Carpal Tunnel Syndrome Karin Wiles Nazrin Roberson What

Carpal Tunnel Syndrome Karin Wiles Nazrin Roberson

What is Carpal Tunnel Syndrome? • Affects 3 -6% of adults in general population • Carpal tunnel is the narrow passageway of ligament and bones at the base of the hand • Swelling of the area puts pressure on the median nerve • Median nerve supplies lateral portion of hand – palm, thumb, index finger, middle finger, and portion of ring finger

Common Symptoms • May report “swollen” or “useless” hands • Loss of strength, weaker grip • Hand shaking or “flicking” in an effort to lessen pain

Typical Causes • Caused by excess pressure on median nerve – Over-Use: Typing, Writing, Sewing, Painting, Driving, Sports, Playing Instruments, Working with Tools, etc – Pregnancy – Arthritis – Diabetes – Trauma – Static position of the wrist

Motoric/Sensory Limitations • Limited ability to grasp and carry objects • Limited mobility in rotation of the wrist

Treatment Options • Medication – anti-inflammatory drugs, B Vitamins, corticosteroids • Corticosteroid injections • Splinting • Surgery – transverse carpal ligament division

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References A. D. A. M. medical encyclopedia. (2012). Carpal tunnel syndrome: median nerve dysfunction; median nerve entrapment. Retrieved from http: //www. ncbi. nlm. nih. gov/pubmedhealth/PMH 0001469/ Le. Blanc, K. E. , & Cestia, W. (2011). Carpal tunnel syndrome. American family physician, 83(8), 952 -958. Retrieved from http: //www. aafp. org/afp/2011/0415/p 952. html MMG. (Designer). (2003). Carpal tunnel syndrome. [Web Graphic]. Retrieved from http: //www. activemotionphysio. ca/Hand-Issues/Carpal-Tunnel-Syndrome/a~284/article. html National Institute of Neurological Disorders and Stroke, (2012). Carpal tunnel syndrome fact sheet. Retrieved from http: //www. ninds. nih. gov/disorders/carpal_tunnel/detail_carpal_tunnel. htm#215163049 Uchiyama, S. , Toshirou, I. , Nakamura, K. , Kayto, H. , Yasutomi, T. (2010). Current concepts of carpal tunnel syndrome: pathophysiology, treatment, and evaluation. Journal of Orthopaedic Science, 15, 1 -3.