Carpal Tunnel Syndrome
HISTORY:
hand for
Onset: , following
Location: , mostly on the
Radiation:
Severity: , / 10
Type:
Pattern: , worse during the
Worsening factors:
Alleviating factors: ,
Occupation:
Dominant hand:
Other elements:
EXAM:
Wrist:
- Inspection:
- Palpation: on
- Range of motion:
- Flexion:
- Sensation: over
- Strength: throughout upper extremities, except on
- Reflexes: throughout upper extremities, except on
- Special tests:
- Phalen test:
- Tinel sign:
- Carpal compression test:
ASSESSMENT:
DDx:
PLAN:
- Nerve conduction study
- EMG
- X-ray of the wrist
- MRI of the wrist
- Blood work: , , ,
- Wrist splint
-
-
- Corticosteroid injection
- Physical therapy
- Occupational therapy
- Referral to neurologist
- Referral to orthopedic surgeon
- Referral to plastic surgeon
- Follow-up in
- Return if symptoms worsen, if new symptoms develop such as weakness or atrophy, or if symptoms do not improve with treatment