Carpal Tunnel Syndrome Angela Whittington. Definition: CTS Median nerve compression Nerve passes...

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Carpal Tunnel Syndrome Angela Whittington

Transcript of Carpal Tunnel Syndrome Angela Whittington. Definition: CTS Median nerve compression Nerve passes...

Page 1: Carpal Tunnel Syndrome Angela Whittington. Definition: CTS Median nerve compression Nerve passes under the transverse carpal ligament and through carpal.

Carpal Tunnel Syndrome

Angela Whittington

Page 2: Carpal Tunnel Syndrome Angela Whittington. Definition: CTS Median nerve compression Nerve passes under the transverse carpal ligament and through carpal.

Definition: CTS

Median nerve compression Nerve passes under the transverse

carpal ligament and through carpal tunnel

“Median nerve compression syndrome”

Page 3: Carpal Tunnel Syndrome Angela Whittington. Definition: CTS Median nerve compression Nerve passes under the transverse carpal ligament and through carpal.

MOI: CTS

Results from prolonged/repeated wrist flexion or extension during daily activities

Particularly when forceful and for prolonged periods without rest

Page 4: Carpal Tunnel Syndrome Angela Whittington. Definition: CTS Median nerve compression Nerve passes under the transverse carpal ligament and through carpal.

Signs & Sypmtoms: CTS Loss of sensation over

median nerve distribution

Pain radiating or extending from your wrist up arm & shoulder & down into palm or fingers

A sense of weakness in your hands and a tendency to drop objects

Symptoms increase at night

Page 5: Carpal Tunnel Syndrome Angela Whittington. Definition: CTS Median nerve compression Nerve passes under the transverse carpal ligament and through carpal.

Patient Profile

20 year-old female Collegiate gymnast

Floor, bars, vault, and beam Numbness & paresthesia in median nerve

distribution Symptoms ↑ at night Thenar eminence atrophy Pain & paresnthesia ↑ with wrist EXT/FLEX ROM ↓ in EXT/FLEX wrist & fingers Grip strength ↓

Page 6: Carpal Tunnel Syndrome Angela Whittington. Definition: CTS Median nerve compression Nerve passes under the transverse carpal ligament and through carpal.

Goals of Treatment & Rehab

Relieving symptoms with modalities Cock-up Splint Ice, iontophoresis, E-stim NSAIDs, Vitamin B6 & C

Maintain or ↑ flexibility for wrist & finger flexors

Strengthen Wrist, thumb, and finger movements

Page 7: Carpal Tunnel Syndrome Angela Whittington. Definition: CTS Median nerve compression Nerve passes under the transverse carpal ligament and through carpal.

Hand Therapy Devices

Digi Flex

Power Web

Thera-Puddy

Carpal Tunnel Stretch