Investigation of Serum Levels of Vitamin D in Patients with intractable Carpal Tunnel Syndrome Referred to Physical Medicine and Rehabilitation Clinics of Shiraz University of Medical Sciences in 2015

2018 ◽  
Vol 16 (3) ◽  
pp. 227-230
Author(s):  
Seyed Mohammad Saghanezhad ◽  
Sharareh Roshanzamir ◽  
Marzieh Mohtashamkia
Keyword(s):  
Vitamin D ◽  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Serum Levels ◽  
Medical Sciences ◽  
Physical Medicine ◽  
Physical Medicine And Rehabilitation ◽  
Tunnel Syndrome

scholarly journals Role of Splint in Patients with Symptoms of Carpal Tunnel Syndrome

2018 ◽  
Vol 15 (2) ◽  
pp. 48-51
Author(s):  
Ehsanul Haque Khan ◽  
Khurshid Mahmood ◽  
Taslima Hoq Moonmoon ◽  
Bidoura Tanim
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Management Tool ◽  
Physical Medicine ◽  
Duration Of Symptoms ◽  
Medical College ◽  
Physical Medicine And Rehabilitation ◽  
Tunnel Syndrome

Background: Carpal tunnel syndrome is a common condition Encountered in the department of physical medicine and rehabilitation. Splinting wrist in patients with carpal Tunnel syndrome is good conservative management tool in patients specially who wake up at night.Objective: This study was conducted to assess the role of splint in patients with symptoms of carpal syndrome.Methodology: This was a quasi-experimental study. This study was conducted in the department of physical medicine and rehabilitation department at Dhaka medical college hospital during July 2006 t0 January 2007 time period. Patients were selected randomly from the outpatient department physical medicine and Rehabilitation of Dhaka Medical College, Dhaka, Bangladesh. Patients who had symptoms consistent with carpal tunnel syndrome that was numbness, tingling and burning sensation in the hand, duration of symptoms more than two weeks or more than three times in last six months, who were residents of Dhaka city and who were able to follow up regularly were included as study population. Patients were enrolled randomly into splinted and non-splinted group by odd and even number. Splinted group were treated by splint, drugs, ergomic training and exercise. Non-splinted group were treated by same drugs, ergonomic training and exercise only. The splint was a tailor made volar static wrist splint prepared by same orthoptist for every patient with splint. Outcomes were measured by Visual Analogue scale (VAS) and Levine Symptom Severity Scale (LSSS) at second fourth and six weeks follow up visits. The data were collected into splinted and non-splinted groups.Result: There were 51 hands in 34 patients enrolled for the study. Among them 26 were in the splinted group and 23 were in the non-splinted group.Conclusion: In this study splinted group showed significant improvement.Journal of Science Foundation, July 2017;15(2):48-51

scholarly journals Electrodiagnostic Testing and Treatment for Carpal Tunnel Syndrome in Canada

2015 ◽  
Vol 43 (1) ◽  
pp. 178-182 ◽  
Author(s):  
Rodney Li Pi Shan ◽  
Michael Nicolle ◽  
Ming Chan ◽  
Nigel Ashworth ◽  
Chris White ◽  
...  
Keyword(s):  
Carpal Tunnel Syndrome ◽  
American Academy ◽  
Carpal Tunnel ◽  
Nerve Conduction Study ◽  
Nerve Conduction ◽  
Sensory Nerve ◽  
Practice Parameter ◽  
Physical Medicine ◽  
Physical Medicine And Rehabilitation ◽  
Tunnel Syndrome

AbstractObjectives: 1) Assess which electrodiagnostic studies Canadian clinicians use to aid in the diagnosis of carpal tunnel syndrome (CTS). 2) Assess whether Canadian clinicians follow the American Association of Neuromuscular & Electrodiagnostic Medicine/American Academy of Neurology/American Academy of Physical Medicine and Rehabilitation Practice Parameter for Electrodiagnostic Studies in CTS. 3) Assess how Canadian clinicians manage CTS once a diagnosis has been established. Methods: In this prospective observational study, an electronic survey was sent to all members of the Canadian Neuromuscular Group (CNMG) and the Canadian Association of Physical Medicine and Rehabilitation (CAPM&R) Neuromuscular Special Interest Group. Questions addressed which electrodiagnostic tests were being routinely used for the diagnosis of carpal tunnel syndrome. Management recommendations for CTS was also explored. Results: Of the 70 individuals who completed the survey, fourteen different nerve conduction study techniques were reported. Overall, 36/70 (51%) of participants followed the AANEM/AAN/AAPM&R Practice Parameter. The standard followed by the fewest of our respondents with 64% compliance (45/70) was the use of a standard distance of 13 to 14 cm with respect to the median sensory nerve conduction study. Regarding management, 99% would recommend splinting in the case of mild CTS. In moderate CTS, splinting was recommended by 91% of clinicians and 68% would also consider referral for surgery. In severe CTS, most recommended surgery (93%). Conclusions: There is considerable variability in terms of which electrodiagnostic tests Canadian clinicians perform for CTS. Canadian clinicians are encouraged to adhere to the AANEM/AAN/AAPM&R Practice Parameter for Electrodiagnostic Studies in CTS.

