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Carpal Tunnel Case Study
Carpal Tunnel Case Study
Carpal Tunnel Case Study
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Ms. Cardiello reported that she also suffers from moderate to severe anemia. Ms. Cardiello reported that she get IV infusions of iron every 8 to 12 weeks, she indicated when she experiences pain she takes
Based on the medical report dated 06/24/16 by Dr. Angermeier, the patient presents for evaluation of left hand numbness and tingling. She has history of left ulnar nerve decompression approximately 6 years ago. She also has history of both left upper and lower
It may also be caused by medial epicondylitis, bony spurs, osteoarthritis, cubitus valgus, tumors, bending the elbow excessively, or subluxation of the nerve on the medial epicondyle. Additionally, cubital tunnel syndrome may occur if the humerus or ulna is
DOI: 5/23/2016. Patient is a 48-year-old male sales employee who sustained injury due to a car accident. Per OMNI, he was initially diagnosed with cervical and left shoulder sprain/strain. Based on the latest medical report dated 07/15/16, the patient notes his neck pain radiating to his left upper extremity is now described as 5/10 in intensity and notes the associated tingling on his left arm is now worse.
Reason for Visit: s/p ESI X 5 visits; Right Wrist Strain S: TM reports his right wrist pain at 0/10 with movement 4/10. His right wrist pain is caused by extension of his right, causing ganglion cyst to put pressure on the dorsal portion of the right wrist. TM describes this pain as "throbbing," with movement.
The symptoms are reduced by taking medications, applying ice /heat compresses, transcutaneous electrical nerve stimulation (TENS) unit and massaging. Physical examination is essentially unchanged. Spinal restrictions/subluxations are noted at T1-12 and L1-L5. Pain/Tenderness is noted over the upper to mid/mid to lower cervical, cervico-thoracic, upper/mid/lower thoracic, thoraco-lumbar, upper/lower lumbar and lumbo-sacral and left shoulder.
Adolescents present with pain and tenderness over the medial border of the foot,aggravated by running or jumping sports or rubbing footwear. Clinical examination reveals a cornuate prominence on the medial side of the navicular,which may be tender and show pressure from footwear. An x-ray will confirm the presence of an ossicle at the medial border of the navicular(controversy whether a stress fracture, or a separate centre of ossification).Treatment is an arch support and modification of footwear. Acute pain, aggravated byweight bearing may require six weeks of cast immobilisation. Rarely excision of the lesionwith tightening of the tibialis posterior tendon is required.
5. Phalen test and Tinel sign was negative. The patient reported some numbness and tingling in her wrist and fingers, and also she had a carpal tunnel syndrome in the past. Therefore, to rule in/out, I tested with the Phalen and Tinel sign tests to evaluate her.
A/P Andrew Strosahl is a 31-year-old male here today for several issues. Right shoulder pain. He reports that this pain has worsened with his activity recently. He is going to hold off on the yoga poses and the golf for now and try to give his shoulder a rest. I wrote him for naproxen 500 mg one p.o.
Based on the situation given, owing to long working hours at Air Asia, one staff has complained of Tendonitis. Thus, to ensure safety and comfort for the staffs, let us investigate Tendonitis. According to Merriam-Webster.com, tendonitis, also known as tendinitis in the field of medical means, “a painful condition in which a tendon in your arm, leg, etc., becomes inflamed ().” A tendon is a tough rope-like tissue where it has the characteristics of flexible, tough and fibrous also capable of withstanding tension which attaches muscle to bone, while a ligament extends from bone to bone at a joint.
DOI: 6/21/2016. Patient is a 22-year-old male maintenance technician who sustained injury while he was pushing a piece of sheet metal, he slipped and sustained laceration to the dorsal aspect of the hand. Per OMNI, he was initially diagnosed with laceration to the right hand middle and ring fingers. Based on the medical report dated 07/01/16, the patient‘s wounds were irrigated and sutured following the injury.
Carpal tunnel is caused by repetitive motions of the wrist such as typing, playing an instrument, or knitting. Pregnancy, diabetes, obesity, and hypothyroidism also contribute to developing carpal tunnel syndrome. To prevent CTS take breaks frequently to rest your hands, keep your hands warm, avoid repetitive hand motions, and do frequent wrist exercises. If you have carpal tunnel syndrome it is best to see a doctor earlier on because it is harder to treat once it gets worse. In severe cases you may lose feeling in your fingers, have a loss of strength, and permanent muscle damage.
Minor Brachial plexus injury can lead to transient sensory impairment on the medial side of the upper limb. The more severe affection of the upper roots can (C5, C6) classically leads to Erb’s palsy syndrome (Waiter’s tip hand). The injury of the lower roots (C8 and T1) classically causes Klumpke’s paralysis syndrome (Claw hand) (8, 17). Horner’s syndrome (ipsilateral ptosis, miosis and anhydrosis) may accompany brachial plexus injuries particularly with the injury of (T1) nerve root due to involvement of the nearby cervical chain (17). The radial nerve neuropathy can be manifested by paresthesia in the lateral 3.5 fingers and loss of the function of extensor muscles in the wrist and the figers (wrist drop).
• An injured employee has the right to be reinstated to his former position if the job remains available when he is ready to return to work. The position is considered available even if it was filled by a temporary worker while he was out of work. (Levine 16) Departments can’t simply replace the injured employee, but instead the position remains in limbo until the return of the employee. Carpal Tunnel Syndrome can’t be completely prevented but there are steps that can help lessen the odds of occurrence. Following are a couple of ways that employers can assist employees in the effort to prevent carpal tunnel
With forearm and elbow injuries being so common, the resources to diagnose such conditions are readily available in today’s society. However, because radial tunnel syndrome and lateral epicondylitis have such similar symptoms, it is not uncommon for one to be under looked. For clinicians, the easiest way to differentiate between the two is to pinpoint the exact location of discomfort. Specific testing, such as the EMG, will test to see if the forearm muscles are intact and functioning normally. Assistive passive range of motion will also help the therapist determine the patients end feel.