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

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

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

scholarly journals Nurse-Led Management of Carpal Tunnel Syndrome: An Audit of Outcomes and Impact on Waiting Times

2006 ◽  
Vol 88 (4) ◽  
pp. 399-401 ◽  
Author(s):  
Martyn Newey ◽  
Malcolm Clarke ◽  
Tim Green ◽  
Christopher Kershaw ◽  
Pankaj Pathak
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Nurse Practitioner ◽  
Waiting Times ◽  
Presumptive Diagnosis ◽  
Clinic Appointment ◽  
Access Service ◽  
Tunnel Syndrome

INTRODUCTION This article describes the outcome of a nurse-led service developed to manage patients referred with a presumptive diagnosis of carpal tunnel syndrome. PATIENTS AND METHODS We developed a rapid-access service in response to unacceptable waiting times for patients with carpal tunnel syndrome. The service was developed around the role of a nurse practitioner providing a single practitioner pathway from first clinic appointment, through surgery to discharge. RESULTS Waiting times improved considerably whilst the standard and quality of care was maintained. CONCLUSIONS There is a role for nurses to perform certain surgical procedures within a well-defined environment.

Pain as a determinant of health-related quality of life in patients with carpal tunnel syndrome; a case-controlled study

2019 ◽  
Vol 132 (1) ◽  
pp. 52-55
Author(s):  
Nicolas Anthony Damms ◽  
Lucy Moira McCallum ◽  
Ptolemaios Georgios Sarrigiannis ◽  
Panagiotis Zis
Keyword(s):  
Quality Of Life ◽  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Controlled Study ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related ◽  
Tunnel Syndrome

Prospective evaluation of preoperative and postoperative sleep quality in carpal tunnel release

2018 ◽  
Vol 44 (3) ◽  
pp. 278-282 ◽  
Author(s):  
Cüneyt Emre Okkesim ◽  
Sancar Serbest ◽  
Uğur Tiftikçi ◽  
Meriç Çirpar
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Sleep Quality ◽  
Median Nerve ◽  
Carpal Tunnel ◽  
Carpal Tunnel Release ◽  
Level Of Evidence ◽  
Nerve Decompression ◽  
Tunnel Syndrome ◽  
Median Nerve Decompression

Sleep disturbance is a frequent symptom of carpal tunnel syndrome. The aim of this study was to investigate the effect of median nerve decompression on sleep quality of patients with this condition. The study sample consisted of 41 patients with severe carpal tunnel syndrome who were admitted to our clinic and treated with open median nerve decompression. Sensation and functional recovery of the patients were followed using the Boston Function Questionnaire, the Semmes–Weinstein monofilament test and the two-point discrimination test. Symptomatic recovery of the patients was followed by the Boston Symptom Questionnaire. The tests were used before surgery and at three and six months afterwards. Sensory, functional and symptomatic recovery from the third month to the sixth month following surgery also affected sleep parameters and improved the sleep quality of patients with carpal tunnel syndrome. Level of evidence: IV

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