery. Carpal tunnel release (CTR) surgery has been known to associate with the development of CRPS. Objectives: The incidence rate of CRPS has been attributed to the differences in ethnic and socioeconomic background of the cohort. Here, we aimed at evaluating the incidence of CRPS after CTR surgery in Iranian population for the first time. Methods: In a prospective study, a total of 106 patients with carpal tunnel syndrome (CTS), who underwent CTR surgery, were included in this cohort. The patients' medical records were evaluated and the incidence of CRPS after CTR surgery was assessed accordingly. Visual analogue scale (VAS) was used to subjectively evaluate the pain level in each CRPS patient. Results: In this study, 7 (6.6%) cases of postoperative CRPS including 1 (14.2%) male and 6 (85.8%) females were identified at a mean

Comparison of the Efficacy of Carpal Tunnel Release vs. Local Steroid Injection in the Management of Mild to Moderate Carpal Tunnel Syndrome: A Clinical Trial

“…In severe cases weakness and atrophy of abductor pollicis muscle and opponens pollicis muscle are evident (1). Several risk factors such as female gender, age of 30 -60 years, obesity, and others have been reported for CTS (2)(3)(4)(5). Although underlying medical condition is not detectable in many patients, conditions such as tumor, infection, and distal radius fracture can cause CTS through putting an excess pressure on the wrist and on the median nerve (6).…”