Condition Info - BotMed Application

ConditionName

Carpal tunnel syndrome

ConditionDescription

Peripheral neuropathy of medial nerve under flexor retinaculum

Symptoms

Hand and wrist pain;
Burning and tingling in digits 1-4 (thumb, index, middle, ring fingers);
Numbness in digits 1-4;
An electric-like shock through the wrist and hand;
Reduced hand dexterity;
Poor sleep quality due to hand tingling and/or numbness;
Weakness, particularly of the thumb;

PhysicalFindings

(+) Phalen’s maneuver;
(+) Tinel’s sign;
Sensory symptoms before motor symptoms;

ClinicalTests

Nerve conduction studies;
Most accurate test: electromyography (EMG) and nerve conductive study;

RiskFactors

Repetitive hand use;
Hand and wrist position;
Pregnancy;
Diabetes;
Rheumatoid arthritis;
Thyroid disorder;

IsRedFlag

IsNPLEX

Consequence

Secondary Raynaud Syndrome;

ProgressionFromCondition

TreatmentOptions

Wrist splints
Immobilization to relieve pressure.
Avoid of manual repetitive activities
Surgery

PharmOptions

Steroids;
NSAIDS;

WebLink

https://www.merckmanuals.com/en-ca/professional/musculoskeletal-and-connective-tissue-disorders/hand-disorders/carpal-tunnel-syndrome