Carpal tunnel syndrome case study Occupational Therapy

Study in London at St George's - Occupational Therapy BS

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  3. Occupational Therapy Standard of Care: Carpal Tunnel Syndrome Case Type / Diagnosis Carpal tunnel syndrome (CTS) is certainly the most common and frequently diagnosed nerve entrapment. For this standard of care, CTS is defined as the symptoms manifested when th
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  5. 5. Mbaye I, Fall MC, Diop SN, Hatim B, Sow ML. Occupational carpal tunnel syndrome: the case of a secretary. Dakar Med 2002;47:103-5. 6. Ohnari K, Uozumi T, Tsuji S. Occupation and carpal tunnel syn-drome. Brain Nerve 2007;59:1247-52. 7. Washington State Department of Labor and Industries Car-pal Tunnel Syndrome Guideline 2017. Available at.
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Clinical Case Janice was referred to occupational therapy (OT)/hand therapy by her physician with a diagnosis of carpal tunnel syndrome (CTS) (ICD9 Code 354.0) on her right wrist, which happens to be her dominant limb, in order to address her lack of ability to sustain work, household and leisure activities Carpal tunnel syndrome (CTS), compression of the median nerve at the carpal tunnel of the wrist, is the most common of all entrapment syndromes. Diabetes, Rheumatoid arthritis, hypothyroidism and pregnancy are known to cause CTS. And certain occupations were been reported the risk factor of CTS. We

Occupational and Physical Therapists would rather work with patients before they attempt Carpal Tunnel Surgery to help the patient heal naturally with passive stretching treatment, icing therapy, deep tissue massage, active stretching exercises, and dry needling when needed. They get better results Carpal tunnel syndrome (CTS), the most common nerve entrapment, is caused by median nerve compression in the carpal tunnel of the wrist and typically presents with paresthesia in the thumb, index, middle, and radial half of the ring finger (Burke, Bradley, Sinha, Wilgis, & Dubin, 2007; Stevens, Beard, O'Fallon, & Kurland, 1992).Other signs and symptoms include pain, disturbed sleeping. Objectives. Occupational carpal tunnel syndrome (CTS) due to upper extremity overuse has in recent years been the most commonly recognized occupational disease in the Czech Republic and its prevalence has steadily increased. This pilot observation aimed to assess the effects of exercise techniques and oral enzyme therapy in automotive plant workers with early CTS.<i> Patients and Methods.</i.

Current technology renders staff radiologists at risk for work-related, upper extremity musculoskeletal disorders, including carpal and cubital tunnel syndromes. Proper equipment, ergonomics, and professional consultation should be used in all radiology departments A systematic review of carpal tunnel syndrome research comparing surgical vs. non-surgical (i.e., splint, steroid injection, or physical therapy) outcomes found: No significant differences at 3 or 12 months in terms of functional status, symptom severity and nerve conduction outcomes Palmer KT, Harris EC, Coggon D. Carpal tunnel syndrome and its relation to occupation: a systematic literature review. Occup Med (Lond) . 2007 Jan. 57(1):57-66. [Medline]

Thirty-five patients and 67 extremities with carpal tunnel syndrome were evaluated in a group of manual laborers. The carpal tunnel syndrome was classified as mild, moderate, or severe on the basis of initial evaluation data. Sensory batteries, motor and sensory conduction velocities, and electrical studies were performed on a scheduled basis Carpal Tunnel Syndrome is a condition affecting the hand and wrist. The carpal tunnel is a space in the wrist surrounded by wrist bones and by a rigid ligament that links the bones together (see Figure 1). Through this small tunnel pass the flexing tendons of the fingers and thumb as well as the median nerve (see Figure 2) Yoga postures designed for strengthening, stretching and balancing the upper body and joints may help reduce pain and improve grip strength. Hand therapy. Early research suggests that certain physical and occupational hand therapy techniques may reduce symptoms of carpal tunnel syndrome. Ultrasound therapy Carpal Tunnel Syndrome Case Study Occupational Therapy assured our writing help will always stay affordable. We offer top-notch cheap paper writing services 24/7, no hidden payments and transparent, student-oriented pricing policy There are no human studies on the effect of ozone injections on tendon pathologies. One study found ozone therapy to be effective for treating carpal tunnel syndrome. Several studies have found ozone therapy to be effective for treating disc herniations and mechanical low back pain. Welcome to part 4 of this series on ozone injections for.

