Factors influencing return to work after surgical treatment for carpal tunnel syndrome.

ABSTRACT

BACKGROUND: Controversy exists regarding the factors influencing the duration of work incapacity after surgically treated carpal tunnel syndrome (CTS). AIM: To determine relevant factors related to return to work. METHODS: Surgical technique, clinical factors, demographic factors, other medical problems, psychosocial factors, work-related and economical factors were reviewed in patients operated on for CTS. Statistical multivariate analyses were performed to identify the baseline factors influencing the work incapacity period. RESULTS: A total of 107 cases were reviewed. Professional exposure to repetitive movements and heavy manual handling activity were associated with a longer return-to-work interval. The duration of work incapacity period was not significantly related to the socioprofessional category of the patient (self-employed or employee) or to the type of the procedure (open versus endoscopic surgery). CONCLUSION: Work-related features have a more important influence on return to work than personal, pathological or surgical features.