musculoskeletal disorders
Carpal tunnel syndrome
Tendinitis
.definition
A numbness and tingling in the hand and arm caused by a pinched nerve in the wrist.
risk factors
Pregnancy. Hormonal changes during pregnancy can cause swelling.
Health conditions. Diabetes, rheumatoid arthritis, and thyroid gland imbalance
Hand and wrist position. Doing activities that involve extreme flexion or extension of the hand and wrist for a prolonged period of time can increase pressure on the nerve.
Repetitive hand use. Repeating the same hand and wrist motions or activities
signs and Symptoms
Numbness, tingling, burning, and pain primarily in the thumb and index, middle, and ring fingers
Occasional shock-like sensations that radiate to the thumb and index, middle, and ring fingers
Pain or tingling that may travel up the forearm toward the shoulder
Weakness and clumsiness in the hand this may make it difficult to perform fine movements such as buttoning your clothes
Dropping things due to weakness, numbness, or a loss of proprioception (awareness of where your hand is in space
Surgical Procedure
Open carpal tunnel release
Endoscopic carpal tunnel release.
complications
Bleeding
Infection
Nerve aggravation or injury
nursing intervention
Monitor level of pain, numbness, paresthesias, and functioning.
After surgery, monitor neurovascular status of affected extremity: pulses, color, swelling, movement, sensation, or warmth.
Administer NSAIDs and assist with tendon sheath injections as required.
Apply ice or cold compress to relieve inflammation and pain
refeences
definition
signs and symptoms
A condition in which the tissue connecting muscle to bone becomes inflamed.
Pain often described as a dull ache, especially when moving the affected limb or joint
Tenderness
Mild swelling
risk factors
As people get older, their tendons become less flexible which makes them easier to injure
Tendinitis is more common in people whose jobs involve Repetitive motions and Awkward positions
You may be more likely to develop tendinitis if you participate in certain sports that involve repetitive motions, especially if your technique isn't optimal.
prevention
Ease up. Avoid activities that place excessive stress on your tendons, especially for prolonged periods.
Mix it up. If one exercise or activity causes you a particular, persistent pain, try something else
mprove your technique. If your technique in an activity or exercise is flawed, you could be setting yourself up for problems with your tendons
Prepare your muscles to play. Strengthening muscles used in your activity or sport can help them better withstand stress and load.
diagnosis
X-rays to see if there is calcium in the tendon
MRI Scan to view areas of interior damage to the tendon
Da Costa, B.R. and Vieira, E.R., 2010. Risk factors for work‐related musculoskeletal disorders: a systematic review of recent longitudinal studies. American journal of industrial medicine, 53(3), pp.285-323.
Choubineh, A.R., Mokhtarzadeh, A., SALEHI, M. and Tabatabaei, S.H.R., 2008. Ergonomic evaluation of exposure to musculoskeletal disorders risk factors by QEC technique in a rubber factory.