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Carpal Tunnel Syndrome
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April 15, 2000
Question: Have you seen a correlation between hypothyroidism and carpal tunnel syndrome?
Dr. Lowe: In
clinical practice, Ive seen many hypothyroid patients who had carpal tunnel
syndrome. The association between hypothyroidism and carpal tunnel syndrome is well
established. Different researchers have reported different percentages of hypothyroid
patients with carpal tunnel syndrome. In one study, the percentage was 30%, and in
another, 56%. In a study of fibromyalgia patients, 55% had carpal tunnel syndrome. In the
general population of women, the reported incidence of carpal tunnel syndrome is about
10%. So, compared to women in the general population, hypothyroid and fibromyalgic
patients have a high incidence of carpal tunnel syndrome.
Carpal tunnel syndrome symptoms in hypothyroidism results
from swelling of the ligament around the wrest (the flexor retinaculum). For more
information on swelling in hypothyroidism, see the term "myxedema" in my Q&A
page on Swelling.