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Carpal Tunnel Syndrome (Risk Factors: (Diabetes, Obesity or overweight,…
Carpal Tunnel Syndrome
Risk Factors:
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Workplace factors (work stress, repeated use of vibrating hand tools)
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Risk Reduction: Smoking cessation, losing weight, reduction of alcohol consumption, pregnancy, reduce stress (work related)
Anatomy: A passage way from the wrist to the hand, the carpal tunnel is made of tendons, ligament, and bones. The median nerve passes through the tunnel and provides sensation to fingers.
Pathophysiology:
Increased carpal tunnel pressure
Median nerve compression and entrapment
Changes of microvascular structure of the nerve
Reduction of endoneurial blood flow
Edema
Hypoxia
Axonal degeneration of median nerve and neuritis
- Nursing Dx: Acute pain r/t inflammation and swelling secondary to pressure on median nerve
- Self care deficit regarding to ADL
- Risk for injury
Interventions:
- Assess pain, duration, intensity, & frequency
- Promote self care activity as much as possible, assist with activities of daily living. Encourage as much independence as possible. 3. Assist the pt in the use of braces and splinting, prescribed exercises, & other conservative measures
Diagnostic Procedures:
- Electromyography shows a median nerve motor conduction delay of more than 5 milliseconds.
*ROM flex & extend wrist
*X-ray
*Tinels Sign
*Phalens Manuever
Treatment:
Treat the underlying cause
Splint wrist (1-2 wks)
Applying cool packs for inflammation
Physical therapy for carpal bone mobolization
*Switching hands frequently when performing repetitive movements
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