Welcome to the Online Physio Forum.
Results 1 to 4 of 4
  1. #1
    Forum Member Array
    Join Date
    Dec 2015
    Country
    Flag of Australia
    Current Location
    Australia
    Member Type
    Physiotherapist
    View Full Profile
    Posts
    1
    Thanks given to others
    0
    Thanked 0 Times in 0 Posts
    Rep Power
    0

    Atypical Carpal Tunnel Syndrome

    Hi I'm looking for ideas that can assist with assessment and treatment of a lady I am treating with an atypical carpal tunnel sydrome.

    3/12 ago she experienced a sudden onset of sharp wrist and hand pain. "hot burning, electric shocks"
    Since then the symptoms have progressed to the other wrist as well.

    She is quite hesistant to manipulate objects or grasp with her fingers tips. The pain radiates into the middle three fingers of each hand.

    ULNT's were negative. She has no loss of range/strength/muscle bulk.

    I've had a look at her neck and it does not appear to be the source of symtoms. I'm at a loss with the sudden and severe onset of the symptoms. Nerve conduction studies report that she has moderate Carpal Tunnel Syndrome. I'm looking in particular for conservative treatments that may assist in controlling the patient's pain.

    Thankyou.

    Similar Threads:

  2. #2
    Forum Member Array
    Join Date
    Jun 2015
    Country
    Flag of United Kingdom
    Current Location
    London
    Member Type
    Other
    View Full Profile
    Posts
    22
    Thanks given to others
    0
    Thanked 0 Times in 0 Posts
    Rep Power
    17

    Re: Atypical Carpal Tunnel Syndrome

    Hi Maria,

    What is your patient's posture like? I would possibly look at releasing Subclavius & Pec Minor, with the addition of some 1st/2nd rib mobes?

    Hope this helps.


  3. #3
    Forum Member Array
    Join Date
    Sep 2006
    Country
    Flag of Australia
    Current Location
    Hong Kong
    Member Type
    General Public
    View Full Profile
    Posts
    24
    Thanks given to others
    0
    Thanked 2 Times in 2 Posts
    Rep Power
    35

    Re: Atypical Carpal Tunnel Syndrome

    Can try Ax and Mobilize the C/S too, maybe it is one of the factors contributing to the pain.


  4. #4
    Forum Member Array
    Join Date
    Feb 2016
    Country
    Flag of United States
    Current Location
    US
    Member Type
    Physiotherapist
    Age
    43
    View Full Profile
    Posts
    6
    Thanks given to others
    0
    Thanked 0 Times in 0 Posts
    Rep Power
    0

    Re: Atypical Carpal Tunnel Syndrome

    I second that, check the neck and its mobility. Use head compression tests to provocate pain.



 

Tags for this Thread

Back to top