scholarly journals The evaluation of the effect of vitamin D replacement on the symptoms of carpal tunnel syndrome in patients with low vitamin D levels

2021 ◽  
Vol 4 (3) ◽  
pp. 244-254
Author(s):  
Ayse Gul Korkut ◽  
Sebnem Koldas Dogan ◽  
Meral Bilgilisoy Filiz ◽  
Naciye Fusun Toraman
Keyword(s):  
Vitamin D ◽  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Vitamin D Levels ◽  
Tunnel Syndrome

scholarly journals Electrophysiological Improvement Pattern in Patients with Carpal Tunnel Syndrome by Ultrasonic Therapy

2017 ◽  
Vol 28 (3) ◽  
pp. 106-109
Author(s):  
Pallab Das ◽  
Mohit Kataruka ◽  
Rathindranath Haldar
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Analytical Study ◽  
West Bengal ◽  
Ultrasonic Therapy ◽  
Physical Medicine ◽  
Exclusion Criteria ◽  
Pulsed Mode ◽  
Different Types ◽  
Tunnel Syndrome

ABSTRACT Introduction Carpal tunnel syndrome (CTS) was effectively treated by lots of conservative management that includes splints, exercise, different types of heat modality like ultrasonic therapy (UST), etc. This is our humble attempt to explore and find out electrophysiological improvement pattern after treatment with UST in CTS. This analytical study was conducted at the Department of Physical Medicine and Rehabilitation (PMR), Institute of Post Graduate Medical Education and Research (IPGMER), SSKM Hospital, Kolkata, West Bengal, India, from January 15, 2012 to July 15, 2013. Materials and methods After getting Institutional Ethical Committee clearance, patients with symptoms of nerve compression at wrist were included in the study group according to inclusion and exclusion criteria. Ultrasound treatment was administered 15 minutes per session for 15 days to the palmar carpal tunnel area at a frequency of 1 MHz and intensity of 1.0 W/cm2, pulsed mode, with a transducer of 5 cm2. The patients were examined after intervals of 2, 4, and 8 weeks postintervention. Results The results of our study suggest that there was marked improvement in all the clinical parameters. The same significant improvement was also found in electrophysiological parameter. Conclusion Ultrasonic therapy is one of the effective modalities of treatment for CTS. How to cite this article Kataruka M, Pramanik R, Das P, Haldar R. Electrophysiological Improvement Pattern in Patients with Carpal Tunnel Syndrome by Ultrasonic Therapy. Indian J Phy Med Rehab 2017;28(3):106-109.

Effect of Conservative Treatment on Alleviation of Symptoms in 36 cases of Carpal Tunnel Syndrome in Pregnancy: A Prospective Study

2018 ◽  
Vol 4 (2) ◽  
pp. 101-107
Author(s):  
Badrunnesa Ahmed ◽  
Md Shafiqul Alam ◽  
Md Abdul Halim ◽  
AKM Salek ◽  
Md Jahidul Islam ◽  
...  
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Conservative Treatment ◽  
Carpal Tunnel ◽  
Conservative Management ◽  
P Value ◽  
Physical Medicine ◽  
Functional Capability ◽  
Tunnel Syndrome ◽  
The Mean ◽  
In Pregnancy

Background: Carpal Tunnel Syndrome (CTS) is the most common upper extremity compression neuropathy which is a common entrapment neuropathy seen in pregnant women.Objective: The purpose of the present study was to assess presentation and severity of various symptoms among women with CTS in pregnancy and to see the effect of conservative management protocols in alleviation of symptoms of the disease and restoration of functional capability of the affected hands.Methodology: This interventional study was included 36 pregnant women attended in the Outpatient Department of Physical Medicine and Rehabilitation Specialist in the Hi-Tech Multicare Hospital, Dhaka during the period from January 2015 to January 2016 for a period of one year and one month. Detail history was taken and examined physically by a specialist in physical medicine to ascertain the clinical diagnosis. Out of 48 referred cases, 42 pregnant women were identified clinically as CTS cases based on symptoms and signs. However, 2 cases were not enrolled because of severe form of pain and referred to other hospital for admission and 6 patient dropped out. Therefore, 36 cases with CTS symptoms included in this study. All the patients were given conservative treatment (Wrist splint, Exercise and activity modification) for 8 weeks. All patients were followed up at 4 weeks interval. Treatment outcome were measured by Boston carpal tunnel questionnaire (BCTQ).Result: The mean age of the patients is 30±3.5 years. 26 (78%) patients mild to moderate type of CTS symptoms showed improvement in conservative management. Before treatment the mean symptoms severity scale (SSS) of BCTQ) was 2.32±0.4 and for functional status scale (FSS) was it was 1.99±0.43. After treatment for SSS 1.86±0.47 and for FSS 1.53±0.42. And in SSS the p value<.05 and in FSS p value is <.05 which was statistically significant.Conclusion: In conclusion conservative management protocols are sufficient enough in alleviation of symptoms of the disease and is effective for the restoration of functional capability of the affected hand or hands.Journal of National Institute of Neurosciences Bangladesh, 2018;4(2): 101-107

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