Carpal Tunnel Syndrome Summary

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). This area of the wrist is called the carpal tunnel, thickening from irritated tendons and swelling here causes compression on the median nerve resulting in carpal tunnel syndrome.

DOI: 7/28/2014. Patient is a 33-year old male laborer who sustained injury when his left wrist twisted and snapped while using a drill. Per OMNI, he was initially diagnosed with dislocation of the left wrist. He underwent a tendon graft reconstruction on 08/07/14 and hardware removal on 09/11/14.

DOI: 11/16/2015. Patient is a 57-year-old right hand dominant male mechanic who sustained injury while he was lifting a metal roller when he lost his balance and fell backwards. Per OMNI, he was initially diagnosed with head laceration which required 7 sutures and right shoulder full thickness supraspinatus tendon tear, confirmed by 12/29/15 MRI.

Carpal tunnel syndrome would be anything that moves into, causes discomfort or the big thing compresses the median in the opening where the median nerve is in. Carpal tunnel syndrome is an injury that involves the compacting of your median nerve. The median nerve goes from the majority of your forearm thru an opening in a person’s wrist which goes down to a person hand. The median provides all the feeling for a person’s palm and every finger except your pinky finger. The median nerves function also includes providing signals to a person’s thumb to move the base of a person’s thumb.

DOI: 8/12/2015. Patient is a 38-year old male journeyman carpenter who sustained injuries to his right cheek/lips/jaws and shoulders/upper back when he was struck by a hook that broke from come-along pin.

Based on the medical report dated 06/24/16 by Dr. Angermeier, the patient presents for evaluation of left hand numbness and tingling. She has history of left ulnar nerve decompression approximately 6 years ago. She also has history of both left upper and lower

Activities at home and work worsen the pain. Numbness, tingling, and burning sensation are reported with increased pain throughout the week. The patient is requesting medication refills and reports limitations with gripping, grasping, pushing, pulling, and lifting 10 pounds. Activities of daily living are limited due to pain, as

He has some numbness and tingling into the posterior aspect of the left thigh and states that after the facet joint injections, he has had about two to three weeks of complete pain relief. He has noticed increased pain in the last couple of weeks with symptoms similar prior to the injection. He has been using ibuprofen and Robaxin with good benefit and states that the pain is usually worse with activity, standing for long periods of time. The patient had previously completed six physical therapy sessions, 12 chiropractic sessions, and 12 acupuncture sessions, but continues to have symptoms down his left

She states that the pain is progressively getting worse. Objective findings revealed pain in the lumbosacral region, more in the sacroiliac joint. Positive findings on fortin finger flexion test. There is limited lumbar flexion. The patient is subsequently diagnosed with lumbar sacral spondylosis; sacroiliac joint arthritis; and low back pain.

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

He has no Romberg 's sign. IMPRESSION: History of chronic inflammatory demyelinating polyradiculoneuritis. The strength and sensation of his extremities continues to improve after this, with no recurrence of symptoms from this with weaning off of Imuran. PLAN: Continue off of Imuran. Continue observation from a neurological standpoint.

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

He is weaning off his medications. CURES report was reviewed. The patient stated that pain is relieved by medications and aggravated by sitting and standing. Current meds included morphine, amlodipine, maxzide, ecotrin, halfprin, testosterone injection, Suboxone, Norco, dyazide and alprazolam. The exam revealed normal gait.

She has lumbosacral tenderness greater on the left. Patient Opioid Misuse Index score is 0/6, indicating the patient is not a potential misuser of opioids. Graded Chronic Pain Scale score shows current pain level of 8/10, and worst and average pain for the last 30 days is 9/10. Pain interference with ability work or housework is 10/10, with recreational, social and family activities is 7/10 and with daily or general activities is 6/10, for the last 30 days. Current medications include Norco 10/325 four tablets a day.