Ask How Do You Know Carpal Tunnel Syndrome

How Do You Know When You Have Carpal Tunnel Syndrome?
Source: eMedicineHealth.com - Category: General Medicine Source Type: news

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Authors: Grant Y, Freilich S, Horwitz MD, Shemesh D, Crane J Abstract The ideal choice of vascular access in patients requiring haemodialysis is an arteriovenous fistula. However, an important often under-reported complication encountered at follow-up is symptoms of tingling or numbness in the hand. This may represent carpal tunnel syndrome, impairment of the median nerve as it traverses through the carpal tunnel at the wrist by focal compression of this nerve. Contributory factors in the presence of an arteriovenous fistula may include venous hypertension and varying steal syndrome phenomena provoking micro-ischae...
Source: The Journal of Vascular Access - Category: Surgery Tags: J Vasc Access Source Type: research
Publication date: Available online 12 August 2020Source: Annals of Medicine and SurgeryAuthor(s): Alex Haiser, Chloe L. Jordan
Source: Annals of Medicine and Surgery - Category: General Medicine Source Type: research
This study aims to evaluate the effect of LED therapy on NSCLBP. Methods and analysis: We conducted a prospective, double-blind, randomized placebo-controlled trial of 148 patients with NSCLBP. The patients were randomly assigned to 2 groups: intervention group, where patients received LED photobiomodulation therapy 3 times a week for 2 weeks, and the sham group, where patients had sham therapy 3 times a week for 2 weeks. Primary outcome measures included the visual analog scale for pain, lumbar active range of motion assessments, and chair-rising times. Secondary outcome measures included a multidimensional fatigue inv...
Source: Medicine - Category: Internal Medicine Tags: Research Article: Study Protocol Clinical Trial Source Type: research
CONCLUSIONS: In the long term, manual therapy including desensitization maneuvers of the central nervous system resulted in similar outcomes and similar surgery rates compared to surgery in women with CTS. Both interventions were combined with a tendon/nerve gliding exercise program at home. IMPACT: This is the first study to report clinical outcomes and surgical rates during a 4-year follow-up and will inform decisions regarding surgical versus conservative management of CTS. PMID: 32766779 [PubMed - as supplied by publisher]
Source: Physical Therapy - Category: Physiotherapy Authors: Tags: Phys Ther Source Type: research
Condition:   Carpal Tunnel Syndrome Intervention:   Device: ultrasound Sponsor:   Eskisehir City Hospital Completed
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
AbstractBackgroundDiagnostic delay of hereditary transthyretin amyloidosis (ATTRv, v for variant) prevents timely treatment and, therefore, concurs to the mortality of the disease. The aim of the present study was to explore with nerve ultrasound (US) possible red flags for early diagnosis in ATTRv patients with carpal tunnel syndrome (CTS) and/or polyneuropathy and in pre-symptomatic carriers.MethodsPatients and pre-symptomatic carriers with a TTR gene mutation were enrolled from seven Italian centers. Severity of CTS was assessed with neurophysiology and clinical evaluation. Median nerve cross-section area (CSA) was meas...
Source: Journal of Neurology - Category: Neurology Source Type: research
We present the case of a 24-year-old man with an acute compression of the median nerve due to an intra-articular fracture of the 2nd metacarpal base. A bony fragment shifting from the base of 2nd metacarpal was found in the carpal tunnel participating, at least in part, in the compression of the median nerve. PMID: 32763069 [PubMed - as supplied by publisher]
Source: Annales de Chirurgie Plastique et Esthetique - Category: Cosmetic Surgery Authors: Tags: Ann Chir Plast Esthet Source Type: research
Abstract Thumb opposition is an essential movement for daily use of the hand, including precise pinch or grasping as well as fine and complicated hand movement. Although previous studies have reported several donor tendons for opponensplasty, opponensplasty using palmaris longus, Camitz opponensplasty, have been utilized in patients who have loss of opposition function due to long-standing carpal tunnel syndrome, because the procedure involves a simple and useful tendon transfer without causing functional deficits. To obtain enough length to transfer the tendon to the metacarpophalangeal joint of the thumb, the PL...
Source: Journal of Nippon Medical School - Category: Universities & Medical Training Authors: Tags: J Nippon Med Sch Source Type: research
Condition:   Carpal Tunnel Release Interventions:   Procedure: TRONC;   Procedure: WALANT;   Procedure: Tourniquet Sponsor:   CMC Ambroise Paré Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Love seeing the discussions you geniuses have about cases. So here is one I did a few weeks back. 55y 152kg M scheduled for Maxillectomy, Parotidectomy, neck dissection, and radial arm free flap. PMH: sub orbital SCC, IDDM (A1c 9.9), NAFLD s/p OLT about 7 years ago, moderate cervical stenosis on MRI, OSA (not on CPAP), HTN on beta blocker, HLD. No documented CAD, COPD, or CVA history. No known airway involvement by tumor, but physical exam shows Mallampati 4 PSH:OLT, Carpal tunnel, MOHS... How would you approach this case?
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Anesthesiology Source Type: forums
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