Response of Pain Intensity to Soft Tissue Mobilization and Neurodynamic Technique: A Series of 18 Patients With Chronic Carpal Tunnel Syndrome

2012 ◽  
Vol 35 (6) ◽  
pp. 420-427 ◽  
Author(s):  
Ana I. De-la-Llave-Rincon ◽  
Ricardo Ortega-Santiago ◽  
Silvia Ambite-Quesada ◽  
Antonio Gil-Crujera ◽  
Emilio J. Puentedura ◽  
...  
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Soft Tissue ◽  
Pain Intensity ◽  
Carpal Tunnel ◽  
Tunnel Syndrome ◽  
Soft Tissue Mobilization

CLINICAL AND ELECTROPHYSIOLOGICAL COMPARISON OF DIFFERENT METHODS OF SOFT TISSUE COVERAGE OF THE MEDIAN NERVE IN RECURRENT CARPAL TUNNEL SYNDROME

2008 ◽  
Vol 62 ◽  
pp. 194-200 ◽  
Author(s):  
Nicolas M. Stütz ◽  
Andreas Gohritz ◽  
Alexander Novotny ◽  
Udo Falkenberg ◽  
Ulrich Lanz ◽  
...  
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Soft Tissue ◽  
Median Nerve ◽  
Carpal Tunnel ◽  
Soft Tissue Coverage ◽  
Tunnel Syndrome

Forearm, hand, and wrist

2013 ◽  
pp. 1314-1322
Author(s):  
Karen Walker-Bone ◽  
Benjamin Ellis
Keyword(s):  
Rheumatoid Arthritis ◽  
Carpal Tunnel Syndrome ◽  
Soft Tissue ◽  
Musculoskeletal System ◽  
Carpal Tunnel ◽  
Diagnostic Tests ◽  
De Quervain’S Disease ◽  
Vital Part ◽  
Tunnel Syndrome ◽  
Forearm Pain

The forearm, hand, and wrist is a functionally vital part of the musculoskeletal system and in consequence, is highly sophisticated and complex in its anatomical development. Frequently, the hand and wrist may be the site of onset of symptoms of a polyarthropathy such as rheumatoid arthritis or of osteoarthritis, so that the physician should always seek to screen for such conditions before making a local diagnosis. Tenosynovitis, de Quervain’s disease, trigger digit, Dupuytren’s, and carpal tunnel syndrome are local soft tissue pathologies which can usually be discriminated on clinical grounds with or without the use of simple diagnostic tests and are satisfying to treat for the most part. Non-specific forearm pain is more complex, with much controversy surrounding not only its aetiopathogenesis but also its existence. It can be difficult to diagnose and difficult to treat.

scholarly journals Synovial Angioma of the FDP Flexor Sheath: A Rare Cause of Carpal Tunnel Syndrome

2013 ◽  
Vol 7 (1) ◽  
pp. 72-74 ◽  
Author(s):  
Robert George ◽  
Kenneth Lee
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Soft Tissue ◽  
Carpal Tunnel ◽  
Ring Finger ◽  
Dominant Male ◽  
Tumour Resection ◽  
Tissue Mass ◽  
Surgical Exploration ◽  
Compressive Neuropathy ◽  
Tunnel Syndrome

It has been previously noted that synovial haemangiomas in the hand and wrist are very rare pathological entities. We report the case of a 34-year-old right hand dominant male who presented to his general practitioner with an enlarging left volar wrist/ palmar mass, who further developed symptoms consistent with carpal tunnel syndrome. An MRI scan subsequently confirmed a large, complex mass with area of necrosis and peripheral enhancement. The rate of mass growth and radiological features raised the possibility of a soft tissue malignancy, and the gentleman was urgently referred to our unit for surgical exploration and removal of tumour. Surgical exploration demonstrated a tan-coloured soft tissue mass on the ulnar aspect of the median nerve. It appeared to arise from, and marginally infiltrated, the tendon sheath of the FDP tendon to the ring finger and the lumbrical muscle of the fourth ray; the distal and proximal extent of the tumour was difficult to define due to the diffuse growth of the tumour. Resection was achieved with macroscopic margins, with excellent functional recovery immediately and at 6 month follow-up. Histological analysis was consistent with a synovial haemangioma, comprising of numerous thin-walled blood vessels with a central cystic cavity containing blood and fibrin. Our case further demonstrates the diagnostic challenges posed by compressive neuropathy due to soft tissue masses, even with thorough clinical and radiological assessment. In the context of a rapidly growing tumour, malignancy must always be suspected and might highlight a role for pre-operative biopsy.

