Carpal Tunnel Syndrome

Question 1

what nerve affected by carpal tunnel syndrome?

Answer 1

median N

Question 2

causes of Carpal Tunnel Syndrome?

Answer 2

pregnancy (fluid retention)
RA
trauma
overuse

Question 3

what other diseases are S&S of Carpal tunnel syndrome common?

Answer 3

RA
rheumatic disorders
myxedema
amyloidosis
sarcoidosis
leukemia
aromegaly
hyperparathryoidism

Question 4

is carpal tunnel more bothersome at night or during day?

Answer 4

at night

Question 5

S&S of Carpal tunnel?

Answer 5

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

Question 6

what movements provoke pain?

Answer 6

volar or wrist flexion

Question 7

what is tinnel sign?

Answer 7

tingling or shock-like pain with volar wrist percussion

Question 8

what is phalen sign?

Answer 8

pn or parethesia along median N when pt flex wrist (back of hands together) hold 1 min

Question 9

carpal compression test

Answer 9

numbess and tingling with pressure over median N

Question 10

is there sensory or motor delay first with carpal tunnel?

Answer 10

sensory conduction delay

Question 11

treatment of carpal tunnel?

Answer 11

activity modification
volar splint (neutral position)
release surgery

Question 12

when should carpal tunnel be referred?

Answer 12

if S&S for over 3 mo with conservative care

if atrophy of thenar develops