EC Neurology

Review Article Volume 12 Issue 12 - 2020

Carpal Tunnel Syndrome among the Visitors of Primary Healthcare Centers in Riyadh, Saudi Arabia

Parameaswari P Jaganathan1*, Abdulaziz Ahmed AlJasser2, Sarah Abdullah AlKahtani3, Naif Abdurhman Alrudian4, Yazeed Musaad Alkhuzim5, Rawan Khalid Aloteebi6, Mohamed Salih Abdalla Elamin7, Lujain Khalid Almajed8, Saad Mohammed Alalyani8, Sultan Mohammed Alotaibi8 and Ahmed Hasan Althobaiti9

1Research and Innovation Center, King Saud Medical City, MOH, Riyadh, Saudi Arabia
2King Fahad Medical City, MOH, Riyadh, Saudi Arabia
3Medical Intern, Al Mareefa University, Riyadh, Saudi Arabi
4 Family Medicine and Public Health Lecturer, Prince Sattam Bin Abdulaziz University College of Medicine: Al-Kharj, King Saud Medical City, Riyadh, Saudi Arabia
5General Practitioner Resident at Ministry of Health, Riyadh, Saudi Arabia
6 Medical Intern, Al Mareefa University, Riyadh, Saudi Arabia
7 Surgery Resident, Care National Hospital, Riyadh, Saudi Arabia
8 Medical Student, Al Mareefa University, Riyadh, Saudi Arabia, Riyadh, Saudi Arabia
9 Neurology Consultant, Medicine/Neurology, King Saud Medical City, Riyadh, Saudi Arabia

*Corresponding Author: Parameaswari P Jaganathan, Consultant-Research and Innovation Center, Data Manager- Saudi Trauma Registry, King Saud Medical City, MOH, Riyadh, Saudi Arabia.
Received: November 06, 2020; Published: November 30, 2020



Everyone has to be techy savvy, frequent use of computers, handheld gadgets in routine life are inevitable and one of the Public health concerns. Carpal tunnel syndrome is the most common peripheral nerve disorder, the main entrapment of the median nerve at the wrist. Our study aimed to estimate the prevalence of Carpal Tunnel Syndrome (CTS) and its associated factors among the visitors of Primary health care canters in Riyadh city. A Cross-Sectional Study was conducted by personal interview method using a struc- tured questionnaire from June 2018 until Dec 2019 among 1292 visitors. Participants were selected at random with their consent and included in the study. The data was analyzed using SPSS 25.0, Parametric- t-test, ANOVA, Correlation - Chi-Square, Mann Whitney tests and Multivariate Logistic Regression analysis was performed at a 5% level. The present study revealed that the prevalence of CTS in the community was 11.6%, and males had more than a two-fold risk of developing CTS symptoms than females. The correla- tion between Functional Status Score and BMI was moderately positive with r = +0.678 (P = 0.009). The multivariate logistic regres- sion predicted the risk factors of CTS as frequent use of the right hand with OR = 4.4 (1.8 - 9.2), using computers in office more than 6 hours per day increased the risk to OR = 4.8 (1.9 - 12.5) times. Among those detected with CTS, 72% had pain episodes between 10 to 60 minutes during daytime, 68% had moderate to severe numbness in their hand, and 54.7% had severe numbness or tingling at night. Our study exposed Obesity, long hours of work in computer/laptop, and use of mobile were robust risk factors influencing CTS in the general population. More programs should be designed to elicit various occupational factors leading to CTS.

keywords:Carpal Tunnel Syndrome; Cross-Sectional Study; Personal Interview Method; Symptom Severity Score

