Carpal Tunnel Syndrome Case Study

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

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.

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

A post hoc-pair-wise comparison test was done to obtain the mean change among the three treatment groups with p values. P values that was greater than 0.5 were considered to be significant for the study. The author found that there were some changes in the participants physical activities where the TENS unit had caused the Fibromyalgia pain to subside where patients were able to have an improved quality of life. The effectiveness of this study does remain controversial due to TENS unit being self-administered by the

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

Your carpal tunnel is a narrow, hollow space in your wrist. It passes between your wrist bones and a band of connective tissue (transverse carpal ligament). The nerve that supplies most of your hand (median nerve) passes through this space. So do the connections between your fingers and the muscles of your arm (tendons). Carpal tunnel syndrome makes this space swell and narrow, causing pain and numbness.

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).

(2012) reviews four difference case studies involving DTF, One randomised study applies DTF with corticosteroid injection to see if there is a significant difference in grip strength again lateral epicondylitis, the results prove there is a significant difference in improved maximum grip strength with injections compared to DTF. However, Joseph et al,. 2012) states that DTF alone showed overall advanced strength. Senbursa et al (2007) also uses a randomised study involving DTF in conjunction with exercises to treat supraspinatus impingement of the tendon, the study proves to be a success by increasing the strength and decreasing pain of the patients. Another advantageous study was carried out by Nagrale et al,. (2009), the study assessed DTF with electro laser therapy and concluded that the patients were able to complete a pain-free grip strength test and functional status once the treatment has been

As your body changes to make space for you're developing child, you may have body throbs, for example, back, stomach area, crotch, or thigh torment. Stretch stamps on the midriff, bosoms, thighs, or backside, obscuring of the skin around the areolas, a line on the skin running from midsection catch to pubic hairline. Patches of darker skin, ordinarily over the cheeks, brow, nose, or upper lip. Fixes regularly coordinate on both sides of the face. This is here and there called the cover of pregnancy, numb or shivering hands, called carpal passage disorder. Tingling on the guts, palms, and soles of the feet or swelling of the lower legs, fingers, and face.

Carpal tunnel syndrome is a condition that causes pain in your hand and arm. The carpal tunnel is a narrow area located on the palm side of your wrist. Repeated wrist motion or certain diseases may cause swelling within the tunnel. This swelling pinches the main nerve in the wrist (median nerve).

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

One of these symptoms is called Carpel Tunnel syndrome. It causes the hand or the arm to get numb and tingle because of a pinched nerve in the wrist.

The goal of occupational therapy is to assist people with fibromyalgia in regaining, developing and building skills, maximizing function in activities of daily living (Luedtke et al., 2005). Within the context of chronic pain, occupational therapist focuses on activity modification principles which include interview and activity analysis to assess the impact of pain on the client's desired activity and independence (Luedtke et al., 2005). Upon the intervention, symptom reduction strategies, muscle strengthening activities and adaptive equipment for specific activities are provided by the occupational therapist (Radomski & Latham, 2013).

Manual Therapy is a form of CAM used in the United States. In order to treat musculoskeletal pain and disabilities, many times a physical treatment called Manual Therapy is used (Wikipedia, 2016). This treatment includes kneading and manipulation of muscle, joint mobilizations and joint manipulation (Wikipedia, 2016). Manipulation is further divided into three categories: mechanical, neurological and physiological (Manual Therapy, n.d.). This kind of CAM it is practiced by massage therapist, occupational therapist, chiropractors, osteopaths and osteopathic physicians.

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.