Acupuncture for Carpal Tunnel Syndrome

2002 ◽  
Vol 20 (1) ◽  
pp. 39-40 ◽  
Author(s):  
Jonathan Freedman
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Cervical Spondylosis ◽  
Symptomatic Treatment ◽  
Patrol Officer ◽  
Dominant Hand ◽  
Work Related ◽  
Tunnel Syndrome ◽  
Surgical Release

Acupuncture was used to treat a 51-year-old ‘lollipop lady’ (school crossing patrol officer), with severe carpal tunnel syndrome (CTS) affecting her dominant hand, and co-existing cervical spondylosis. I postulate that her symptoms were work related. She responded well to acupuncture, which provided good symptomatic treatment rather than cure and allowed her to continue working whilst she awaited surgical release.

Surveillance of work-related carpal tunnel syndrome in Korea

2004 ◽  
Vol 16 (1) ◽  
pp. 37 ◽  
Author(s):  
Woo Chul Jeong ◽  
Ho Jang Kwon ◽  
Mina Ha ◽  
Sang Chul Roh ◽  
Beom Seon Kwon ◽  
...  
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Work Related ◽  
Tunnel Syndrome

scholarly journals Prevalence and risk factors of self-reported wrist and hand symptoms and clinically confirmed carpal tunnel syndrome among office workers in China: a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Beibei Feng ◽  
Kedi Chen ◽  
Xiaoxia Zhu ◽  
Wing-Yuk Ip ◽  
Lars L. Andersen ◽  
...  
Keyword(s):  
Risk Factors ◽  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Computer Use ◽  
Office Workers ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Work Related ◽  
Tunnel Syndrome ◽  
Hand Symptoms

Abstract Background Carpal tunnel syndrome (CTS) is a common cause of pain, numbness and tingling in the wrist and hand region and is associated with repetitive wrist and hand use in office workers. However, scarce knowledge exists about the epidemiology of clinically confirmed CTS among Chinese office workers. This study aimed to investigate the prevalence of wrist/hand symptoms and CTS in office workers in China and to identify associated risk factors. Methods A cross-sectional survey was carried out in a metropolitan city in China involving 969 respondents (aged 17–49 years) from 30 workplaces. A questionnaire was distributed to each participant to collect their demographic, work-related physical and psychosocial factors, and wrist and hand symptoms. The wrist and hand pain/numbness symptoms were marked on a body chart and the nature and intensity of symptoms, nocturnal symptoms, as well as aggravating activities were also recorded. Clinically confirmed CTS cases were screened based on the history, Phalen’s test, Tinel Sign and skin sensation testing among symptomatic respondents. Logistic regression was employed to estimate the odds ratio (OR) and 95% confidence interval (95% CI) for the occurrence of self-reported wrist and hand symptoms and clinically confirmed CTS. Results The clinically confirmed CTS prevalence was 9.6%. The prevalence of wrist and hand symptoms were 22 and 15%, respectively. Frequently working in pain was associated with higher odds of CTS. Multivariate modelling adjusted for age and gender showed that prolonged computer use time and working without breaks were associated with presence of wrist/hand symptoms (adjusted ORs: 1.11 (95% CI 1.02–1.22) and 1.88 (95% CI 1.12–3.14)). Educational level was inversely associated with CTS and smoking was associated with wrist/hand complaints (adjusted OR: 2.20 (95% CI 1.19–4.07)). Conclusions The prevalence of work-related clinically confirmed CTS symptoms among young office workers in China is high. Frequently working in pain is closely associated with clinically confirmed CTS. Intense computer use and no breaks at work are associated with wrist and hand symptoms.

Point Blank: A Retrospective Review of Self-inflicted Gunshot Wounds to the Hand

Hand ◽  
2021 ◽  
pp. 155894472110146
Author(s):  
Brian W. Starr ◽  
Douglas R. Dembinski ◽  
Frank Yuan ◽  
Elizabeth A. Lax ◽  
Suma Yalamanchili ◽  
...  
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Adverse Events ◽  
Carpal Tunnel ◽  
Gunshot Wounds ◽  
Surgical Decompression ◽  
Low Energy ◽  
Wound Infections ◽  
Tunnel Syndrome ◽  
Acute Carpal Tunnel Syndrome ◽  
Surgical Release

Background A paucity of literature exists specifically examining self-inflicted (SI) gunshot wounds (GSWs) to the hand and wrist, which impart greater energy and have a higher risk of adverse events than non–self-inflicted (NSI) GSWs. Methods We retrospectively reviewed records of patients who presented to our plastic surgery service after sustaining acute GSWs involving the hand and wrist between 2016 and 2018. Results We identified 60 patients who sustained GSWs involving the hand and wrist; 17 (28%) were SI, and 43 (72%) were NSI. Within the SI group, 100% of patients were Caucasian, with an average age of 54 years. Within the NSI cohort, 77% of patients were Black, 19% were Caucasian, and 4% identified as other. While not statistically significant, we noted a substantial increase in patients requiring operative intervention in the SI cohort (65% SI vs 37% NSI, P = .08). There was a statistically significant increase in patients requiring more than 1 operation in SI patients (24% SI vs 5% NSI, P = .04). Patients who sustained SI injuries were also more likely to present with acute carpal tunnel syndrome requiring urgent surgical release and to develop wound infections (12% vs 0%, P = .08). Conclusions Self-inflicted GSWs involving the hand and wrist are associated with greater morbidity than their low-energy NSI counterparts. Individuals presenting with SI GSWs are more likely to be older, to require multiple operations, to develop infections, and to present with acute carpal tunnel syndrome requiring urgent surgical decompression.

