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Title: Symptoms associated with electrophysiologically verified carpal tunnel syndrome in asian patients
Authors: Wilder-Smith, E.P. 
Lirong, L.
Seet, R.C.S. 
Lim, E.C.H. 
Keywords: carpal tunnel syndrome, clinical, symptoms, neurophysiology, Asia
Issue Date: 2006
Citation: Wilder-Smith, E.P., Lirong, L., Seet, R.C.S., Lim, E.C.H. (2006). Symptoms associated with electrophysiologically verified carpal tunnel syndrome in asian patients. Journal of Hand Surgery 31 (3) : 326-330. ScholarBank@NUS Repository.
Abstract: Sensory symptoms are crucial for the diagnosis of carpal tunnel syndrome (CTS). We have studied the spectrum of sensory symptoms in 67 cases of neurophysiologically confirmed CTS in Singapore and investigated the correlation of semi-quantitative clinical ('Historical-Objective') and neurophysiological ('Bland') scales. The range of sensory symptoms was large. The more frequent use of the terms 'woodenness' and 'aching' rather than 'pins and needles' suggests racial and cultural differences in symptom expression, or recognition of previously ignored descriptors. 'Numbness' (97%) was the most common descriptive symptom, followed by 'tingling' (81%), 'tightness' (60%), 'aching' (45%), 'woodenness' (39%) and 'pins and needles' (33%). Less common were 'deadness' (27%), prickling (24%), and cramp-like pain (18%). Uncommon sensations included 'jabbing' (10%), 'shooting pain' (10%), 'stabbing' (9%), 'tight-band like pressure' (9%), 'cold' (8%), 'crushing' (6%) and 'burning' (6%). The semi-quantitative clinical and neurophysiological scales correlated well (Pearson 0.645, P<0.001). © 2006 The British Society for Surgery of the Hand.
Source Title: Journal of Hand Surgery
ISSN: 02667681
DOI: 10.1016/j.jhsb.2005.12.017
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