Birth control and CTS?
Can anyone explain to me why birth control can aggravate Carpel Tunnel Syndrome?? I am doing a continual education for my charge on the non-surgical treatments of CTS and that is what it said. But really no explanation afford. Anyone?
Answer:
The most recent data say no link:
"We own undertaken a generous case-control study using the UK General Practice Research Database to quantify the relative contributions of the common risk factor for carpal tunnel syndrome (CTS) in the community. Cases be patients with a diagnosis of CTS and, for respectively, four controls were individually matched by age, sex and broad practice. Our dataset included 3,391 cases, of which 2,444 (72%) were women, next to a mean age at diagnosis of 46 (range 16-96) years. Multivariate analysis showed that the risk factor associated with CTS be previous wrist fracture (OR=2.29), rheumatoid arthritis (OR=2.23), osteoarthritis of the wrist and carpus (OR=1.89), obesity (OR=2.06), diabetes (OR=1.51), and the use of insulin (OR=1.52), sulphonylureas (OR=1.45), metformin (OR=1.20) and thyroxine (OR=1.36). Smoking, hormone replacement psychoanalysis, the combined oral contraceptive pill and oral corticosteroids were not associated next to CTS. "
J Hand Surg [Br]. 2004 Aug;29(4):315-20.