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Carpal tunnel syndrome (CTS) is the most common focal peripheral neuropathy. CTS is caused by entrapment of the Median nerve at the wrist as it traverses through the carpal tunnel...., Acute CTS is a rare compartment syndrome of the carpal tunnel that occurs after major trauma, typically distal radius fracture. Diagnosis is based on clinical history and examination and does not require electrophysiological testing to proceed with surgery..., Chronic CTS is a much more common condition and of more gradual onset, with intermittent symptoms initially and slow progression. The condition is often bilateral and almost always more prominent in the dominant hand. The syndrome is characterized by... Click to Read More
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Conservative treatment is usually recommended for mild-to-moderate carpal tunnel syndrome (CTS), at least initially. Guidelines from the American Academy of Orthopaedic Surgeons suggest that if symptoms fail to resolve within 2-7 weeks with a particular..., Wrist splint: A lightweight plastic/Velcro splint in a neutral position that allows semifree finger movement is recommended. The wrist splint should be worn primarily at night (regularly) and as needed during daytime (during manual activity). Precautions..., Activity modification: Reduce wrist flexion, extension, rotation, finger flexion, and forceful gripping.... Click to Read More
Cervical radiculopathy usually causes neck and shoulder pain and restricted neck movements in acute radiculopathy...., In cervical radiculopathy, paresthesias are usually limited to 1 side, whereas in CTS they are often bilateral. Root compression maneuvers may elicit paresthesias in radiculopathy...., Cervical radiculopathy of C6, produces weakness in C6-innervated muscles (biceps brachii, deltoid, pronator teres, brachioradialis) and depressed biceps tendon reflex; sensory loss may be restricted to thumb or digits 1-2 and may involve the dorsal more... Click to Read More
2Department of Diabetes and Endocrine Medicine, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan..., 3Department of Neurology and Geriatrics, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan..., *Correspondence Takahisa Deguchi Tel.: +81-99-275-5332 Fax: +81-99-265-7164 E-mail address: [email protected] Click to Read More