An osteopathic approach to carpal tunnel syndrome

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.

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

Hand ◽  
2019 ◽  
Vol 15 (4) ◽  
pp. 514-520
Author(s):  
Jerrod Steimle ◽  
Speros Gabriel ◽  
Ryan Tarr ◽  
Brandon Kohrs ◽  
Patrick Johnston ◽  
...  
Keyword(s):  
Social Media ◽  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
The United States ◽  
Treatment Modalities ◽  
The Internet ◽  
General Reference ◽  
Social Media Platforms ◽  
Tunnel Syndrome ◽  
Number Of Treatment

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.

Electrophysiological responsiveness and quality of life (QuickDASH, CTSI) evaluation of surgically treated carpal tunnel syndrome

2009 ◽  
Vol 14 (1) ◽  
pp. 17-23 ◽  
Author(s):  
Toshiro Itsubo ◽  
Shigeharu Uchiyama ◽  
Toshimitsu Momose ◽  
Takashi Yasutomi ◽  
Toshihiko Imaeda ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Tunnel Syndrome

scholarly journals Analgesic Drug Use for Carpal Tunnel Syndrome

2019 ◽  
Vol 10 (1) ◽  
pp. 1
Author(s):  
Tamara Audrey Kadarusman ◽  
Hanik Badriyah Hidayati ◽  
Paulus Sugianto
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Median Nerve ◽  
Carpal Tunnel ◽  
Work Productivity ◽  
Analgesic Drugs ◽  
Drug Of Choice ◽  
Tunnel Syndrome ◽  
Analgesic Use

AbstractIntroduction: Carpal tunnel syndrome (CTS) is a group of neuropathic symptoms regarding to the compression of median nerve which passing through carpal tunnel. There has been a great number of prevalence of CTS in Indonesia, which leads to decreasing quality of life, lack of work productivity, and increasing health cost. Analgesic treatments have been drug of choice for carpal tunnel syndrome for years. However, the effectiveness of the drug and the risk of adverse effect of drugs have always been an issue for analgesic use. An observational study on profile of analgesic drugs administration for carpal tunnel syndrome patients in Dr. Soetomo General Hospital SurabayaMethod: A descriptive observational retrospective study has been conducted to observe the profile of analgesic drugs administration, including type and dosage of drugs, classification of drugs, drugs administration route, early and advanced type of analgesics, and duration of analgesic administration. Sociodemographic data and clinical characteristics (main symptoms) of carpal tunnel syndrome patients are also included in this study.Results: Out of 202 subjects of this study, most patients are women (84,16%), the group age of 50-59 to years old, and the most frequent job is household wife (43,56%). The most common analgesic drugs used for carpal tunnel syndrome patients is 50 mg sodium diclofenac for 78 patients (38.61%). All of those subjects are administered with oral analgesic (100%). 185 patients (91.59%) are administered with analgesic combinations. The duration of analgesic usage are 7 days as an early analgesic in 82 patients (40.59%).Conclusion: CTS is a syndrome due to median nerve compression of the hand, Women, household wife, and age of 50-59 years old are found to be vulnerable to this syndrome. Analgesic drugs mostly used is 50 mg natrium diclofenac, orally, combined, with the period of 7 days for early medication

The quality of electrodiagnostic tests for carpal tunnel syndrome: Implications for surgery, outcomes, and expenditures

2020 ◽  
Vol 62 (1) ◽  
pp. 60-69
Author(s):  
Kanaka D. Shetty ◽  
Michael Robbins ◽  
Dixie Aragaki ◽  
Aashna Basu ◽  
Craig Conlon ◽  
...  
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Tunnel Syndrome ◽  
Surgery Outcomes

Prevalence and severity of carpal tunnel syndrome symptoms among Iranian butchers and their association with occupational risk factors: Implications for ergonomic interventions

Work ◽  
2020 ◽  
Vol 66 (4) ◽  
pp. 817-825
Author(s):  
Fakhradin Ghasemi ◽  
Kamran Gholamizadeh ◽  
Ramin Rahmani ◽  
Amin Doosti-Irani
Keyword(s):  
Risk Factors ◽  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Significant Relationship ◽  
Working Hours ◽  
Occupational Risk ◽  
Hand Tools ◽  
Occupational Risk Factors ◽  
Tunnel Syndrome

BACKGROUND: Carpal tunnel syndrome (CTS) is a common disorder among occupations where upper extremities are actively involved in. Many occupational and non-occupational risk factors may contribute to this disorder. Knowledge regarding occupational risk factors can guide us to implement interventional programs. OBJECTIVE: The aim of the present study was to assess the prevalence and severity of CTS symptoms among butchers and their association with several occupational and non-occupational risk factors. METHODS: In this study, 152 butchers in Hamadan, Iran, were examined. The Boston Carpal Tunnel Syndrome Questionnaire (BCTQ) was used to investigate the severity of CTS symptoms among the individuals. Several risk factors such as body mass index (BMI), wrist ratio, active working hours per day, working experience, and the ergonomic quality of hand tools used by butchers were also investigated. Statistical tests such as the crude and robust regression were used to analyze the data. RESULTS: The prevalence of moderate and mild symptoms of CTS were 7% and 54%, respectively. Moreover, 39% of the butchers were free of CTS symptoms. Crude regression analyses showed that the severity of CTS symptoms had a significant relationship with age, work experience, active working hours per day, working hours per week, and ergonomic quality of the hand tools (p value <0.05). There was no significant relationship between the severity of CTS symptoms and wrist ratio and BMI. Results of the robust regression analysis showed a significant relationship between the severity of CTS symptoms with experience, active working hours, and quality of the hand tools. CONCLUSION: Occupational risk factors such as working experience, active working hours per day, and the ergonomic quality of hand tools are significant risk factors of CTS symptoms among butchers. Slippery handle is the main non-ergonomic feature of knives and cleavers used by butchers. There was no association between BMI and wrist ratio with CTS symptoms.

Symptoms, disability, and quality of life in patients with carpal tunnel syndrome

1999 ◽  
Vol 24A (2) ◽  
pp. 0398-0404 ◽  
Author(s):  
Isam Atroshi ◽  
Christina Gummesson ◽  
Ragnar Johnsson ◽  
Anna Sprinchorn
Keyword(s):  
Quality Of Life ◽  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Tunnel Syndrome
Sign in / Sign up

Export Citation Format

Share Document