Upper extremity disability is associated with pain intensity and grip strength in women with bilateral idiopathic carpal tunnel syndrome

2019 ◽  
Vol 44 (2) ◽  
pp. 199-205 ◽  
Author(s):  
Akihito Yoshida ◽  
Shigeru Kurimoto ◽  
Katsuyuki Iwatsuki ◽  
Masaomi Saeki ◽  
Takanobu Nishizuka ◽  
...  
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Pain Intensity ◽  
Grip Strength ◽  
Upper Extremity ◽  
Carpal Tunnel ◽  
Idiopathic Carpal Tunnel Syndrome ◽  
Tunnel Syndrome

scholarly journals Mathematical Modeling for Neuropathic Pain: Bayesian Linear Regression and Self-Organizing Maps Applied to Carpal Tunnel Syndrome

Symmetry ◽  
2020 ◽  
Vol 12 (10) ◽  
pp. 1581
Author(s):  
Oscar J. Pellicer-Valero ◽  
José D. Martín-Guerrero ◽  
Margarita I. Cigarán-Méndez ◽  
Carmen Écija-Gallardo ◽  
César Fernández-de-las-Peñas ◽  
...  
Keyword(s):  
Mathematical Modeling ◽  
Neuropathic Pain ◽  
Carpal Tunnel Syndrome ◽  
Pain Intensity ◽  
Carpal Tunnel ◽  
Symptom Severity ◽  
Grip Force ◽  
Self Organizing Maps ◽  
Tunnel Syndrome ◽  
And Function

A better understanding of the connection between risk factors associated with pain and function may assist therapists in optimizing therapeutic programs. This study applied mathematical modeling to analyze the relationship of psychological, psychophysical, and motor variables with pain, function, and symptom severity using Bayesian linear regressions (BLR) and self-organizing maps (SOMs) in carpal tunnel syndrome (CTS). The novelty of this work was a transfer of the symmetry mathematical background to a neuropathic pain condition, whose symptoms can be either unilateral or bilateral. Duration of symptoms, pain intensity, function, symptom severity, depressive levels, pinch tip grip force, and pressure pain thresholds (PPTs) over the ulnar, radial, and median nerve trunks, the cervical spine, the carpal tunnel, and the tibialis anterior were collected in 208 women suffering from CTS. The first BLR model revealed that symptom severity, PPTs over the radial nerve, and function had significant correlations with pain intensity. The second BLR showed that symptom severity, depressive levels, pain intensity, and years with pain were associated with function. The third model demonstrated that pain intensity and function were associated with symptom severity. The SOMs visualized these correlations among variables, i.e., clinical, psychophysical, and physical, and identified a subgroup of women with CTS exhibiting worse clinical features, higher pressure sensitivity, and lower pinch tip grip force. Therefore, the application of mathematical modeling identified some interactions among the intensity of pain, function, and symptom severity in women with CTS.

scholarly journals Effectiveness of combined ultrasound and exercise therapy in the treatment of carpal tunnel syndrome - randomized, placebo-controlled investigation

2018 ◽  
Vol 146 (9-10) ◽  
pp. 561-566
Author(s):  
Milica Lazovic ◽  
Mirjana Kocic ◽  
Marija Hrkovic ◽  
Dejan Nikolic ◽  
Ivana Petronic ◽  
...  
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Pain Intensity ◽  
Carpal Tunnel ◽  
Sensory Nerve ◽  
Ultrasound Treatment ◽  
Control Group ◽  
Short Term ◽  
Sensory Nerve Action ◽  
Tunnel Syndrome ◽  
And Control

Introduction/Objective. The aim of the paper was to evaluate the short-term effectiveness of ultrasound treatment procedure on defined clinical parameters and changes of electrodiagnostic parameters at the median nerve in carpal tunnel syndrome patients. Methods. Thirty-five patients (50 hands) were randomly divided into two groups: the experimental group (EG) (20 patients (29 hands)) and the control group (CG) (15 patients (21 hands)). Twenty sessions of ultrasound treatment were performed over a period of seven weeks and control examination was performed during the eighth week from the initial session. Clinical assessment parameters (pain intensity, superficial sensibility, and Tinel sign), and electrodiagnostic parameters (motor distal latency ? mDL), median sensory nerve conduction velocity (SNCV), and median sensory nerve action potential (SNAP) were assessed both at baseline (T1) and at control (T2). Results. There is significant improvement of pain intensity (T1 ? 10.4/58.6/31; T2 ? 65.5/27.6/6.9; p < 0.001) and superficial sensibility (T1 ? 3.4/69/27.6; T2 ? 44.8/34.5/20.7; p < 0.001) in the EG after the treatment. In the EG, there is significant reduction in frequency of positive Tinel?s sign (T1 ? 100/0; T2 ? 62.1/37.9; p < 0.001), and mDL significantly decreased after the treatment (T1 ? 4.7 ? 1.3; T2 ? 4.5 ? 1.2; p = 0.007), while SNAP (T1 ? 20.2 ? 15.4; T2 ? 24.4 ? 16.5; p < 0.001) and SNCV (T1 ? 36.5 ? 9.8; T2 ? 42.6 ? 9.7; p < 0.001) significantly increased. Conclusion. Ultrasound treatment along with exercises have positive short-term effects and benefits on improvement of clinical and electrodiagnostic findings in individuals with carpal tunnel syndrome.

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