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Carpal Tunnel Syndrome, A Simple Guide To The Condition, Treatment And Related Conditions
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- FormatePub
- ISBN978-1-370-26607-4
- EAN9781370266074
- Date de parution22/11/2016
- Protection num.pas de protection
- Infos supplémentairesepub
- ÉditeurEditeurs divers USA
Résumé
Carpal Tunnel Syndrome is the compression of the median nerve in the carpal tunnel of the wrist. The carpal tunnel is a ligamentous sheath which provides protection for the median nerve as it travels across the carpal boneCarpal Tunnel Syndrome occurs as a result of pressure on the median nerve between the transverse carpal ligament and the flexor tendons with their inflamed and enlarged synovium.
Local causes:1. Trauma including injury, fractures2. Tenosynovitis (inflammation of the tendon and their synovial sheath)3. Lipoma4. GanglionSystemic causes:1. Polyarthritis2. Myxedema (hypothyroidism)Symptoms:The onset is usually spontaneous with gradual increasing night pains which cause the patient to seek treatment:1. Painful night tingling sensation of the fingers which can extend to the forearm-relieved by hanging the arm down or shaking2.
Paresthesia and numbness of the index, middle and ring finger3. Fingers feel clumsy4. Thenar muscle wasting and weakness may be present5. Impairment of light touch and pin prick sensation on the 3 middle fingers1. Physical examinationa. Phalen's test- flex wrists so that the dorsal surfaces of the hands are in full contact with each other, hold for 1 min: tingling and numbness occur in median nerve distributionb.
Reverse Phalen's test (prayer Sign)-extend wrists so that the palms of hands are in full contact like in prayer, hold for 1 min: tingling and numbness occur in median nerve distributionc. Tinel's test - tap volar surface of the wrist tingling means positive test2. EMG - electromyography to test movement of the muscles3. Nerve conduction tests on median nerveTreatment is by:1. Treat underlying conditions such as myxedema, polyarthritis, and amyloid2.
Diuretic in mild cases and those present in pregnant womenNSAIDS may reduce inflammation.3. Wrist splintage in extension4. Injection of the carpal tunnel with corticosteroid (avoiding the carpal nerve)Surgical decompression is by division of the transverse carpal ligament. Results are usually good. TABLE OF CONTENTIntroductionChapter 1 Carpal Tunnel SyndromeChapter 2 More Facts of Carpal Tunnel SyndromeChapter 3 Treatment of Carpal Tunnel SyndromeChapter 4 Trigger FingerChapter 5 De Quervain DiseaseChapter 6 Cervical SpondylosisChapter 7 GanglionEpilogue
Local causes:1. Trauma including injury, fractures2. Tenosynovitis (inflammation of the tendon and their synovial sheath)3. Lipoma4. GanglionSystemic causes:1. Polyarthritis2. Myxedema (hypothyroidism)Symptoms:The onset is usually spontaneous with gradual increasing night pains which cause the patient to seek treatment:1. Painful night tingling sensation of the fingers which can extend to the forearm-relieved by hanging the arm down or shaking2.
Paresthesia and numbness of the index, middle and ring finger3. Fingers feel clumsy4. Thenar muscle wasting and weakness may be present5. Impairment of light touch and pin prick sensation on the 3 middle fingers1. Physical examinationa. Phalen's test- flex wrists so that the dorsal surfaces of the hands are in full contact with each other, hold for 1 min: tingling and numbness occur in median nerve distributionb.
Reverse Phalen's test (prayer Sign)-extend wrists so that the palms of hands are in full contact like in prayer, hold for 1 min: tingling and numbness occur in median nerve distributionc. Tinel's test - tap volar surface of the wrist tingling means positive test2. EMG - electromyography to test movement of the muscles3. Nerve conduction tests on median nerveTreatment is by:1. Treat underlying conditions such as myxedema, polyarthritis, and amyloid2.
Diuretic in mild cases and those present in pregnant womenNSAIDS may reduce inflammation.3. Wrist splintage in extension4. Injection of the carpal tunnel with corticosteroid (avoiding the carpal nerve)Surgical decompression is by division of the transverse carpal ligament. Results are usually good. TABLE OF CONTENTIntroductionChapter 1 Carpal Tunnel SyndromeChapter 2 More Facts of Carpal Tunnel SyndromeChapter 3 Treatment of Carpal Tunnel SyndromeChapter 4 Trigger FingerChapter 5 De Quervain DiseaseChapter 6 Cervical SpondylosisChapter 7 GanglionEpilogue
A propos de Kenneth Kee
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