  1. “Diagnosis of carpal tunnel syndrome (editorial)”. Lancet 1 (1985): 854-858.
  2. Katz JN., et al. “The carpal tunnel syndrome: diagnostic utility of the history and physical examination findings”. Annals of Internal Medicine 112 (1990): 321-327.
  3. Simon H. “Carpal tunnel syndrome - Diagnosis. University of Maryland Medical Center Review (2007).
  4. Aroori S and Spence RA. “Carpal tunnel syndrome”. The Ulster Medical Journal 77 (2008): 6-17.
  5. Salati SA., et al. “Carpal Tunnel Syndrome in the patient on long term hemodialysis - A Case Report”. East and Central African Journal of Surgery 15 (2010): 140-143.
  6. Toosi KK., et al. “Computer keyboarding biomechanics and acute changes in median nerve indicative of carpal tunnel syndrome”. Clinical Biomechanics 30 (2015): 546-550.
  7. Abumunaser L. “Surgical treatment of carpal tunnel syndrome: our experience at King Abdulaziz University Hospital”. Pan Arab Journal of Orthopaedic Trauma 13 (2009): 139-142.
  8. Franklin GM and Friedman AS. “Work-related carpal tunnel syndrome: diagnosis and treatment guideline”. Physical Medicine and Rehabilitation Clinics of North America 26 (2015): 523-537.
  9. You D., et al. “Meta-analysis: association between wrist posture and carpal tunnel syndrome among workers”. Safety and Health at Work 5 (2014): 27-31.
  10. Ahamed SS., et al. “Prevalence and associated factors of Carpal Tunnel Syndrome (CTS) among medical laboratory staff at King Saud University Hospitals, KSA”. Pakistan Journal of Medical Sciences 31 (2015): 331-335.
  11. Occhionero V., et al. “Upper limb musculoskeletal disorders in healthcare personnel”. Ergonomics 57 (2014): 1166-1191.
  12. Agrawal PR., et al. “Work-related musculoskeletal disorders among medical laboratory professionals: a narrative review”. International Journal of Research in Medical Sciences 2 (2014): 1262-1266.
  13. Atroshi I., et al. “Prevalence of carpal tunnel syndrome in a general population”. The Journal of the American Medical Association 282 (1999): 153-158.
  14. De Krom MC., et al. “Carpal tunnel syndrome: prevalence in the general population”. Journal of Clinical Epidemiology 45 (1992): 373- 376.
  15. El-Healy M., et al. “Carpal tunnel syndrome among laboratory technicians in relation to personal and ergonomic factors at work”. Journal of Occupational Health 59 (2017): 513-520.
  16. “A self-administered questionnaire for the assessment of the severity of symptoms and functional status in carpal tunnel syndrome”. Journal of Bone and Joint Surgery American 75.11 (1993): 1585-1592.
  17. Dale AM., et al. “Prevalence and incidence of carpal tunnel syndrome in US working populations: a pooled analysis of six prospective studies”. Scandinavian Journal of Work, Environment and Health 5 (2013): 495-505.
  18. Nataraj R., et al. “Effects of carpal tunnel syndrome on reach-to-pinch performance”. PLoS One 9 (2014): e92063.
  19. Werner RA., et al. “Prevalence of carpal tunnel syndrome and upper extremity tendinitis among dental hygienists”. Journal of Dental Hygiene2 (2002): 126-132.
  20. Ehsan M., et al. “Frequency of carpal tunnel syndrome in dentists working in government hospitals of Lahore”. International Journal of Scientific Research 14 (2013): 2319-7064.
  21. Haghighat A., et al. “Prevalence of clinical findings of carpal tunnel syndrome in Isfahanian dentists”. Advanced Biomedical Research 1 (2012): 13.
  22. Lalumandier JA and McPhee SD. “Prevalence and risk factors of hand problems and carpal tunnel syndrome among dental hygienists”. The Journal of Dental Hygiene2 (2001): 130-134.
  23. Anton D., et al. “Prevalence of musculoskeletal symptoms and carpal tunnel syndrome among dental hygienists”. American Journal of Industrial Medicine3 (2002): 248-257.
  24. Munirah MA., et al. “Prevalence of Probable Carpal Tunnel Syndrome and its Associated Factors among Dentists in Kelantan”. International Journal of Collaborative Research on Internal Medicine and Public Health (2014): 6.
  25. Alhusain FA., et al. “Prevalence of carpal tunnel syndrome symptoms among dentists working in Riyadh”. Annals of Saudi Medicine2 (2019): 104-111.
  26. Dale AM., et al. “Prevalence and incidence of carpal tunnel syndrome in US working populations: a pooled analysis of six prospective studies”. Scandinavian Journal of Work, Environment and Health5 (2013): 495-505.
  27. Newington L., et al. “Carpal tunnel syndrome and work”. Best Practice and Research: Clinical Rheumatology3 (2015): 440-453.
  28. Lam N and Thurston A. “Association of obesity, gender, age, and occupation with carpal tunnel syndrome”. Aust ANZ Journal of Surgery3 (1998): 190-193.
  29. Ahamed SS., et al. “Prevalence and associated factors of Carpal Tunnel Syndrome (CTS) among medical laboratory staff at King Saud University Hospitals, KSA”. Pakistan Journal of Medical Sciences2 (2015): 331-335.
  30. Demiryurek BE and Aksoy Gu ndo?du A. “Prevalence of carpal tunnel syndrome and its correlation with pain amongst female hairdressers”. International Journal of Occupational Medicine and Environmental Health3 (2018): 333-339.
  31. Ablove RH and Ablove TS. “Prevalence of carpal tunnel syndrome in pregnant women”. World Mycotoxin Journal 4 (2009): 194- 196.
  32. Padua L., et al. “Carpal tunnel syndrome in pregnancy: multiperspective follow-up of untreated cases”. Neurology10 (2002): 1643- 1646.
  33. “Carpal tunnel syndrome” 83.8 (2011): 952-958.
  34. Hamann C., et al. “Prevalence of carpal tunnel syndrome and median mononeuropathy among dentists”. Journal of the American Dental Association 2 (2001): 163-170.
  35. Maeda Y., et al. “Functional deficits in carpal tunnel syndrome reflect the reorganization of primary somatosensory cortex”. Brain 137 (2014): 1741-1752.
  36. Nataraj R., et al. “Pathokinematics of precision pinch movement associated with carpal tunnel syndrome”. Journal of Orthopaedic Research 32 (2014): 786-792.
  37. Nataraj R., et al. “Effects of carpal tunnel syndrome on reach-to-pinch performance”. PLoS One 9 (2014): e92063.
  38. Al-Mohrej OA., et al. “Prevalence of musculoskeletal pain of the neck, upper extremities and lower back among dental practitioners working in Riyadh, Saudi Arabia: a cross-sectional study”. BMJ Open6 (2016): e011100.
  39. Werner RA., et al. “Prevalence of carpal tunnel syndrome and upper extremity tendinitis among dental hygienists”. Journal of Dental Hygiene2 (2002): 126.

Parameaswari P Jaganathan., et al. “Carpal Tunnel Syndrome among the Visitors of Primary Healthcare Centers in Riyadh, Saudi Arabia”. EC Neurology  12.12 (2020): 123-134.