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April 27, 2021. by. Carpal tunnel syndrome (CTS) affects 1 in 20 Americans. If you are suffering from a pins and needles feeling in your palm or fingers, occupational therapy may be able to help. The occupational therapists at Elite Integrated Therapy Centers regularly treat CTS for patients in the Anderson, Greenville, and Spartanburg, SC area Carpal Tunnel Syndrome Case Study Occupational Therapy, expository essay about dropping out of school, sample cover letter academic, write essay dv Physical therapy focuses on improving wrist mobility and reducing inflammation, relieving pressure on the carpal tunnel. Treatment will often encompass a combination of different hands-on treatments like different exercises and stretches, and other passive modalities like ultrasound technology to relieve pain and inflammation

A recent study indicates that people diagnosed with carpal tunnel syndrome who were waiting for surgery were prescribed a splint and sessions with an occupational therapist. At the end of the study, it was found that symptom severity, function, pain and grip strength all improved.[7 Visualization of changes in the median nerve in carpal tunnel syndrome. The American Occupational Therapy Association, Indianapolis, IN. Roll, S. C., Evans, K. D., & Case-Smith, J. (2012, April). Predicting symptoms and decreased function due to carpal tunnel syndrome with sonographic imaging. The American Occupational Therapy Association. Sleep and carpal tunnel syndrome. It is not uncommon for clients with carpal tunnel syndrome (CTS), a common diagnosis referred to occupational therapy, to have poor sleep (Patel et al., 2014). Carpal tunnel syndrome occurs when compression of the median nerve is present in the carpal tunnel For hair stylists, carpal tunnel syndrome is an occupational hazard. The profession is known to be high risk for developing this painful condition. But there are great core exercises targeted toward relieving symptoms — and even reversing carpal tunnel completely. But to be successful, you must commit to taking the time to do these exercises. PEMF offered the following benefits for carpal tunnel syndrome patients: 1.Pain reduction: The study participants who received PEMF therapy saw a 4.93 point reduction in their pain symptoms while.

In our trial patients, with mild carpal tunnel syndrome, confirmed by nerve conduction studies, will all be given wrist splints so that no patients will be left untreated. They will be randomly allocated to either therapeutic or sham ultrasound therapy (20 sessions over 7 weeks) and followed up for 1year According to Beth Kozera, there are a variety of factors that can cause carpal tunnel syndrome including: Genetics or a patient's anatomical structure of the wrist Pregnancy, which causes increased inflammation in the body Sleeping with wrists in flexed position Repetitive work like typing and workstations that are not ergonomically set up Hand tool use- [ The prevalence of carpal tunnel syndrome is estimated to be 2.7-5.8% of the general adult population, with a lifetime incidence of 10-15%, depending on occupational risk 4. Carpal tunnel syndrome usually occurs between ages 36 and 60 and is more common in women , with a female-to-male ratio of 2-5:1 Carpal tunnel syndrome (CTS) is often a debilitating disorder that is commonly encountered in primary care. It is the most common entrapment neuropathy of the upper extremity, affecting. Carpal Tunnel Syndrome Carpal tunnel syndrome is caused by pressure being placed on the median nerve at the wrist, which controls sensations of the thumb, index, middle fingers, and one half of your ring finger, said Kimberly Maguire, MS, OTR/L, CHT, CRS, facility director and occupational therapist at the UPMC Centers for Rehab Services' Oakland Hand Therapy Clinic

Carpal tunnel syndrome: occupational health case study

Splinting is used to relieve pressure on the carpal tunnel by keeping the wrist in neutral; wrist extension and flexion can result in 3-6x more pressure (Rempel, et al., 1994). Types of Splints. Volar/Cock-Up Splint: Wrist is at 0-20 degrees of extension. Commonly recommended and used in studies (Walker, et al., 2000 Epidemiology• Carpal tunnel syndrome is the most common compression neuropathy.•. Median age is 51.•. Women are affected 4:1• More common in industrialized societies.•. High rate of bilateral compression.•. More common in the dominant arm.• 50% associated with Raynaud's phenomenon Carpal tunnel syndrome can cause numbness and pain in the hand and stems from a problem in the wrist. Some people with mild-to-moderate carpal tunnel syndrome might benefit from certain home remedies Carpal tunnel affects 3 to 6 percent of the adult population. Women are 3 times more likely than men to develop carpal tunnel syndrome because their carpal tunnel is smaller, and it's a common condition during pregnancy. Individuals with diabetes or other metabolic disorders that affect nerves are also higher risk

