Comparing Diagnostic and Treatment Recommendations of Carpal Tunnel Syndrome Available on the Internet With AAOS Clinical Practice Guidelines

Background: Carpal tunnel syndrome (CTS) is one of the most common diagnoses in a hand surgeon’s office, with estimated cost exceeding US $2 billion annually in the United States. Due to this prevalence and cost, patients often turn to the Internet for their medical care. It has been estimated that 72% of Internet users have looked online for health information in the last year. There is concern that patients may be getting misinformation with their Internet medical searches. Methods: An informal survey of the Internet was conducted to evaluate the content available to the public on the Internet and social media platforms regarding the diagnosis and treatment of CTS. The top 20 listings of 3 major search engines and information within 3 major social media sites were included. Results: Information gleaned from the search showed that while most listings were helpful in providing accurate diagnostic information and appropriate treatment modalities, there was also a great number of treatment modalities mentioned that may not be recommended by the treating physician. The guidelines established by the American Academy of Orthopaedic Surgeons both in 2007 and in 2008 and more recently in 2016 were used as a general reference but not directly compared with the informal Internet search for statistical analysis. Conclusions: This search outlines the importance of the information readily available to patients and how this may potentially alter patients’ expectations prior to their arrival in the office.

Download Full-text

An osteopathic approach to carpal tunnel syndrome

Osteopathic Family Physician ◽

10.33181/13054 ◽

2021 ◽

pp. 17-30

Author(s):

Samanatha N. Baxter ◽

Alexandra C. Millhuff ◽

Gautum J. Desai ◽

Dennis J. Dowling

Keyword(s):

Carpal Tunnel Syndrome ◽

Carpal Tunnel ◽

Daily Living ◽

Treatment Plan ◽

The United States ◽

Treatment Modalities ◽

Osteopathic Medicine ◽

Manipulative Therapy ◽

Tunnel Syndrome

Carpal tunnel syndrome (CTS) is a common cause of medical and workforce-related expenses in the United States. It is also frustrating for patients who have difficulty using the affected hand, impairing their activities of daily living and decreasing their quality of life. By utilizing the philosophy of osteopathic medicine, providers can better implement a treatment plan by working with the patient to find one that incorporates all aspects of the patient’s environment. By using the practice of osteopathic manipulative therapy (OMT), osteopathic physicians can often effectively treat the patient’s symptoms without side effects found in medications. This is especially useful in patients who may be unable to take certain medications, such as pregnant patients. Other treatment modalities are also reviewed in this manuscript.

Download Full-text

Comparison of the Selected Treatment Modalities of Carpal Tunnel Syndrome Depending on Symptom Severity

International Journal of Therapies and Rehabilitation Research ◽

10.5455/ijtrr.000000146 ◽

2016 ◽

Vol 5 (4) ◽

pp. 84

Author(s):

Waleed Mahmoud

Keyword(s):

Carpal Tunnel Syndrome ◽

Carpal Tunnel ◽

Symptom Severity ◽

Treatment Modalities ◽

Tunnel Syndrome

Download Full-text

Gangs and Social Media

Oxford Research Encyclopedia of Criminology and Criminal Justice ◽

10.1093/acrefore/9780190264079.013.439 ◽

2019 ◽

Cited By ~ 7

Author(s):

David C. Pyrooz ◽

Richard K. Moule, Jr.

Keyword(s):

Social Media ◽

Law Enforcement ◽

Physical Space ◽

The United States ◽

The Internet ◽

Neutral Medium ◽

Gang Members ◽

A Value ◽

Youth And Young Adults ◽

Social Media Platforms

It was once presumed that costs of Internet adoption were too great for gang members to absorb. They lacked the financial resources to access the Internet or the technological know-how to use it. That is no longer the case, which leads to two questions: What are gang members doing online? What are the responses to gangs online? The growing research on this topic indicates that gang members are online and using the Internet at a rate comparable to their peers. This occurs in the United States and abroad. Gangs do not exploit the Internet to its criminal potential, even though the law enforcement community suggests otherwise. This is most likely due to the low technological capacities of gang members. However, gang members do engage in higher rates of crime and deviance online than their non-gang peers. Gang members also use the Internet to posture, provoke, and project group power, particularly on leading social media platforms such as Facebook, Twitter, and YouTube, which in turn allows activities occurring online to have ramifications for crime and violence offline. It is debatable whether online space is as important to gangs as physical space, but the Internet is undoubtedly a valuable medium to gangs. The potential for conflict and the posting of gang images has attracted the attention of law enforcement as well as researchers to document this activity. Platforms are being developed to anticipate the spilling of online gang conflicts offline. Since the Internet is a value-neutral medium that engages youth and young adults, it is anticipated that social media and the Internet will continue to appeal to gangs and gang members for the foreseeable future.

