Ma3110 Wk 1 Homework

Over the past few decades one of the main arguments patients have when going to see a dentist is the amount of radiation they are exposed to while taking dental radiographs. Every time this happens the dentist has to sit the patient down and talk to them about the cause versus effect. While many patients think that they are being over exposed to radiation while having a standard set of x-rays every year, they never take into account the amount of radiation that they are receiving through other devices of by just walking outside. Not many dental providers think of the amount of radiation they are receiving just by working with it every single day. The lack of knowledge that dental providers have about radiation exposure can affect their overall

Cubital tunnel syndrome is a condition that affects the ulnar nerve in the arm. The ulnar nerve runs along the medial portion of the arm, behind the medial epicondyle of the humerus, and down into the hand where it innervates the fifth digit and the medial half of the fourth digit, as well as controlling most of the little muscles for fine movement in the hand and larger muscles in the forearm used for grip strength (The American Center for Spine and Neurosurgery [ACSN], 2015). The ulnar nerve can become compressed in several locations as it travels down the arm from the neck, such as beneath the collarbone, at the elbow, or at the wrist. When this compression occurs at the elbow, is referred to as cubital tunnel syndrome. The ulnar nerve at the elbow is commonly referred to as your “funny bone”, but those who have had the pleasure of hitting it know that it is not funny.

Treatment options range from non-invasive to invasive. While both are effective, we advise seeking non-invasive treatments first. Dependent upon the severity, some patients may be advised to rest their affected arm or wear a brace or splint. This will limit the hand’s mobility with the goal of helping the wrist and tendons to recover. Another treatment option is to receive chiropractic care, which will include a gentle manipulation of the wrist, elbow, and cervical spine by your Chiropractor. With regular visit, this form of treatment shows positive results in managing and curing the symptoms of Carpal Tunnel. More invasive treatments include surgery or steroid shots. Of all the treatment options, chiropractic care is highly effective and not as invasive as other options may

DOI: 2/25/2014. Patient is a 23 year-old male laborer who sustained a work-related injury to his right hand index finger, middle finger, and ring finger when they got caught in the mixer paddle. As per OMNI entry, the patient underwent open reduction fixation on 3/4/2014 and another surgery for removal of pins, skin graft, and debridement on 06/2013.

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

DOI: 11/17/2015. Patient is a year old male mechanic who sustained injury while he was throwing a broken urinal into dumpster when it broke and cut his left wrist. Per OMNI, he was initially diagnosed with laceration to left wrist/forearm flexor tendons to middle, ring and pinky fingers. Surgery was done on 11/25/15 for left forearm repair.

In carpal tunnel release surgery, a surgeon cuts through the transverse carpal tunnel ligament to make more room in the carpal tunnel space. You may have this surgery if other types of treatment have not

The symptoms of pain, numbness, tingling or weakness are the result of the inflammatory process within the carpal tunnel that leads to compression of the median nerve. The compression and resulting impingement of the median nerve results in ischemia. The ischemia leads to the symptoms of numbness, tingling, pain and weakness of the hand and/or forearm. The FNP should inspect the wrist and hands of the patient with symptoms of CTS, looking for skin color and temperature changes, deformities and muscle wasting. The active and passive range of motion (ROM) of the neck, shoulders, elbows, wrists and fingers should be accessed. Muscle strength should be assessed at the shoulder, elbow, wrist and fingers. Spurling’s test for cervical radiculopathy should be performed. A plain x-ray can be ordered by the FNP if ROM of the wrist is limited. The FNP should also assess capillary refill of the fingers (Dunphy, Winland-Brown, Porter, & Thomas,

12/22/15 Progress Report described that the patient has improved substantially in her left hand following her carpal tunnel surgery in 2014. She expresses a strong desire to proceed with right carpal tunnel surgery, given the degree of residual symptoms that have not adequately responded to conservative measure. ROS: The patient has dyspepsia with some episodic epigastric pain treated with antacids and H2 blockers. The physical exam revealed moderate tenderness over the right carpal tunnel. There were positive Tinel’s and Phalen’s signs. The Katz hand diagram was consistent with

An article by Aslani et al., “Comparison of carpal tunnel release with three different techniques” compared the open release, endoscopic release and mid-palmar release. It was a clinical trial study that was done over a period of one year on patients who were surgical candidates for carpal tunnel syndrome (Aslani et al., 2012). Patients were diagnosed based on clinical symptoms and electro-diagnostic studies (Aslani et al., 2012). The clinical diagnosis was made based on the presence of three or more of the following: history of recurrent or persistence paresthesias in the median nerve distribution, nocturnal awaking with paresthesia, worsening of symptoms with any hand activity, positive Tinel’s and Phalen’s sign on physical exam (Aslani et al., 2012). Total of 105 patients were diagnosed and were studied over a course of one year (Aslani et al., 2012). Patients who entered the study had not responded to non-surgical treatments for 6 months (Aslani et al., 2012).

After 27 physical therapy visits post surgeries in a period of 6 months the patient reported no perceived disability to work after 52 weeks. Although, some functional disability was experienced when it came to general activities and sports between 4 to 13 percent based on the QuickDASH. Pain levels reported by the VAS remained considerable low. The subject reported pain level between 0-4 on a 10 scale; pain decreased to zero by week 10.

After 27 physical therapy visits post surgeries in a period of 6 months the patient reported no perceived disability with work after 52 weeks. Although, some functional disability was experienced when it came to general activities and sports between 4 to 13 percent based on the QuickDASH. Pain levels reported by the VAS remained considerable low. The subject reported pain level between 0-4 on a 10 scale; pain decreased to zero by week 10.

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

Problems and recovery of post-operative patients with carpal tunnel syndrome: a thematic analysis of Internet forum comments

Electrodiagnostic study of the bilateral upper extremities performed on 05/27/15 revealed moderate bilateral carpal tunnel syndrome.