Page 30 - 2021 IDMT Digital

CARPAL TUNNEL SYNDROME
Introduction:
• &76 LV DQ HQWUDSPHQW QHXURSDWK\ RI WKH KDQG DQG ZULVW
• 0HFKDQLVP RI DFWLRQ
o ,I WKH WHQGRQV RI WKH ZULVW EHFRPH LQIODPHG IURP RYHUXVH WKH\ FDQ VZHOO
FDXVLQJ FRPSUHVVLRQ RI WKH PHGLDQ QHUYH ZLWKLQ WKH FDUSDO WXQQHO
• 7UHDWPHQW VKRXOG IRFXV RQ WKH XQGHUO\LQJ FDXVH RI LQIODPPDWLRQ
Subjective:
• 6LJQV DQG 6\PSWRPV
o 3DLQ EXUQLQJ WLQJOLQJ LQ PHGLDQ QHUYH GLVWULEXWLRQ (thumb, index,
middle fingers and palm of same area)
o $FKLQJ SDLQ PD\ UDGLDWH LQWR IRUHDUP
o :RUVW DW QLJKW
o 0D\ JHW ZRUVH ZLWK 520
• )RFXVHG +LVWRU\
o +DQG GRPLQDQFH
o 2FFXSDWLRQ
o +REELHV
o +LVWRU\ RI LQMXU\ WR ZULVW
o 3UHJQDQF\ ODWH VWDJH SUREOHP
Objective:
• 3K\VLFDO ([DP
o 6HQVDWLRQ PD\ EH GLPLQLVKHG LQ PHGLDQ QHUYH GLVWULEXWLRQ DV FRPSDUHG WR WKH
RWKHU VLGH
o 7LQHO 3KDOHQ WHVWV PD\ EH SRVLWLYH
o &DUSDO FRPSUHVVLRQ WHVW PD\ EH PRUH VHQVLWLYH DQG VSHFLILF WKDQ 7LQHO RU 3KDOHQ
o 7KHQDU HPLQHQFH DWURSK\ ZLWK ORQJVWDQGLQJ &76
Assessment:
• 'LIIHUHQWLDO
o &HUYLFDO UDGLFXORSDWK\ DW & QHFN SDLQ QXPEQHVV LQ WKH WKXPE DQG LQGH[
ILQJHUV RQO\
o 'LDEHWHV KLVWRU\
o 8OQDU QHXURSDWK\ QXPEQHVV RI WKH ULQJ DQG OLWWOH ILQJHUV
o +\SRWK\URLGLVP RWKHU V\PSWRPV FRQVLVWHQW ZLWK WK\URLG GLVHDVH
o :ULVW RVWHRDUWKULWLV KLVWRU\
Plan:
• $YRLG DJJUDYDWLQJ DFWLYLWLHV
• 9RODU ZULVW VSOLQW ZRUQ GD\ DQG QLJKW XQWLO V\PSWRPV UHVROYH
• 16$,'V
• If certified in Battlefield Acupuncture (BFA) and with preceptor concurrence,
consider administering up to 10 treatment sessions as an alternative to NSAIDs as
long as there is clinical benefit and no worsening of the patient’s condition
• (UJRQRPLF PRGLILFDWLRQV LI ZRUN UHODWHG

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