Download Full-text

Muslim Television Preachers

Islamic Studies ◽

10.1093/obo/9780195390155-0273 ◽

2020 ◽

Author(s):

Tuve Floden

Keyword(s):

United States ◽

Social Media ◽

Saudi Arabia ◽

Arab World ◽

The United States ◽

Satellite Networks ◽

The Internet ◽

Medieval Period ◽

Social Media Platforms

Muslim television preachers, also called Muslim televangelists or media preachers, became popular with the rise of television, satellite networks, and the Internet. However, these individuals can trace their roots to earlier preachers who used newspapers, radio, and cassettes, as well as the phenomenon of popular storytellers from the medieval period. Today, Muslim television preachers are found worldwide, both inside and outside the Arab world, in countries such as Egypt, India, Indonesia, Kuwait, Pakistan, Saudi Arabia, Turkey, the United States, and more. Some of these preachers have traditional religious educations, with degrees from Al-Azhar or elsewhere, but many do not, instead holding degrees in subjects like business, accounting, or engineering. Like their counterparts from other religions, Muslim television preachers have also expanded beyond the realm of television and often spread their message through other means, such as seminars and lectures, book publications, websites, videos on YouTube, and social media platforms like Facebook and Twitter. Prominent examples of Muslim television preachers include Amr Khaled and Yusuf al-Qaradawi, as well as others like Muhammad al-Sha‘rawi and Moez Masoud of Egypt, Muhammad Hassan and Wagdi Ghoneim (Salafi preachers from Egypt), Javed Ahmad Ghamidi and Farhat Hashmi of Pakistan, Zakir Naik of India, Abdullah Gymnastiar (Aa Gym) and Arifin Ilham of Indonesia, Tareq al-Suwaidan of Kuwait, and Ahmad al-Shugairi of Saudi Arabia, to name a few.

Download Full-text

The Politics of Pandemics

Advances in Public Policy and Administration - Global Politics, Political Participation, and the Rise of Nationalism ◽

10.4018/978-1-7998-7343-3.ch003 ◽

2021 ◽

pp. 48-73

Keyword(s):

United States ◽

Social Media ◽

United Kingdom ◽

Supply Chain ◽

The United States ◽

The Internet ◽

Nation States ◽

Social Media Platforms ◽

The Masses ◽

Insight Into

The COVID-19 pandemic has colored the politics of 2020 from international to domestic, and the responses by countries have been politicized and limited by various actors. Regimes, both democratic and not, are using the chaotic pandemic environment to consolidate power under the executive, control the masses through decree, and shifting towards national and power bloc supply chains from the international supply chain that has been for all nations in the era of globalization and immediately after. This chapter will provide insight into how various nation-states are using nationalism to combat the pandemic, including the United States, United Kingdom, Chile, Russia, and Hungary. The chapter highlights the availability of the internet and social media platforms to spread mis- and dis-information that can hinder the work of a legitimate government attempting to respond earnestly and effectively to the pandemic.

Download Full-text

Histoplasmosis of the Upper Extremities: Clinical Case, Treatment Algorithm, and Systematic Review

Hand ◽

10.1177/1558944720911212 ◽

2020 ◽

pp. 155894472091121

Author(s):

Maria T. Huayllani ◽

David J. Restrepo ◽

Daniel Boczar ◽

Andrea Sisti ◽

Brian D. Rinker ◽

...

Keyword(s):

Systematic Review ◽

Carpal Tunnel Syndrome ◽

Carpal Tunnel ◽

Treatment Algorithm ◽

Clinical Signs ◽

Upper Extremities ◽

Treatment Modalities ◽

Treatment Recommendation ◽

Persistent Symptoms ◽

Tunnel Syndrome

Background: Histoplasmosis of the upper extremities is extremely rare, and there is no consensus in its management. The aim of this study was to present a case report and literature review of histoplasmosis in the upper extremities to provide the best treatment recommendation and to increase awareness of this disease. Methods: A systematic review of the literature was performed in PubMed, MEDLINE, and EMBASE databases with the search terms “(Tenosynovitis AND histoplasmosis)” OR “(Upper limbs AND histoplasmosis)” OR “(Upper extremities AND histoplasmosis)” OR “((finger OR arm OR hand OR forearm OR wrist) AND histoplasmosis).” Manuscripts were included in the study if they described diagnosis of histoplasmosis in the bone, joint, synovia, or tendons of the upper extremities. Results: In all, 14 manuscripts and 15 cases of histoplasmosis of the upper extremities from 1992 to 2015 met the inclusion criteria. Eight (53.3%) patients were diagnosed with tenosynovitis, 5 (33.3%) with osteomyelitis, 1 (6.7%) with carpal tunnel syndrome, and 1 (6.7%) with joint wrist abscess. Immunosuppression, travel history, previous diagnosis with histoplasmosis, and persistent symptoms may suggest infectious causes. Surgery and medical treatment together are recommended to optimize outcomes compared with single treatment alone. Conclusions: Histoplasmosis of the upper extremities may have various clinical presentations, including tenosynovitis, osteomyelitis, carpal tunnel syndrome, and joint wrist abscess. The type of surgical approach may depend on the etiology of disease. Increased awareness and knowledge of the clinical signs, symptoms, and effective treatment modalities will help decrease possible complications, such as tendon rupture and functional impairment of the upper extremities.

