Carpal Tunnel Syndrome Research Paper

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

Patient is diagnosed with bilateral carpal tunnel syndrome, bilateral elbow pain, lesion of the ulnar nerve of the bilateral upper limb.

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

Causes: rheumatoid arthritis, gout, diabetes, works which require repetitive finger and thumb movements such as farmers, musicians, and industrial workers

Although patients can be preliminarily diagnosed with the syndrome based on an analysis of the physical symptoms, two tests can be used to confirm the diagnosis of GBS. The first is a lumbar puncture, or spinal tap, in order to obtain a small amount of spinal fluid for analysis. The spinal fluid of those with GBS often contains more protein than usual. The second is an electromyogram (EMG), which is an electrical measure of nerve conduction and muscle activity. (3) (4) The symptoms of GBS begin with numbness and tingling in the fingers and toes leading to weakness in the arms, legs, face, and breathing muscles. The weakness begins in the lower portion of the body and rapidly moves upward. This weakness eventually leads to loss of sensation in the affected areas; although a number of cases are mild, temporary limb paralysis is not uncommon. In the milder cases, the numbness can only cause difficulty in walking, "requiring sticks, crutches, or a walking frame." (3) Pain is not uncommon, and abnormal sensations, such as the feeling of "pins-and-needles," can affect both sides of the body equally. Loss

Carpal tunnel syndrome is weakness, tingling, numbness and other problems at hand .This disorder is a set of symptoms thought to be of pinching (compression) of the center nerve in the carpal tunnel. In terms of age, carpal tunnel condition is most common in:

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 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.

The carpal tunnel is a passageway that runs from the forearm through the wrist. Bones form three walls of the tunnel and a strong, broad ligament bridges over them. The median nerve, which supplies feeling to the thumb, index (4th digit), and ring fingers (3rd digit), and the nine tendons that flex the fingers, passes through this tunnel. This nerve, also, provides function for the muscles at the base of the thumb (the Thenar muscles). Usually, carpal tunnel syndrome (CTS) is considered an inflammatory disorder caused by repetitive stress, physical injury, or medical conditions that cause the tissues around the median nerve to become swollen. The protective lining of the tendons within the carpal tunnel can

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

hand joints affected. It also makes it difficult to grasp and hold objects, such as a pencil, or to do

CTS is the most common entrapment neuropathy in the United States and is responsible for a large number of lost workdays. 1 There are 3.5 new cases of CTS per 1000 people in the USA every year, and about 2.1% of the population has this condition at any point in time. 1 About 70% of cases occur in women, and people who are obese are 2.5x more likely to develop CTS. 1,2 Most people are diagnosed between the ages of 30 and 50. 1

- May be asymptomatic (no problems) or symptomatic (problems) one being people having nerve problems

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.

375). That is why it is still important to perform red flag testing to keep the patient as safe as possible. Red flag tests indicate if something potentially dangerous or life threatening is going on with the patient. This will cause a physical therapy examination to stop and that patient may be referred to their primary care physician for further care before physical therapy can proceed. These tests include vertebral artery testing and cervical instability testing (Dutton, 2012). The vertebral artery test rules out any blood supply being cut off to the brain (Magee, 2008, p. 150). In terms of cervical instability testing, the transverse ligament and alar ligament tests should be done to avoid any bones in the cervical spine moving out of place to damage the spinal cord (Magee, 2008, p. 180). When these two red flags are tested and found to be negative, the rest of the exam can start. If they turn out to be positive, a referral back to the patient’s primary care physician should be made before any excursion of the cervical spine occurs. Active range of motion testing with passive end feel testing should be done next. This will allow the physical therapist to observe and feel the range of motion the patient is able to do. Also, the therapist will be able to note motions that elicit pain and if radiating pain occurs. Next, muscle length testing will detect any shortening due to the