Carpal Tunnel Physical Therapy

Carpal tunnel syndrome (CTS) is an entrapment neuropathy caused by compression of the median nerve as it travels through the wrist's carpal tunnel. It is the most common nerve entrapment neuropathy, accounting for 90% of all neuropathies. Early symptoms of carpal tunnel syndrome include pain, numbness, and paresthesias. These symptoms typically present, with some variability, in the thumb. Carpal Tunnel Syndrome occurs when there is swelling within the tunnel, resulting in increased pressure on the median nerve, causing pain, tingling, and numbness in the hand and fingers. Causes Overuse of your hands, often repetitive jobs such as typing, assembly line work, or constant fine motor tasks

Carpal tunnel syndrome (CTS) is a common problem affecting the hand and wrist. Symptoms begin when the median nerve gets squeezed inside the carpal tunnel of the wrist, a medical condition known as nerve entrapment. Any condition that decreases the size of the carpal tunnel or enlarges the tissues inside the tunnel can produce the symptoms of CTS Carpal tunnel release surgery is reserved for severe cases. In this procedure, a surgeon will cut the ligament that presses on the carpal tunnel, making more room for the median nerve and tendons. This usually improves function and pain. Generally, we recommend waiting until after pregnancy to have surgeries that are not urgent Carpal tunnel syndrome can also be caused by making the same hand and wrist motion over and over. Using hand tools that vibrate may also lead to carpal tunnel syndrome. Studies have not proved that carpal tunnel is caused by typing on a computer, using a mouse, or repeating movements while working, playing a musical instrument, or playing sports

Carpal tunnel syndrome often gets set off when you hold your hand and wrist in the same position for a long time. It can be made even worse if you have to keep your wrist bent either up or down. Carpal tunnel syndrome symptoms, carpal tunnel syndrome treatment, what is carpal tunnel syndrome, carpal tunnel syndrome causes. Occupational therapy: Open trials refer to studies that are currently recruiting participants or that may recruit participants in the near future. Closed trials are not currently enrolling, but similar. Manual Therapy vs. Surgery for Carpal Tunnel Syndrome When people suspect they have carpal tunnel syndrome (CTS), it's typical that their first thought is that their condition will require surgery and a lengthy recovery Nonsurgical Therapy for Carpal Tunnel Syndrome. Treatment for carpal tunnel syndrome does not usually involve surgery. Your NYU Langone doctor may recommend that you rest the affected hand and wrist for a few weeks. He or she can also tell you which activities should be avoided to prevent symptoms from worsening

Carpal tunnel syndrome is caused by a pinched median nerve. This nerve passes through a tunnel in your wrist, formed by bones and ligaments, known as the carpal tunnel. A narrowing of this tunnel, or swelling of tissues inside the tunnel, puts pressure on the median nerve. Carpal tunnel syndrome is more common in people who often need to bend. The carpal tunnel is a narrow, oval-shaped space, and it is made up of the carpal bones of the wrist and strong ligaments in the palm. The tendons which move the thumb and fingers also travel through the carpal tunnel. Each finger has 2 tendons and the thumb has one tendon. In total, 9 tendons and the median nerve are within the carpal tunnel Carpal Tunnel Syndrome is not contagious or genetic, it is a musculoskeletal disorder. A musculoskeletal disorder is a condition that affects your muscles, bones or joints. Yes, CTS can be caused by other factors, such as pregnancy or trauma, for example, but for simplicity sake, we will focus on the most common cause The carpal tunnel is a narrow channel between the wrist and the hand. Tendons of as many as 9 muscles pass through this channel internally, as well as a nerve called the median nerve. The carpal tunnel is characterized by an empty space due to the anatomy of the carpal bones, which join the transverse ligament of the carpus. Carpal tunnel syndrome American Academy of Orthopaedic Surgeons Clinical Practice Guideline on Management of Carpal Tunnel Syndrome. Feb 29, 2016 . Provides a systematic review of published studies and recommendations on the diagnosis and treatment of carpal tunnel syndrome (CTS)

