Carpal Tunnel Syndrome Flashcards
what nerve affected by carpal tunnel syndrome?
median N
causes of Carpal Tunnel Syndrome?
pregnancy (fluid retention)
RA
trauma
overuse
what other diseases are S&S of Carpal tunnel syndrome common?
RA rheumatic disorders myxedema amyloidosis sarcoidosis leukemia aromegaly hyperparathryoidism
is carpal tunnel more bothersome at night or during day?
at night
S&S of Carpal tunnel?
pain, buring, tingling through Median N distribution
atrophy of thenar (as progresses)
aching pain in forearm and shoulder
sensation may or may not be impaired
what movements provoke pain?
volar or wrist flexion
what is tinnel sign?
tingling or shock-like pain with volar wrist percussion
what is phalen sign?
pn or parethesia along median N when pt flex wrist (back of hands together) hold 1 min
carpal compression test
numbess and tingling with pressure over median N
is there sensory or motor delay first with carpal tunnel?
sensory conduction delay
treatment of carpal tunnel?
activity modification
volar splint (neutral position)
release surgery
when should carpal tunnel be referred?
if S&S for over 3 mo with conservative care
if atrophy of thenar develops
