Carpal Tunnel Syndrome Case Studies

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

Carpal tunnel syndrome is numbness, tingling, weakness, and other problems in your hand because of pressure on the median nerve in your wrist.

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

On 01/03/2018, the claimant presented for a follow-up for the right wrist. She complained of pain and weakness in her right wrist/hand. The associated symptoms include joint pain, joint stiffness, weakness, pain, and decreased strength. Objective findings showed healed pin sites. There was less swelling, deformity, tenderness, and limited range of motion. She had a full range of motion in the fingers with popping in the wrist. She lacked full supination and pronation. Physical therapy was

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.

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Sensations in these digits were reduced. The left carpal tunnel was non-tender with negative provocative testing. Sensations in the left hand were normal. Discussion: The patient suffered injuries from two specific events. She had moderate extensor tenosynovitis and over findings of left sided carpal tunnel syndrome. She had surgery for carpal tunnel on 11/12/14. The patient has done well from the surgery with complete resolution of the carpal tunnel symptoms. She continues to have modest stiffness and swelling involving both hands on the dorsal surface consistent with residual tenosynovitis. In addition, the right CTS condition has clearly worsened. The patient is experiencing persistent symptoms in her right hand, which impair her capacity to perform her ADLs and work duties. She does require the use of medications in order to carry out ADLs. Plan: Naproxen 550 mg, 1 twice a

Carpal tunnel syndrome is a syndrome that is caused from pressure on the median nerve in your wrist. It can cause numbness, tingling, and other symptoms in your hand or arm. One of the symptoms that you may have carpal tunnel syndrome is that you may have frequent burning, tingling, or even itching in the palm of your hand and fingers, including in your thumb, index, and middle fingers. Sometimes the symptoms may appear in either one or both of your hands during the night, this is because some people might sleep with flexed wrists.

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 (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

Due to a schedule conflict my co-worker Chris Callahan attended the appointment with Mr. Price and Dr. Werner on 6/15/16. Mr. Price said that he has difficulty gripping with the right hand. He also reports numbness and tingling to the first three fingers. He stated this has been consistent since the injury. Dr. Werner reviewed the EMG report. Grip test showed that his right hand is weaker than the left. Dr. Werner did tapping and repositioning of the hands and wrist which resulted in numbness to the first four fingers of the right hand. Tapping to the elbow also caused the fifth finger to go numb. Ms. Callahan asked for clarification on the cause of the Carpal Tunnel (CTS) diagnosis. Dr. Werner stated that changes in the right shoulder

The patient has a Carpal Tunnel Syndrome if there is pain in palm, thumb, index and middle fingers, sometimes pain in wrist, forearm and upper arm.

Carpal tunnel syndrome (CTS) is the most commonly diagnosed entrapment neuropathy (or neurological disorder) of the upper limb (Middleton & Anakwe, 2014).

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.

An overview of my client: 71-year-old female, admitted due to recent fall from home, an x-ray revealed that the patient with chronic RA. Patient with a medical history of multiple falls at home, chronic RA (rheumatoid arthritis) of both hands and hypothyroidism. The patient was complaining of low back pain during mobility with weakness and inability to walk. Medical (ICD-10) international classification code is M06.89 (RA), PT Treatment ICD-10 code is M54.5 (low back pain) and R26.2 ( difficulty of walking). Patient 's current medications including hydroxychloroquine (plaquenil , generic) 200 milligrams (mg) 1 tablet by mouth, daily for RA; tylenol 325 mg, two tablets (650 mg) for every six hours as needed for pain management. I observed that patient without increase low back pain with the combination of her arthritis drug with tylenol. I educated the patient about the drug as well as a few significant