CHAPTER ONE: BACKGROUND AND LITERATURE REVIEW 1.1 Background Carpal tunnel syndrome is the entrapment of median nerve at the wrist. The median nerve originates from the brachial plexus at level of C5 to T1. It passes down through the midline of the arm in front of the elbow joint supplying muscles of the forearm continuing to the hand supplying the front of the thumb, the two first fingers and the lateral half of the third finger (Elsevier 2001). The symptoms in carpal tunnel syndrome include numbness, tingling, burning sensation, loss of grip strength and pain. Symptoms are more severe at night provoked by repetitive vigorous activity and prolonged wrist positioning (Ablove & Ablove 2009). Risk factors of carpal tunnel syndrome include any condition which may cause compression or decrease of nerve function within the carpal tunnel (Ablove & Ablove 2009). Conditions such as diabetes mellitus, hypothyroidism, amyloidosis, rheumatoid arthritis, obesity and pregnancy are commonly associated with carpal tunnel syndrome (A Khademi et al 2012). Hormonal changes and edema is the most likelihood of causing carpal tunnel syndrome in pregnancy; including gestational diabetes which slows down nerve conduction (Ablove & Ablove 2009). Some of the factors that may contribute to CTS in pregnant women may …show more content…
The pregnant women were clinically assessed for CTS symptoms and then confirmed by electro diagnostic tests. Around 75.5% complained of CTS symptoms and 44.4% were positive for Phalen’s and Tinel test while 50% were asymptomatic. 16.6% confirmed CTS electro physiologically with the highest number of CTS occurring in the third trimester including older age being associated with CTS occurrence(Shaafi Sh, Naimian Sh, Iromlou H
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The purpose of this essay is to describe structure and function of the tendon, present a discussion on the process of pathophysiological Tendinopathy and provide a review of known intervention used to manage or treat both acute and chronic tendinopathies. Tendons act to serve a connective tissue linking muscle to bony attachment points and in the case of the intermediate tendons that will act to link a muscle belly to another (Benjamin and Kaiser, et al). Tendons are a uniaxial and assist in force transmission thus being able to withstand external forces from multiple planes and angles (Kannus, 2008). Tendons are also responsible for storage of power and changes in the mechanical energy of the body of which in turn reduces muscular work by
DOI: 1/16/2014. Patient is a 48-year-old female price checker who sustained injury while she was locking cabinet when the fixture and monitor fell off and hit her in the head. Patient had a head contusion. Per PT notes dated 03/13/14, the IW has attended 5 sessions for the neck.
It may also be caused by medial epicondylitis, bony spurs, osteoarthritis, cubitus valgus, tumors, bending the elbow excessively, or subluxation of the nerve on the medial epicondyle. Additionally, cubital tunnel syndrome may occur if the humerus or ulna is
Chiropractic treatment This is an exparte case requested Chiropractic, CA MTUS states that it is recommended for chronic pain if caused by musculoskeletal conditions, and only when manipulation is specifically recommended by the provider in the plan of care. ODG states that it is not recommended. Manipulation has not been proven effective in high quality studies for patients with pain in the hand, wrist, or forearm, but smaller studies have shown comparable effectiveness to other conservative therapies. Review of medical records indicates that the patient is s/p left thumb surgery He had neuropathic pain distally. He was unable to hold onto any objects.
Spinal cord injury (SCI) can occur as a result of either physical trauma or pre-existing conditions, such as tumour or degenerative diseases for example. Injury to the spinal cord can take place at any level and will translate into the loss of motor, sensory or autonomic function to areas of the body below the level of cord injury. ASIA is the gold standard tool used as a means of classifying the degree of impairment, allowing all health professionals to understand a universal grade once it has been implemented for each spinal patient. The grading is calculated in accordance to neurological response (grade A-E) in each dermatome as well as muscle strength on both sides of the body (MRC grading 0-5). The neurological grading is further classified
Shah addresses the reader with caring motives and understanding of how physically demanding and life-changing pregnancy can be. ‘’I am acutely aware that even women with healthy pregnancies can develop life-threatening hemorrhage, fetal distress, or other unanticipated emergencies during labor.’’ Shah recognizes the risk associated with pregnancy and tells the reader of his concerns. He even recognizes the amount of financial expenses and stress associated with C-sections. ‘’Nearly, half of the of the caesareans we do in the US currently appear to be
Carpal tunnel syndrome is a painful progressive condition affecting 4-10 million Americans. It is the most common nerve disorder experienced today. The main symptoms of carpal tunnel syndrome are numbness, tingling, and weakness in the fingers. The numbness is caused by compression of a key nerve in the wrist, the median nerve. The median nerve runs from the forearm into the palm of the hand and passes through a narrow, rigid passageway of ligament and bones at the base of the hand (NIH).
The condition of the nerve will decides the diagnosis will be positive or negative. The injection to the carpel tunnel is the best way to test the diagnosis. If you can hire the best Carpal Tunnel Syndrome Houston surgeon’s means, you can easily get rid of this problem. Carpal Tunnel Syndrome At The Time Of Pregnancy: Carpal tunnel syndrome was the common and dangerous problem at the time of the pregnancy. This can cause the fluid shifts and the swelling shift to the child bearing front.
Carpal Tunnel Syndrome affects countless people every single year, and is one of the most common soft tissue repetitive strain injuries. Usually it is caused by repetitive movements of the hand or wrist, and involves the painful compression of the major nerve passing over the carpal bones through the front of the wrist. It can cause numbness, tingling, weakness, and a lot of pain in the hand and wrist, and is one of the leading causes of missed work time and chronic sleep loss. Who Does Carpal Tunnel Syndrome Affect?
• An injured employee has the right to be reinstated to his former position if the job remains available when he is ready to return to work. The position is considered available even if it was filled by a temporary worker while he was out of work. (Levine 16) Departments can’t simply replace the injured employee, but instead the position remains in limbo until the return of the employee. Carpal Tunnel Syndrome can’t be completely prevented but there are steps that can help lessen the odds of occurrence. Following are a couple of ways that employers can assist employees in the effort to prevent carpal tunnel
Though often referred to as stenosing tenosynovitis . Several causes of trigger finger have been proposed, though the precise etiology has not been elucidated. Understandably, repetitive finger movements and local trauma are possibilities [3-4], with such stress and degenerative force also accounting for an increased incidence of trigger finger in the dominant hand [5-6]. There are reports linking trigger finger
A vital part of the nursing profession is nursing research. Clinical questions for specific patient problems are identified so that healthcare providers can find clinically relevant information using Internet search engines and databases (Higgins & Green, 2009). The main principle of nursing research is to produce new knowledge. The primary function of evidence based practice is to make evaluations about patient care built around the most current and best evidence that was collected by a systematic problem solving method. This paper will discuss hypothyroidism in pregnant women, and the risk fact of miscarriage during the first trimester of pregnancy.
It affects around 5-8% of all pregnancies. When superimposed with convulsions it is termed as eclampsia. Other high-risk factors are multiple pregnancy, hydramnios, and molar pregnancy. It is estimated that around 1400 women dye from pregnancy-related causes