Primary care management of carpal tunnel syndrome

Postgraduate Medical Journal

Volumn 79, Issue 934, 2003, Pages 433-437

  Burke, F D ^a   Ellis, J ^a   McKenna, H ^a   Bradley, M J ^a  

^a DERBYSHIRE ROYAL INFIRMARY   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

ANESTHETIC AGENT; CONTRACEPTIVE AGENT; DIURETIC AGENT; NONSTEROID ANTIINFLAMMATORY AGENT; PYRIDOXINE; STEROID;

ANESTHESIA; CARPAL TUNNEL SYNDROME; CHRONIC PAIN; CONSERVATIVE TREATMENT; CRUSH TRAUMA; DIABETES MELLITUS; DISEASE ASSOCIATION; DISEASE PREDISPOSITION; DISEASE SEVERITY; DRUG EFFICACY; EPIDEMIOLOGICAL DATA; ERGONOMICS; EXERCISE; FLUID RETENTION; GENERAL PRACTITIONER; HEMODIALYSIS; HOSPITAL; HUMAN; INJECTION; JOB PERFORMANCE; MEDIAN NERVE; NERVE CELL; NERVE CONDUCTION; NERVE DECOMPRESSION; OBESITY; PATIENT REFERRAL; PHYSICAL EXAMINATION; PHYSIOTHERAPY; PREGNANCY; PRESSURE; PRIMARY MEDICAL CARE; QUESTIONNAIRE; REVIEW; RHEUMATOID ARTHRITIS; SKILL; SPLINT; SYMPTOMATOLOGY; TENDON; THIRD TRIMESTER PREGNANCY; THYROID DISEASE; ULTRASOUND; YOGA;

CARPAL TUNNEL SYNDROME; DECOMPRESSION, SURGICAL; EXERCISE THERAPY; HUMANS; PRIMARY HEALTH CARE; REFERRAL AND CONSULTATION; SPLINTS; STEROIDS; ULTRASONIC THERAPY;

EID: 0141518104     PISSN: 00325473     EISSN: None     Source Type: Journal    
DOI: 10.1136/pmj.79.934.433     Document Type: Review

References (35)

