Carpal Tunnel Case Study

Some of the injuries that can occur in the hand are Cubital Tunnel Syndrome and Carpal Tunnel Syndrome along with many more. Cubital Tunnel Syndrome causes pain or numbness in the ring and little fingers, but could also go to the arm (Types of RSI, 2010). Occurs when the ulnar nerve is pinched along the elbow’s edge (“funny bone”), and has tingling or painful feeling (Types of RSI, 2010). Cubital Tunnel Syndrome can be treated by avoiding putting pressure on the “funny bone” (Types of RSI, 2010). Cubital could lead to surgery if the nerve needs to be relieved. Carpal Tunnel Syndrome is similar to Cubital but occurs in the three first fingers. A major nerve is compressed which passes over the carpal bones through the front of the wrist (ASSH, 2015). When the nerve is compressed it causes painful, tingling and numbness in the first three fingers (ASSH, 2015). Carpal Tunnel Syndrome can be treated without surgery by changing the patterns of hand use and/or wearing wrist splints at night (ASSH, 2015). If severe then surgery can take place to make the nerve have more

Patient is a 57-year-old male fuel tank driver who sustained cumulative trauma on 2/7/2004 due to repetitive movement caused by delivering fuel. As per QME dated 1/25/14, the patient has numbness in the fingers and the patient is diagnoses that he has carpal tunnel syndrome. The left wrist had undergone carpal tunnel surgery; however, he gets numbness from the wrist up into his forearm and numbness in the fingertips. It was also noted that on 12/5/13, the patient complains of shoulder pain bilaterally at 7/10. It is constant and goes into noth arms, along with weakness with numbness in the hands, decreased ability to perform activities of daily living, and impared grip. The pain in the bilateral shoulders is constant and aching with intermittent

Symptoms can vary from patient to patient depending on the severity of the compression (ACSN, 2015). Paresthesia, the ‘pins and needles’ feeling, in the fourth and fifth digit and pain at the elbow are the most common signs of cubital tunnel syndrome. Grip strength may also decrease as the condition worsens along with muscle atrophy in the hand. The patients might have a positive Tinel sign, which is tested by simply tapping on the ulnar nerve and seeing if the sensation of tingling or “pins and needles” is reproduced. The Wartenberg sign is positive if the patient is unable to abduct the fifth digit to the rest of the hand. This shows that there is weakness in the ulnar innervated intrinsic muscles of the hand (Guardia, Berman, & Lorenzo,

DOI: 8/6/2015. Patient is a 51-year-old female licensed vocational nurse who sustained a work-related injury to her back and hips while moving a client. As per OMNI, she was diagnosed with muscle spasm, pain over the low back and thoracic region. She is status post right carpal tunnel release on 02/26/16.

Based on the progress report dated 10/07/16, the patient presents for evaluation of carpal tunnel syndrome on the right shoulder.

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DOI: 9/30/2014. Patient is a 28-year-old female research assistant who alleges pain and weakness in her hands/wrist as a result of repetitive scooping dirt from soil barrels. As per OMNI entry, the patient was diagnosed with cervicobrachial syndrome (diffuse), right carpal tunnel syndrome and insomnia. She is status post endoscopic carpal tunnel release (CTR) on 09/24/2015 for the right and on 06/02/2015 for the left side.

If you suspect you or someone you know is showing symptoms of Carpal Tunnel, we advise you see a

Flynn TW, Cleland JA, Whitman JM. Users' guide to the musculoskeletal examination. Fundamentals for the evidence-based clinician. United States:Evidence in Motion; 2008.

As your body changes to make space for you're developing child, you may have body throbs, for example, back, stomach area, crotch, or thigh torment. Stretch stamps on the midriff, bosoms, thighs, or backside, obscuring of the skin around the areolas, a line on the skin running from midsection catch to pubic hairline. Patches of darker skin, ordinarily over the cheeks, brow, nose, or upper lip. Fixes regularly coordinate on both sides of the face. This is here and there called the cover of pregnancy, numb or shivering hands, called carpal passage disorder. Tingling on the guts, palms, and soles of the feet or swelling of the lower legs, fingers, and face.

Carpal Tunnel Syndrome is a painful repetitive motion injury in the wrist that can develop in one or both hands. The syndrome starts as a numbness in the palm and spreads to the fingers that are innervate by the median nerve. If the condition worsens, pain can replace the numbness and spread to the elbows and shoulders, effecting your activities of daily living. Carpal Tunnel Syndrome is increasingly reported every year and tends to effects women more then men due to pregnancy. Thankfully, it has many different treatment plans that can cure or help decrease the pain in the afflicted extremities. This is a great relief and interest to many people who have developed this syndrome. (1)

94 patients with bilateral idiopathic carpal tunnel syndrome were electrodiagnostically confirmed for the study (Kang et al., 2013). The exclusion criteria were: a history of wrist fracture or dislocation, previous carpal tunnel release, diabetes mellitus, hypothyroidism, arthritis, and inadequate follow-up (Kang et al.,

The use of ultrasound therapy prior to client engagement in functional activity will increase tissue extensibility, increase collagen deposition, increase blood flow, increase sensory/motor nerve conduction velocity, and decrease muscle spasms. The use of paraffin therapy prior to client engagement in functional activity will decrease pain, joint stiffness and increase range of motion in the hands. Both of these modalities have a great impact on clinical practice to more efficiently and effectively treat clinical conditions.

Carpal Tunnel Syndrome (CTS) occurs when the median nerve, that runs from the neck, under the armpit, along the forearm and into the palm of the hand, becomes compressed in the wrist. This compression is a result of the reduction in the space of the carpal tunnel, due to swelling of the surrounding tissue. This can cause numbness, tingling, burning, pin-and needle sensations and pain in the thumb, index, middle and half of the ring finger. The carpal tunnel is the area, where bones and ligament in the wrist provide a small, rigid passageway that houses the median nerve. The median nerve runs through the first 4 digits of the hand, excluding the little finger. It provides sensation and locomotion in the hand. And controls the thumb muscles.

Carpal Tunnel Syndrome Abstract The wrist is surrounded by a band of fibrous tissue, which normally functions as a support for the joint. The tight space between this fibrous band and the wrist bone is called the carpal tunnel (The Stay Well Company, 1999). The median nerve passes through the carpal tunnel to receive sensations from the thumb, index, and middle fingers of the hand.