Carpal tunnel syndrome can cause a variety of symptoms. The most common report of symptoms includes pain, and numbness or tingling in the hand and fingers. The numbness and tingling feeling is most often felt in the thumb, index, middle, and ring fingers, particularly at night or with specific tasks such as driving or reading the newspaper Carpal tunnel syndrome (CTS) is a compressive neuropathy of the median nerve at the wrist. Carpal tunnel syndrome occurs when the median nerve, which runs from the forearm into the hand, becomes pressed or squeezed at the wrist Carpal tunnel syndrome results from compression of the median nerve within the carpal tunnel, a narrow passageway at the wrist formed by the eight tendons of the finger flexor muscles. Symptoms of carpal tunnel syndrome include finger and wrist pain, numbness, and tingling that can eventually progress to weakness and loss of fine motor movement Carpal tunnel syndrome. Carpal tunnel syndrome is a condition in which there is excessive pressure on the median nerve. This is the nerve in the wrist that allows feeling and movement to parts of the hand. Carpal tunnel syndrome can lead to numbness, tingling, weakness, or muscle damage in the hand and fingers A manual therapy intervention improves symptoms in patients with carpal tunnel syndrome: a pilot study. Rheumatol Int . 2013;33(5):1233-1241. Onder B, Yalcin E, Selcuk B, Kurtaran A, Akyuz M. Carpal tunnel syndrome and metabolic syndrome co-occurence

Occupational Therapy for Carpal Tunnel Motus Rehabilitatio

Carpal tunnel syndrome Why go to occupational therapy

Carpal tunnel syndrome is a specific type of injury (nerve compression) in the general category of repetitive strain injuries. A repetitive strain injury is one that develops from the micro-trauma of daily use (from repetition, awkward position, and stressful use) versus a traumatic injury. S - Strengthening Investigating the Effectiveness of Full-Time Wrist Splinting and Education in the Treatment of Carpal Tunnel Syndrome: A Randomized Controlled Trial American Journal of Occupational Therapy , July/August 2013, Vol. 67, 448-459 Nerve conduction studies have been shown to confirm carpal tunnel syndrome with a sensitivity of 85 percent and a specificity of 95 percent.23 Nerve conduction studies also may help confirm the. Those who suspect signs and symptoms of Carpal Tunnel Syndrome should follow up with an occupational/hand therapist for a free assessment at a nearby Athletico. At this screening, the therapist will be able to analyze the symptoms and provide information for further follow-up if needed

Case Study - Carpal Tunnel Syndrome Symptoms Prime Spine

©2019 Academy of Orthopaedic Physical Therapy and the Journal of Orthopaedic & Sports Physical Therapy®. Decision Tree Model Carpal tunnel syndrome is a common problem, and it is important that clinicians arrive at an accurate diagnosis so interventions can be aimed appropriately. The propose John Bracey, M.D., hand surgeon with the UAMS Department of Orthopaedic Surgery, said that carpal tunnel syndrome affects 2.7 percent of the population and nets 500,000 surgeries a year in the United States, estimated to be a $2 billion annual impact. Bracey spoke to family medicine providers at the 40 th Annual Family Medicine Intensive Review Course last May, covering how providers can test.

Carpal Tunnel Syndrome Patient Case Stud

Carpal tunnel syndrome is considered to be the most common entrapment neuropathy. Conservative treatment is recommended in the mild and moderate stage of CTS. The aim of this trial is to evaluate the effectiveness of physical therapy modalities in carpal tunnel syndrome OCCUPATIONAL THERAPY TREATMENT. Splint for claw deformity. Elbow pad worn during activities. Ulnar Nerve Glides. Ulnar Nerve Gliding Exercises. Adaptive key holder. Adaptive utensils to facilitate grip. Cubital Tunnel Release Surgery. Claw Hand of 4th and 5th digitis Carpal Tunnel Syndrome. This chapter will review the case of a 51-year-old female who presented to a physical therapy clinic with complaints of numbness and tingling in her hands. The patient was seen by a resident who wanted to present the case to their senior faculty mentors. What follows is this case presentation and conversation that ensued

