Symptoms affecting the upper extremities, particularly nocturnal paraesthesias and numbness, should be identified as manifestations of carpal tunnel syndrome. Reduction of physical load factors together with conservative treatment options (night splint) are the primary management strategies in association with mild symptoms and findings. Nonspecific treatment (e.g. unnecessary physiotherapy) should be avoided. If the sensory disturbance is prolonged and ENMG reveals severe nerve entrapment, or if motor weakness develops, surgical management should be considered.

Fulfilling the need for an easy-to-use resource on managing musculoskeletal disorders and sports injuries, this book provides differential diagnostic workups with recommended gold standard evaluations that lead to a simple and accurate diagnosis, followed by first-line treatment options. Organized by five sections - head and neck, upper extremity, lower extremity, abdomen/pelvis with trunk and chest, and cervical, thoracic and lumbosacral spine - chapters present a concise summary and move on to a description of the most common symptoms, etiology, epidemiology and/or common causes if traumatic in nature. The best and most accepted diagnostic tests are illustrated, along with recommended evidence-based medicine and what may be done based on community standards of care. Treatment options will be listed in order of the most conservative to the most aggressive. This complete reference will provide primary care, physiatry, and ER physicians, residents, PA’s and students a simple and practical approach for clinical and academic use.

Guided by symptom charts, you select the best exercises for restoring the range of motion to overworked hands, arm shoulders, fingers, wrists.

This book is a practical and evidence-based guide to performing clinical musculoskeletal ultrasound for patients suffering from various rheumatic diseases. It represents the best current thinking on the role of ultrasonography in the assessment of pathology, diagnosis and treatment of these disorders. Following introductory chapters covering fundamental techniques and pitfalls of musculoskeletal ultrasound, the book discusses the uses of ultrasound to identify and monitor different rheumatic conditions, including rheumatoid arthritis, ankylosing spondylitis, osteoarthritis, pediatric musculoskeletal disorders, carpal tunnel syndrome and inflammatory conditions. It concludes with a chapter dedicated to ultrasound-guided interventional procedures, with illustrations depicting patients and probe positioning. Featuring contributions from a large international group of leaders in musculoskeletal ultrasonography, Musculoskeletal Ultrasonography in Rheumatic Diseases is an authoritative reference for rheumatologists, sonographers, radiologists and orthopedic specialists.

This guide offers computer users who suffer from repetitive strain injury (RSI) an effective program for self-care. It explains the symptoms, prevention, and treatment of RSIs and also addresses the often-overlooked root causes of RSIs. This holistic program treats the entire upper body with ergonomics, exercise, and hands-on therapy, increasing the likelihood that surgery and drugs may be avoided.

It can start in any number of ways: A legal secretary notices a strange buzzing in her palm. It soon spreads to a fiery ache across her entire upper body. Within a few months, she becomes totally disabled. Trapped in the medical and legal systems without any answers, she desperately attempts to regain her health and her livelihood. Fifteen percent of Americans suffer from pain associated with Carpal Tunnel Syndrome, but only 5 percent ever receive that diagnosis. Medical science does not agree on what causes it or even if it exists. Technology has caused incidents to skyrocket, making nearly everyone susceptible—even teenagers and children. It is the number one occupational illness in the United States, and the most common cause of physical disability in the world, costing approximately $850 billion a year in this country alone. The Truth About Carpal Tunnel Syndrome is a compelling patient account of this controversial injury. Using layman’s terms, the book describes why it’s so difficult to treat, how the author learned to manage hers, and how the medical and legal systems work in conflict to those suffering such injuries. Offering hope to sufferers and their loved ones, this book captures the reality of carpal tunnel syndrome and suggests ways for dealing not just with the injury but with the systems in place to deal with the losses associated with carpal tunnel syndrome.

Practical and user-friendly, this text provides the orthopedic and hand surgeon with all the essential information for diagnosing and treating carpal tunnel syndrome (CTS) and other median neuropathies of the hand and wrist, with special emphasis on challenges and complications. Organized to allow for easy searching of specific subject matter, opening chapters discuss anatomy of the median nerve, history and pathophysiology of CTS, clinical presentation and diagnosis, including imaging, and severity scoring. Presentation of various treatment strategies follows, both non-operative and surgical, including open and endoscopic techniques and revision surgery, incomplete release, transection, use of the reverse radial forearm flap, vein wrap, synovial wrap, and microneurolysis. Other median neuropathies are discussed as well, including neuromas and stimulation for chronic median nerve pain. Generously illustrated, Carpal Tunnel Syndrome and Related Median Neuropathies is a valuable resource for orthopedic and hand surgeons on the evaluation and treatment of complications and complexities arising from carpal tunnel syndrome and surgery.