Carpel Tunnel Syndrome

Question 1

Presentation

Answer 1

Pain in first three and half of ring finger

50% of patients report numbness in all fingers
25% pain radiates to the elbow
5% radiates to the shoulder

Question 2

Risks

Answer 2

Highly repetitive tasks
Degree of force and high vibrational stressors
Nil evidence of office work causing carpel tunnel

Question 3

Examination

Answer 3

Median compression test (for 30s)

Phalen’s and Reverse Phalen’s

Question 4

Management

Answer 4

Non pharmacological: w/loss, exercise, wrist splints

Invasive: Corticosteroid injections -> cause synovial atrophy ->
Surgica