Carpal Tunnel Syndrome

occurrence of carpal tunnel syndrome, rather carpal tunnel syndrome is the culmination of many converging causal factors'. It has been stated that the risk of CTS is high in occupations involving exposure to high pressure, high force, repetitive work and vibrating tools.3 High repetition is defined either by the frequency o Kao SY. Carpal tunnel syndrome as an occupational disease. J Am Board Fam Pract. 2003 Nov-Dec. 16(6):533-42. . . Palmer KT, Harris EC, Coggon D. Carpal tunnel syndrome and its relation to occupation: a systematic literature review. Occup Med (Lond). 2007 Jan. 57(1):57-66. Clinical Practice Guideline on Carpal Tunnel Syndrome. Clinical practice guidelines (CPG) provide evidence-based recommendations for current orthopaedic diagnostic, treatment, and postoperative procedures Carpal tunnel surgery, also known as carpal tunnel release (CTR) or carpal tunnel decompression surgery, is used to treat carpal tunnel syndrome. This condition occurs when one of the major nerves in the wrist becomes pinched, causing numbness, tingling, and shooting pain in the fingers as well as general weakness of the hand muscles. 1 

Therapy Found Effective for Carpal Tunnel SyndromePhysical Therapy as Good as Surgery for Carpel Tunnel

Conservative Interventions for Carpal Tunnel Syndrom

Carpal tunnel syndrome (CTS) is a disorder that causes pain and weakness in the hand and wrist. In general, carpal tunnel syndrome develops when the tissues around the median nerve of the hand swell and press on the nerve. Some research suggests that this swelling is caused by a buildup of fluid (called synovial fluid) under the lining Early research suggests that certain physical and occupational hand therapy techniques may reduce symptoms of carpal tunnel syndrome. Ultrasound therapy. High-intensity ultrasound can be used to raise the temperature of a targeted area of body tissue to reduce pain and promote healing Post-Operative Instructions for Carpal Tunnel Release You may remove your surgical bandage after 2 days. However, you must keep the incision dry until the sutures are removed at your follow-up doctor's appointment. You can use water proof Band-Aids to keep your incision dry. When you are done showering, remove the waterproof Band-Aid 1 Introduction. Carpal tunnel syndrome (CTS) is a clinical syndrome caused by compression of the median nerve at the wrist. It is the most common entrapment neuropathy in adults. Clinical features of CTS include nocturnal pain, numbness, tingling sensation in the median nerve dermatome, and the diagnosis is confirmed by these typical clinical symptoms, along with electrodiagnostic studies

Hand Pain and Sensory Deficits: Carpal Tunnel Syndrom

Carpal tunnel syndrome (CTS) is a painful medical condition in which the median nerve in the wrist becomes compressed inside the carpal tunnel. [1] The median nerve is a nerve which passes through the arm to the hand, on each side of the body and which controls sensation and movement in the hand Carpal tunnel syndrome is a common condition that causes numbness, tingling, pain, or weakness in your wrist or hand, particularly in your thumb and first few fingers. Repetitive motions -- such as assembly line work, racquet sports, and typing -- are often the cause. The carpal tunnel is a narrow passageway in your wrist where nerves and.

Carpal tunnel syndrome case study occupational therap

Carpal tunnel syndrome (CTS) is caused by compression of a nerve that runs through the carpal tunnel in the wrist and is thought to be caused by repetitive motions, such as typing. People with the. Our Neurologist can perform nerve conduction studies, which will help in the diagnosis of your carpal tunnel syndrome. How It Works At your initial visit you will be assessed by our Specialist Clinical Practitioner to diagnose your condition and recommend the best form of treatment options for you Carpal tunnel syndrome is caused when pressure builds up from swelling in this tunnel and puts pressure on the nerve. Pain, numbness, tingling, weakened grip.. Carpal tunnel syndrome has become the most common condition treated by hand surgeons. This is a disease that usually involves an abnormal compression of the median nerve. The median nerve is one of the two major nerves in the wrist. Carpal Tunnel Syndrome can occur due to a variety of mechanical, vascular, or metabolic disorders Carpal tunnel syndrome (CTS) is the clinical presentation of symptomatic dysfunction of the median nerve at the transverse carpal ligament and is the most common mononeuropathy seen in clinical practice. The incidence in the general population has been estimated at approximately one per 1,000 persons, although recent surveys have shown that the.