Download Full-text

Splinting in Carpal Tunnel Syndrome: The Optimal Duration

Military Medicine ◽

10.1093/milmed/usaa222 ◽

2020 ◽

Vol 185 (11-12) ◽

pp. e2049-e2054

Author(s):

Michele A Gatheridge ◽

Elsa A Sholty ◽

Alexander Inman ◽

Meghan Pattillo ◽

Frank Mindrup ◽

...

Keyword(s):

Carpal Tunnel Syndrome ◽

Carpal Tunnel ◽

The United States ◽

Functional Improvement ◽

Treatment Groups ◽

Significant Difference ◽

Group A ◽

Tunnel Syndrome ◽

Group B ◽

Wrist Splint

Abstract Introduction The purpose of this study was to evaluate optimal neutral wrist splint duration in treatment-naive mild and mild to moderate carpal tunnel syndrome (CTS). Neutral wrist splinting is a conservative treatment for CTS; however, no clear guidelines exist for how long splinting should be prescribed for optimal outcomes. Materials and Methods In this prospective clinical trial subjects were assigned to wear a neutral wrist splint for 6 (group A) or 12 weeks (group B). Symptom and functional outcomes were assessed by questionnaire at baseline, 6 and 12 weeks. Median nerve sensory and motor latencies were recorded at baseline and 12 weeks. Pretreatment, midtreatment, and posttreatment measures were compared within and between treatment groups where applicable. This study was approved by the United States Air Force Academy institutional review board. Results A total of 30 subjects (37 hands) were randomized to 2 treatment groups. Mean symptom severity and median sensory peak latency significantly improved in both groups at 12 weeks, without a significant difference between groups. Mean functional severity significantly improved only in group A. Conclusion Neutral wrist splint for 6 weeks resulted in better clinical improvements in patients with untreated mild and mild to moderate CTS. There was no additional benefit in extending splinting 6 additional weeks. This is the first study to compare duration of wrist splint use beyond 8 weeks. A larger sample size is needed to identify the reason for lack of functional improvement in group B. Long-term follow-up of this cohort will be helpful to determine the natural history of initial wrist splint use.

Download Full-text

Intensitas Penggunaan Internet Dengan Gejala Sindrom Terowongan Karpal

Nutrix Journal ◽

10.37771/nj.vol4.iss2.432 ◽

2020 ◽

Vol 4 (2) ◽

pp. 8

Author(s):

Hermi Meidelin Dengah

Keyword(s):

Carpal Tunnel Syndrome ◽

Median Nerve ◽

Mobile Phones ◽

Carpal Tunnel ◽

Internet Use ◽

Total Sample ◽

The Internet ◽

Cross Sectional ◽

Tunnel Syndrome ◽

Excessive Internet Use

Abstrak Internet merupakan salah satu media komunikasi yang diakses melalui handphone, laptop, tablet, dll. Hingga saat ini internet banyak digemari diberbagai kalangan terlebih pada mahasiswa. Sindrom terowongan karpal merupakan kondisi dimana terhimpitnya saraf median akibat tekanan dari terowongan karpal yang dapat disebabkan oleh penggunaan internet yang berlebihan. Tujuan: untuk mengetahui hubungan intensitas penggunaan internet dengan gejala sindrom terowongan karpal pada mahasiswa Profesi Ners Universitas Klabat. Metode: menggunakan deskriptif korelasi dengan pendekatan cross sectional dengan jumlah sampel sebanyak 122 orang. Hasil: didapatkan p= 0,002 (<0,05) yang artinya terdapat hubungan antara intensitas penggunaan internet dengan gejala sindrom terowongan karpal pada mahasiswa Profesi Ners Universitas Klabat. Saran: Pada penelitian selanjutnya peneliti memberikan saran agar dapat menambahkan jumlah responden serta memastikan kuesioner dapat kembali sesuai jumlah responden. Abstract The internet is one of the communication media that can be accessed via mobile phones, laptops, tablets, etc. Until now, the internet is popular with many groups, especially students. Carpal tunnel syndrome is a condition where the median nerve is squeezed due to pressure from the carpal tunnel, which can be caused by excessive internet use. Objective: to find out the correlation between the intensity of internet use with symptoms of carpal tunnel syndrome in the Profesi Ners students of Universitas Klabat. Method: using descriptive correlation with cross sectional approach with a total sample of 122 people. Result: obtained p = 0.002 (<0.05), which means there is a correlation between the intensity of internet use in the Profesi Ners at Universitas Klabat. Recomendation: On the next research, the researcher gives a suggestion in order to be able to add more respondents and make sure the questionnaire returns according to the total number of respondents.

Download Full-text