Primary Carpal Tunnel Syndrome: How are We Managing it?

1988 ◽  
Vol 55 (5) ◽  
pp. 243-248
Author(s):  
Jane Bear-Lehman ◽  
Theresa Bielawski
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Occupational Therapy ◽  
Carpal Tunnel ◽  
Southern Ontario ◽  
Work Related ◽  
New Information ◽  
Therapeutic Evaluation ◽  
Different Types ◽  
Motor Problems ◽  
Tunnel Syndrome

For over 100 years, researchers have sought dependable methods to diagnose and remediate the aggravating symptoms produced in primary carpal tunnel syndrome (CTS). The focus of this study was to identify and to delineate the occupational therapy practice trends for primary CTS patients. A survey of all 80 occupational therapy departments in Southern Ontario was conducted in 1986. The respondents indicated that their current evaluation and intervention procedures addressed the motor problems related to CTS. Splinting for rest and/or work was their treatment of choice. This was alarming, as it appeared that new information from physiology and ergonomics is not being readily incorporated into occupational therapy practice. There was little therapeutic evaluation and intervention of the different types of primary CTS, the sensory problems produced in CTS, and the work-related needs of primary CTS patients.

scholarly journals Carpal tunnel syndrome in females: pregnancy and lactation the major risk factors

2018 ◽  
Vol 7 (9) ◽  
pp. 3512
Author(s):  
Sandesh Ganjoo ◽  
Diptiman Kaul ◽  
Parvaiz Ahmed Shah
Keyword(s):  
Risk Factors ◽  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Nerve Conduction ◽  
Dominant Hand ◽  
Occupational Risk Factors ◽  
Nocturnal Pain ◽  
Pregnancy And Lactation ◽  
Hand Involvement ◽  
Tunnel Syndrome

Background: Carpal Tunnel Syndrome (CTS) is the most common entrapment neuropathy. CTS is more common in the age group of 45-65 years and more common in women than men.  Several factors cause CTS, including pregnancy and lactation.Methods: The study was conducted on 60 females with carpal tunnel syndrome. Each patient was subjected to detailed history and relevant clinical examination with emphasis on elaborate neurological examination. Informed consent regarding participation into the study was taken from the patients. Patients suspected of suffering from carpal tunnel syndrome were subjected to nerve conduction study. Patients were classified into mild- moderate and severe carpal tunnel syndrome according to clinical and nerve conduction grading.Results: Out of 60 females, 21 were pregnant (35%) and 19 were lactating (31.7%).  The mean age of presentation was 44.6±14.14 years with range from 22 to 63 years. Causes were attributed to Pregnancy (35%) lactation (31.7%), hypothyroidism (18.3%), occupational risk factors (15.85%) and gout (2.4%).Conclusions: Carpal tunnel syndrome has a high incidence in females. Sensory symptoms (paresthesia, numbness and nocturnal pain) were more common than symptoms of motor weakness. Dominant hand involvement was more common.

Clinical Assessment of Usefulness, Effectiveness and Safety of Jackyakamcho-tang (Shaoyaogancao-tang) on Muscle Spasm and Pain: A Case Series

2004 ◽  
Vol 32 (04) ◽  
pp. 611-620 ◽  
Author(s):  
Woo Sang Jung ◽  
Sang Kwan Moon ◽  
Seong Uk Park ◽  
Chang Nam Ko ◽  
Ki Ho Cho
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Herbal Medicine ◽  
Carpal Tunnel ◽  
Medical Records ◽  
Cervical Spondylosis ◽  
Single Case ◽  
Case Series ◽  
Muscle Spasm ◽  
Tunnel Syndrome ◽  
Thalamic Pain

This study is a retrospective single case series. Two hundred and thirty-seven patients were treated with Jackyakamcho-tang (JKT) for relief of muscle spasm and pain; 81 of them were included in analysis. (The others were excluded because of insufficient medical records to confirm the diagnosis or assess the response.) There were 29 patients with nocturnal leg cramps, 28 with cervical spondylosis, 13 with thalamic pain and 11 with carpal tunnel syndrome, for which the effectiveness was assessed as 86.2%, 60.7%, 45.5% and 72.8%, respectively. Adverse effects (indigestion, diarrhea or edema) were seen in 11.1% of the total patients, but severe cases were only 3.7%. Taking the effectiveness and the safety into consideration, the usefulness was assessed as 86.2%, 57.1%, 53.9% and 72.8% for treating nocturnal leg cramps, cervical spondylosis, thalamic pain and carpal tunnel syndrome, respectively. In conclusion, we suggest that JKT is a useful herbal medicine with analgesic and anti-spasmodic effects.

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