Carpal Tunnel Trauma Paper

DOI: 6/12/2014. Patient is a 59-year-old right-handed male machine operator who sustained work-related injuries to his right arm, shoulder and neck when his right hand got caught in a mixer. As per office notes dated 9/6/16, the patient returns complains of continued neck pain with burning hot pain extending into the forearm down to the hand along the C6 and C7 distribution with numbness and tingling in the hand. The patient has undergone multiple medications, physical therapy, TEN both in physical therapy and home use. It was also noted that the pateint denies having cognitive behavioral therapy. The provider notes, that it would be appropriate as based on the history including postoperative right forearm fracture repair and forearm open reduction and internal fixation of the right distal radius that an additional surgery to the right arm and continue physical therapy, yet continues to have swelling

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.

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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.

symptoms of carpal tunnel can cause pain, aching, tingling, or numbness in one our both hands. It can come on over a period of weeks. It can be worse in the thumb-indexed and middle fingers the whole hand can feel affected. you may also have an ache in your arm, shoulder and neck .it can be worse in the morning but sometimes can wake you at night. You may not notice pain during the day but things like housework, typing and writing can bring it on. if the nerve is badly squeezed you may have numb fingers and weak hand throughout the day. You may drop things and find writing and fastening buttons more

For this scientific experiment, the hypothesis was “Does the suspended tray technique decrease pain caused by Carpal Tunnel Syndrome?” According to the results, the hypothesis was accepted. Although most of the test results referred back to the suspended tray, there were a few that led to the regular tray technique. Of the thirty people who were tested, nineteen subjects agreed to the suspended tray as being the most comforting. Six of those thirty test subjects disagreed and believed that the regular tray technique felt more soothing. The data turned out to be this way because when people with Carpal Tunnel Syndrom put the strain on their wrist by using the regular tray technique toppled with weight, it felt uncomfortable. Although, when the

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.

The authors in this study wanted to find out if paraffin or ultrasound was a better modality choice to treat carpal tunnel syndrome. The authors discovered that to improve the functional status of carpal tunnel syndrome,

01/26/16 Progress Report noted that the patient presented with left shoulder pain. The pain was gradual in onset and is constant. The pain is characterized as burning, sharp, shooting, and throbbing. It radiates to the neck. She described her pain as moderate to severe. Her condition is associated with numbness in her left fingertips and weakness in her upper extremities. Any activity, movement and reaching aggravate the pain. Stretching and hot showers relieve the pain. The level of sleep has been decreased due to difficulty falling asleep. The quality of sleep is poor. She has difficulty performing her ADLs. Current medications: Meloxicam, Naproxen, and Spironolactone. Review of Systems was positive for weakness and nausea. The patient also has anxiety and depression. She has had psychiatric, psychological, or social work evaluations or treatments for problems. The physical exam of the cervical spine revealed that the ROM is restricted. There were spasms and tenderness of the paravertebral muscles bilaterally. There was also spinous process tenderness noted on C6 and C7. Tenderness is noted at the paracervical muscles and trapezius. Spurling’s maneuver produces no pain in the neck muscles or radicular symptoms in the arm. Adson’s test is negative. No signs of meningism. Cervical facet loading is negative on both sides. The exam of the right shoulder was

Based on the medical report dated 06/27/16, the patient developed bilateral carpal tunnel syndrome over the past year and also some left lateral elbow soreness. Symptoms have progressed. She continues to perform regular work; some adjustments have been made to her work site and she takes short breaks. She takes ibuprofen tablets as needed. Her symptoms wake her from sleep despite night splinting. Of note, electrodiagnostic testing was consistent with moderate to severe bilateral carpal tunnel syndrome. The right side is equal

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.

S: TM reports bilateral hand numbness, denies any pain, but his hand goes numb at times. He has previous case going back to 2011. Currently his current job doesn’t requires physical involvement, but he wants have he’s case open incase his current bilateral hand numbness gets worse. His hand goes numb while he has his elbows are bent and maintain a passion and sometimes he wakes up with numbness in his hands, but never pain. TM denies lost grip or movement of his hands.

Per the medical report dated 03/10/16, the patient was prescribed with ibuprofen 800 mg as needed. Patient was also advised to massager the left elbow with Voltaren gel and to engage in home exercises and stretching. EMG of the right upper extremity is recommended to rule out carpal tunnel syndrome and to rule out ulnar neuropathy.

S: TM works in GA Final B; Door Sub. According to, TM, his right shoulder began to hurt on right Thursday, he thought, over the weekend with adequate rest, ice and some Advil will get him better, but his right shoulder didn’t get better but worse. That’s when he decided to come to HMMA Medical Clinic. TM reports his right shoulder pain is 7/10, he couldn’t even perform his ADL this morning because he couldn’t raise his right arm above his waist level because of the pain. TM reports his pain is in his AC, deltoid region, and pectorals major area. TM denies acute trauma or previous injury to the location. TM denies numbness or tingling sensation radiating down to his hand

DOI: 01/23/2016. This is a case of a 42-year-old female separation baker who sustained a work-related injury when one of the metal rack slipped off injuring her right arm. As per office notes dated 7/20/16, the patient complains of right shoulder pain, right wrist and hand pain as well as right elbow pain. The right shoulder pain is described as constant moderate pain in nature. It is described also by burning and weakness. The right wrist and hand pain is constant moderate to severe that is sharp and numb. The right elbow pain is constant moderate that is described as sharp and tingling. Objective findings revealed 2 + spasm and tenderness to the right rotator cuff muscles. Spuraspinatus test was positive on the right. The elbow revealed 2+spasm