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.

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.

scholarly journals Concurrent Medical Disease in Work-Related Carpal Tunnel Syndrome

1998 ◽  
Vol 158 (14) ◽  
pp. 1506 ◽  
Author(s):  
Steven G. Atcheson ◽  
John R. Ward ◽  
Wing Lowe
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Work Related ◽  
Medical Disease ◽  
Tunnel Syndrome

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.

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