Guyons Tunnel Syndrome Essay

Weakness or numbness on one side of the body or in an arm or leg.

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

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).

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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)

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:

• Pain in the affected area. The pain may be severe and burning, or mild.

A median nerve injury above the elbow may cause difficulty or inability to turn the hand over or flex the wrist down. Injuries below the elbow may cause tingling and/or numbness in the forearm, thumb and the three adjacent fingers. Injury may also cause weakness with gripping in addition to the inability to move the thumb across the palm and wasting of the muscles at the base of the thumb.

○ Bearing weight through the wrist or hand, such as when you push up out of a chair.

Carpal tunnel syndrome is a numbness and tingling sensation in the hand and arm that is caused by a pinched nerve in the wrist. People suffered with Carpal tunnel over the course of years, but it wasn’t as much of a common problem until after World War Two (Wikipedia). “Around 1853 to 1854 James Paget was

S: Aerotek TM reported his Left wrist pain on 9/6/2016. According to the TM, the pain started the day after the several attempted blood draw from his left AC on 8/30/2016 for his TB. On 8/31/2016 his left arm was edematous, and he had pain to his left arm. Within next few days, left arm edema and left forearm resolved but his left wrist pain remained. TM denies any previous injury to the location, or current work process may have contributed to his left wrist pain. The pain is related to his AC puncture for his TB labs, since he never had any issues prior to this event.

Charcot’s Joint (neuropathic arthropathy) most often occurs in the foot and happens when a joint breaks down. In most cases of Charcot’s Joint the foot loses most of its sensation and the muscles lose their ability to support the joint completely. The foot becomes unstable and walking becomes difficult. Cranial neuropathy affect the cranial nerves that control sight, eye movement, hearing and taste. It begins with pain near the affected eye and eventually the eye muscle becomes paralyzed leading to double vision. This usually gets better after a few months. Compression mononeuropathy, a common type of neuropathy, occurs when one nerve is damaged. People with diabetes are further predisposed to compression injuries. Carpal tunnel syndrome

Immobilization. This gives time for the tendon to rest and the swelling to decrease. A cast or walking boot may be prescribed for the duration of six to eight weeks.

• First degree – little tissue tearing; mild tenderness; pain with full range of motion.

Any condition that causes swelling or a change in position of the tissue within the carpal tunnel can squeeze and irritate the median nerve, which causes tingling and numbness of the thumb, index, and the middle fingers, a condition known as "carpal tunnel syndrome" (Nidus Information Systems, 2001). All people