Walker PT: Carpal Tunnel Syndrome and Occupational Therapy

When the median nerve in the carpal tunnel is compressed and the tendons are irritated and swollen, carpal tunnel syndrome occurs. Symptoms of carpal tunnel syndrome include numbness or tingling in the hand and fingers, which may extend from the wrist up the arm as the condition progresses These carpal tunnel syndrome exercises may be supervised by a physical therapist, who is trained to use exercises to treat physical impairments. These carpal tunnel syndrome exercises are discussed in detail at the end of this age. 8) If it fails local corticosteroid injection may be given. 9) In severe cases,surgery may be required Carpal tunnel syndrome mostly occurs without apparent causes (idiopathic). In the remaining cases, the main cause is a person's genetic predisposition. A fundamentally narrow anatomical structure in the hand, for example, a specific arrangement of the carpal bones, favours the development of carpal tunnel syndrome Massage For Carpal Tunnel Syndrome: Flexor Work On Wrist And Fingers- Your massage therapist will work on the flexor muscles present on the fingers and the wrist to provide you better relief in Carpal Tunnel Syndrome or CTS. In case you have severe symptoms, the therapist must start with gentle works on the flexor muscles

Study Shows Physical Therapy Could Be as Effective as

[Occupation and carpal tunnel syndrome

Carpal tunnel syndrome is a common condition that causes pain, numbness, tingling, and weakness in the hand and wrist. It happens when there is increased pressure within the wrist on a nerve called the median nerve. This nerve provides sensation to the thumb, index, and middle fingers, and to half of the ring finger This unique new Carpal Tunnel Therapy is called The Carpal Solution and is based on intuitive physical stretching of the soft tissue in three key places on the palm of the hand. It is based on natural healing principles that enhance blood circulation to the hand and disperse lymphatic fluid build up which results in swollen soft tissue Hormone Replacement Therapy ( Confino-Cohen 1991) This report concerns only two female patients with CTS, one of whom had already failed to respond to carpal tunnel surgery on one hand. The main observation of interest is of relapses of symptoms each time the hormone replacement treatment was interrupted Carpal Tunnel Syndrome. Carpal Tunnel Syndrome is a compressive neuropathy of the median nerve at the level of the wrist. Diagnosis is made by clinical signs and symptoms (night pain, hand weakness/clumsiness, numbness in median nerve distribution) and positive provocative tests (i.e Tinel's, Durkan's)

Treatment of Carpal Tunnel - Occupational Therapists

Although cubital tunnel syndrome is relatively unknown, carpal tunnel syndrome has received considerable coverage in both the medical and lay press. In our experience, surprisingly little attention is paid to the simple measures required to minimize the risk of work-related musculoskeletal disorders Your carpal tunnel is a narrow tunnel in your wrist that protects your median nerve (nerve that runs from your forearm to your palm) and other tissues (see Figure 1). Your median nerve allows you to have feeling in your first 4 fingers. Carpal tunnel syndrome is when the tissues in your carpal tunnel swell and press on your median nerve Summary. Carpal tunnel syndrome (CTS) is a peripheral neuropathy caused by chronic or acute compression of the median nerve by the transverse carpal ligament.It is characterized by both sensory disturbances (pain, tingling, and numbness) and motor symptoms (weakness and clumsiness of the thumb) in the area innervated by the median nerve distal to the carpal tunnel Suffering with carpal tunnel syndrome is unneccessary. Whether you have never had hand therapy treatment or are seeking care after an injection or post-operatively - look no further! Don't delay and get in touch to book an appointment by phone (028 9099 3464) or email (info@thehandtherapist.co.uk) today

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Carpal tunnel syndrome is caused by pressure on a nerve in your wrist. This most commonly causes tingling, numbness, pain and weakness in your hand. Carpal tunnel syndrome can sometimes get better on its own. But there are also treatments that can help Carpal tunnel syndrome poses a familiar mechanism and is frequently cited as the cause of the patient's symptoms. While it may be the most common upper-extremity peripheral nerve entrapment neuropathy, a myriad of other nerve entrapment sites and pathologies are capable of producing upper-limb symptoms Treatment for carpal tunnel syndrome involves activity modification and rest, splinting, medication (including injection therapy), and surgery. Activity Modification. The first line of treatment usually involves resting the wrist and avoiding activity and movement that worsen symptoms. The wrist may be immobilized using a removable splint