Carpal Tunnel Syndrome (CTS)

Carey reported that she experienced occasional numbness of the upper extremities and that she would occasionally drop objects from both hands. Upon physical examination, Dr. Abiera noted that Ms. Carey’s range of motion of the cervical spine was decreased on flexion and tenderness on palpation of posterior cervical muscles with spasms and trigger points was present. In addition, Dr. Abiera noted that the range of motion of lumbar spine was within normal range, however there was still some tenderness on palpation of thoracic paraspinals muscles.

The status of this case is that we are awaiting the applicant to undergo an EMG of the upper extremity as recommended by the Panel Qualified Medical Evaluator, Dr. Stephan Choi, in his evaluation report dated December 14, 2016. Please recall, Dr. Choi requested an EMG of the right upper extremity so he can rule out possible carpal tunnel release. He opined if the EMG of the right upper extremity were to come back normal, the applicant would be deemed permanent and stationary.

Symptoms of CTS include tingling and numbness of the hands and fingers focusing primarily in the thumb and the Index fingers. Patients tend to experience feelings of swelling in the hand when no visual symptom is shown. In the beginning of the disease the symptoms tend to be experienced during the night and slowly progress to be experienced during the day. The feeling of having to shake

Carpal tunnel syndrome is a condition that causes pain in your hand and arm. The carpal tunnel is a narrow area located on the palm side of your wrist. Repeated wrist motion or certain diseases may cause swelling within the tunnel. This swelling pinches the main nerve in the wrist (median nerve).

Carpal Tunnel Syndrome (CTS) or a pinched Median Nerve, is a very common syndrome which is more prominent in women than men due to the anatomy difference. The syndrome is caused by pressure on the median nerve which runs along the arm down into the hand. It controls sensory and motor functions of the hand and wrist (other than the pinky). This nerve passes through a passage in the wrist known as the carpal tunnel. The syndrome is caused by the carpal tunnel putting pressure on the median nerve mainly due to swelling around the nerve.

Carpal Tunnel Syndrome (CTS) is the entrapment of the median nerve caused by compression or swelling in the carpal tunnel of the wrist (Radomski and Latham, 2008). Typically it presents as numbness, tingling, hypersensitivity, or burning sensation causing reduced function of the hand. Symptoms can be periodic or persistent (Pal, 2001). Aetiology is unknown however women are more likely than men to have reported CTS, fractures or inflammatory disease may increase

The United States of America contain about 123,229,000 households. Out of about 123,229,000 four out of five of the households have a system used to play video games. Also, forty-two percent of Americans play for at least three hours a week. The average eight to twelve year-old plays video games for thirteen hours a week. While the average eighteen year-old play video games fourteen hours a week. Many have claimed that they have had problems in their fingers. After a while many people have wondered if playing video games has an effect on the muscles and bones in your fingers. Yes, playing video games have many effects on your fingers. It can cause irritation to the muscles in your fingers. Video games can cause osteoarthritis and carpal

S: TM was working in Welding when he injured his left middle finger. TM states he was putting in part fixtures in Elanta when his left middle finger scrapped the car door and suffered a laceration. According to TM, he was wearing gloves at the time of injury. TM reports the initial pain was 4/10 but now his pain is 1/10, a minimal irritation. TM denies previous injury to his left hand or fingers. TM denies any tingling, numbness, or impairment of movement to his left hand or finger. TM reports he had his tetanus last September 2015.

Susan claims that office desk repetitive task caused carpal tunnel syndrome, and she has suffered before with Carpal tunnel syndrome in 1992 and 2002 which was covered by worker’s compensation

DOI: 12/21/2012. Patient is a 51-year-old female government collections supervisor who complained of right hand numbness and tingling to the left hand. Pere OMNI entry, she was initially diagnosed with cervical spine stenosis, bilateral spinal enthesopathy, right cervical radiculitis and right carpal tunnel syndrome. Patient was deemed maximum medical improvement on 12/17/13 with 0% permanent disability. Future medical care includes doctor visits, PT, injections and surgery.

DOI: 1/4/1999. The patient is a 66-year-old male delivery person who reports bilateral wrist and pain, right greater than left, from continuous twisting of nozzles. As per OMNI, the patient was initially diagnosed with lumbar spinal stenosis, bilateral carpal tunnel syndrome, upper extremity tendinitis, depression, gastritis and sleep disorder.

Electrodiagnostic testing Report dated 05/12/15 showed bilateral mild compression of the median nerve at the carpal tunnel. There is also right mild compression of the ulnar nerve at or near the medial epicondyle.

Based on the latest report dated 09/23/16, the patient complains of 7-8/10 neck pain, radiating to both shoulders. Patient continues to have numbness and tingling in both hands. She started to wear cock up splints at night for her bilateral carpal tunnel syndrome, which helps decrease her symptoms. Patient has moved back to NY and needs to complete 5 PT sessions from 10 symptomatic sessions per year. She has used 5 sessions in VA.

Other symptoms involving the central and peripheral nervous system include: aseptic meningitis, cerebrovascular disease (CVA), demyelinating syndrome, headaches, movement disorder, myelopathy, confusion, cognitive dysfunction, inflammatory demyelinating syndrome, autonomic disorder, mononeuropathy, myathenic gravis, neuropathy, plexopathy, polyneuropathy (Isenberg & Manzi,2008). Neuropathy has two forms: sensory form, which refers to the numbing of hands and feet radiating to the forearm and legs that feel like pins and needles, and motor form, which refers to the weakness of hands and feet that makes it difficult to do daily activities (Isenberg & Manzi,2008). People who develop CVA may be unable to move their arm or leg or might be unable to speak, which can be caused by untreated high blood pressure, blocked arties in the brain from the build up of cholesterol and antiphospholipid antibodies (Isenberg &

S: TM is here for s/p ESI X 9 visit follow up for his right hand and wrist pain and also for RUE Neurometrix test. TM reports his current pain is at 7/10. During the Shutdown his pain has improved some, but still waking him up at night with pain and numbness in his right hand and arm, relieved by shaking or rubbing the hands. TM also reports, numbness and the pain occurs during waking hours, when he is driving, talking on the phone, and occasionally when he is using the hands for repetitive maneuvers. When the heat was applied to his