1. Burke FD, Dias JJ, Bradley MJ, et al. Providing care for hand disorders-the Derby Hand Unit experience 1989-90. J Hand Surg [Br] 1991;16:13-18.
2. Burke FD. Carpal tunnel syndrome - reconciling "demand management" with clinical need. J Hand Surg [Br] 2000;25:121-7.
3. Stevens JC, Sun S, Beard CM, et al. Carpal tunnel syndrome in Rochester, Minnesota 1961-1980. Neurology 1988;38:134-8.
4. Keller RB, Largay AM, Soule DN, et al. Maine carpal tunnel study: small area variations. J Hand Surg [Am] 1998;23:692-6.
5. De Krom MC, Knipschild PG, Kester AD, et al. Carpal tunnel syndrome prevalence in the general population. J Clin Epidemiol 1992;45:373-6.
6. Ferry S, Prichard T, Keenan J, et al. Estimating the prevalence of delayed median nerve conduction in the general population. Br J Rheumatol 1998;37:630-5.
7. Harrington JM, Carter JT, Birrel L, et al. Surveillance case definitions for work related upper limb pain syndromes. Occup Environ Med 1988;55:264-71.
8. Szabo RM, Slater RR, Farvery TB, et al. The value of diagnostic testing in carpal tunnel syndrome. J Hand Surg [Am] 1999;24:704-14.
9. Levine DW, Simmons BP, Koris MJ, et al. A self administered questionnaire for the assessment of severity of symptoms and functional status in carpal tunnel syndrome. J Bone Joint Surg Am 1993;75:1585-92
10. Hurst LC, Weissberg D, Carrol RE. Relationship of the double crush to carpal tunnel syndrome. An analysis of 1000 cases of carpal tunnel syndrome. J Hand Surg [Br] 1995;10:202-4.
11. Lane JE, Foulkes GD, Hope TD, et al. Hereditary neuropathy with liability to pressure palsies mimicking multifocal compression neuropathy. J Hand Surg [Am] 2001;26:670-4.
12. Futami T, Kobayashi A, Ukita T, et al. Carpal tunnel syndrome-its natural history. Hand Surgery 1997;2:129-30.
13. Von Schroeder HP, Botte MJ. Carpal tunnel syndrome. Hand Clinics 1996;12:643-55.
14. Kerr CD, Sybert DR, Albarracin NS. An analysis of the flexor synovitis in idiopathic carpal tunnel syndrome. J Hand Surg [Am] 1992;17:1028-30.
15. Cobb TK, Kai Nan A, Cooney WP. Effect of lumbrical muscle incursion within the carpal tunnel on carpal tunnel pressure: a cadaveric study. J Hand Surg [Am] 1995;20:186-92.
16. Gelberman G, Hergenroeder PT, Hargens AR, et al. The carpal tunnel syndrome. A study of carpal canal pressures. J Bone Joint Surg Am 1981;63:380-3.
17. Wilgis EFS, Murphy R. The significance of longitudinal excursion in peripheral nerves. Hand Clinics 1986;2:761-6.
18. Totten PA, Hunter JM. Therapeutic techniques to enhance nerve gliding in thoracic outlet syndrome and carpal tunnel syndrome. Hand Clinics 1991;7:505-20.
19. Rozmaryn LM, Dovelle S, Rothman ER, et al. Nerve and tendons gliding exercises and the conservative management of carpal tunnel syndrome. J Hand Ther 1998;11:171-9.
20. Gelberman RG, Hergenroeder PT, Hargens AR, et al. The carpal tunnel syndrome. A study of carpal canal pressures. J Bone Joint Surg Am 1981;63:380-3.
21. Sailer SM. The role of splinting in rehabilitation in the treatment of carpal and cubital tunnel syndromes. Hand Clinics 1996;12:223-41.
22. Stern EB, Sines B, Teague TR. Commercial wrist extensor orthoses. Hand function comfort and interference across five styles. J Hand Ther 1994;7:237-44.
23. Crow RS. Treatment of carpal tunnel syndrome. BMJ 1960;i:1611-15.
24. Tavares SP Giddins GEB. Nerve injury following steroid injection for carpal tunnel syndrome. J Hand Surg [Br] 1996;21:208-9.
25. Babu SR, Britton JM. The role of steroid injections in the management of carpal tunnel syndrome. Journal of Orthopaedic Rheumatology 1994;7:59-60.
26. Gelberman RH, Aronson D, Weisman MH. Carpal tunnel syndrome: results of a prospective trial of steroid injection and splinting. J Bone Joint Surg Am 1980;62:1181-4.
27. Ebenbichler GR, Resch KL, Nicolakis P, et al. Ultrasound treatment for treating the carpal tunnel syndrome. Randomised "sham" controlled trial. BMJ 1998;316:731-5.
28. Oztas O, Turan B, Bora I, et al. Ultrasound therapy effect in carpal tunnel syndrome. Arch Phys Med Rehabil 1998;79:1540-4.
29. Guly PJ. Carpal tunnel syndrome. BMJ 1959;i:1184.
30. Amadio PC. Pyridoxine as an adjunct treatment in carpal tunnel syndrome. J Hand Surg [Am] 1978;10:237-41.
31. Garfinkel MS, Singhal A, Katz WA, et al. Yoga based intervention for carpal tunnel syndrome. JAMA 1998;280:1601-3.
32. Sailer SM. The role of splinting in rehabilitation in the treatment of carpal and cubital tunnel syndromes. Hand Clinics 1996;12:223-41.
33. Bradley MJ. Study to investigate the causes of non attendance at hand surgery out-patient clinic for a new-patient appointment. Derby: University of Derby, 1999. (MSc Thesis.)
34. Haywood AC, Bradley MJ, Burke FD. Primary care referral protocol for carpal tunnel syndrome. Postgrad Med J 2002;78:149-52.
35. Burke FD, Dias JJ, Webster H. Median nerve compression syndrome at the wrist. In: Hunter J, Schneider LH, Mackin EJ, eds. Tendon and nerve surgry in the hand. "A third decade". St Louis: Mosby, 1997.