Cubital Tunnel Syndrome Essay

Once inside the elbow the unlar nerveis recognized, lifted out, and moved to provide greater access to the joint. This is the "funny bone" nerve and it runs inside the ulnar groove.

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

Biceps tenodesis is common after arthroscopic surgery of a SLAP lesion. This is when the reattachment of the labro-bicipital complex is rigid and disables at the glenoid. Physiological medial rolling of the biceps tendon anchor during abduction and external rotation can cause the labro-bicipital complex to become rigid. ^5 This is due to a failure of a SLAP repair and traction to the labro-bicipital complex. Pain is felt in the shoulder due to the shoulder being innervated by sensory sympathetic fibers which are irritated by the displacement of the glenoid.

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.

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.

Carpal tunnel syndrome is a common condition that affects the hand and wrist. It happens when too much pressure is put on the median nerve. The median nerve runs through a structure at the wrist called the carpal tunnel, which is where the syndrome gets its name. Sometimes the carpal tunnel (which is made up of the carpal bones and the transverse ligament) will narrow, due to swelling, and that is how the median nerve gets squeezed. This condition is usually progressive (it will continue to get worse over time) and the symptoms involve numbness and pain in the wrist and hand. Sometimes the pain will also spread up into the arm (Sartore).

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)

The most relevant findings from the objective exam lead me to diagnosis the patient with a left sided C5 disc pathology causing secondary radiculopathy symptoms. Nerve roots should normally be able to withstand relative mechanical insults such as compression and stretching.4 Nerve roots can become injured in a multitude of ways including decreased space in the intervertebral foramina or spinal canal secondary to osteophytes or other degenerative changes from nearby structures such as facets or uncovertebral joints which can cause compression on the nerve root in “closing” type movements4. Other methods include herniated discs, synovial cysts or alterations in the chemical environment around the disc.5 Damage to the nerve root can cause sensitivity changes, hyporeflexia and motor weakness in the segment supplied by that specific nerve root. In this patient’s case the C5 nerve root was most indicated because it supplies the anterior shoulder dermatome, motor strength for shoulder abduction and biceps reflex. I believe the peripheralization of the patient’s symptoms laterally down the left shoulder and upper arm is caused by an increase in mechanosensitivity in which “pressure and/or stretch on a nerve produces immediate symptoms.6” When the patient decreases space and potentially compresses the nerves ie., cervical extension, lateral flexion to the left side and rotation to the left side his symptoms are peripheralized and the pain increases. The pain generators at the nerve root with increased sensitivity to these closing movements are referred to as

The brachial Plexus is the network of nerves that sends signals from the spine to the shoulder, arm, and hand. The nerve fibers within this network run from the spine where it passes through the cervico-axillary canal where it finally reaches the axilla. It is formed in the cervical and thoracic parts in the spine, (C5-C8, T1). An injury occurs to this when the nerves are aggravated. This could mean they become stressed, compressed, or ripped away from the spinal cord. Some common injuries that cause this is in contact sports such as football, basketball, hockey, or lacrosse. More serious injuries are from car accidents or motorcycle incidents that can leave someone paralyzed and with a loss of all sensations or functions the arm, hand, or

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

Pain in the outer elbow range commonly begins in a patient’s primarily dominant hand. The pain begins subtly as a tenderness and/or soreness, and escalates to pain doing everyday chores. Lifting a common milk jug, or turning the ignition key in one’s automobile may become a painful task as well.

The carpal tunnel is a narrow passageway in the wrist. The floor and sides of the tunnel are formed by small wrist bones called carpal bones. The roof of the tunnel is a strong band of connective tissue called the transverse carpal ligament. Because these boundaries are very rigid, the carpal tunnel has little capacity to "stretch" or increase in size.

Effect of physiotherapy and rehabilitation on pain, functionality and quality of life in patients with carpal tunnel syndrome

Ulnar neuropathy is one of the most common entrapment neuropathis. It is mainly presented with weakness of ulnar innervated muscles and parasthesis of the 4th and 5th digits(1). The first dorsal interosseous (FDI) and the abductor digiti minimi (ADM) are the two muscles which frequently impaired .The neuropathy has a heteregenoues clinical presentation based on different involvement of fascicles within the ulnar nerve(2,3).

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.