Carpal Tunnel Syndrome : Overview

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

In the text of Lippert she explains that there are many muscles in the body, but were focusing on just the muscles involved with the elbow. “The brachialis muscles, it has two heads and is located on the arm also knows as just the biceps and its actions are to flex the elbow” 3 (p. 152) “The

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

Carpal tunnel syndrome causes pain in your wrist because the nerve is irritated from inflamed tendons. This often comes about due to a repetitive motion you make during work. While stopping the motion and rest might help you heal faster, that's difficult to do when your condition is caused by your job. Therefore you need to find effective treatment, and unfortunately, that is often tricky with this painful condition. Even surgery isn't always a permanent solution. One treatment to consider is chiropractic care. Here's a look at some treatments you chiropractor might recommend to help with carpal tunnel syndrome.

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.

Quadrilateral space syndrome is a rare condition in which a nerve in the shoulder (the axillary nerve) is compressed. This causes pain and discomfort in the shoulder area.

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)

Carpal Tunnel syndrome (CTS). The rationale for choosing CTS as the most likely differential diagnosis is based on the subjective, objective data and T.R occupation. Evidence: CTS are caused by excessive used and repetitive movements of the wrist, which cause a loss of space and impingement of the median nerve. A type of activity that is associated with CTS, is computer use (Goolsby & Grubbs, 2011). CTS is a common musculoskeletal disorder affects approximately 1.5% to 2.8% Americans. The yearly costs estimated at $2 billion. The most common involve joints are the first (thumb), second (index finger), third (middle finger), and fourth (ring finger) metacarpophalangeal. CTS symptoms include: tingling, numbness, burning, or pain usually affects the anterior part of the wrist, medial palm and the first three digits on the hand (Thiese, Gerr, Hegmann, Harris-Adamson, Dale, Evanoff, & Rempel, 2014).

On 10/02/2017, the claimant presented with right wrist pain. She reported that the pain interferes with daily activities. She had a weakness, joint stiffness, and joint pain. Objective findings showed swelling, deformity, tenderness, and limited range of motion of the right wrist/hand. She was diagnosed with a pain in the right wrist and Colles' fracture of the right radius (closed fracture). A forearm cast and x-ray of the right wrist/hand were recommended.

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

The extensor tendons are muscles that allow your fingers and thumbs to extend. The location of this muscle is right under the skin at the back of your finger. The location of the muscle can cause problems because if the finger is bent back to the palm the muscle can tear. The most common name for this injury is baseball finger also known as mallet finger. When this tendon is damaged the top of your finger

This bone moves when the wrist is passively flexed since it lies on the flexor carpi ulnaris tendon (Starkey, et al., 2011).

With nearly two decades of experience, Dr. Jochen and his team address a wide variety of conditions from lower back pain to carpal tunnel syndrome, and offer

However, there are no associated numbness or tingling. The physical exam from the progress reports did not reveal positive Tinel’s or Phalen’s sign. The sensations were also intact in both wrists. EMG/NCS study from July revealed no evidence of a right carpal tunnel syndrome at the wrist. Furthermore, there is no reported functional improvement and pain relief from the cortisone injections. CA MTUS/ODG criteria for carpal tunnel release include failure of non-operative treatment or severe symptoms such as continuous tingling and numbness; most patients should have had at least 1 glucocorticosteroid injection; and patients who do not have a glucocorticosteroid injection that results in at least partial benefit should have an electrodiagnostic study (EDS) consistent with CTS. Medical necessity of CTS release has not been established. Recommend