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Carpal Tunnel Syndrome

CTS is the result of compression of the wrist's median nerve which in turn causes pain and numbness in the hand

502 Questions

Does Workers Comp cover carpal tunnel surgery in KY?

Possibly..You first have to establish that exposure to the type of work you do or did caused your Carpal tunnel syndrome. Also did you report it in the appropriate time frame. (i.e. did you notify your employer and follow the company's guidelines for reporting injuries) IF you have done all these things and your CTS case was accepted as work related in the first place, then the form of treatment that would follow would also be covered. Surgery being a form of treatment.

What should you not do after carpal tunnel surgery?

Wow that is a really open ended question and depends if you are 1 wk post-op vs 8 wks post-op? You need to keep the site clean and dry, but then as it heals you need to wash it good with soap and water just as you would any other type of cut. Initially, You will have most pain with pinching , gripping motions. You should have been given clear instructions on stretching exercises etc...If you feel you need work restrictions, you need to talk with your provider and employer. Most people are able to get along pretty well at about 6-8 wks..but again it depends on occupation..desk work vs brick layer.

Can you get pain in your elbow with carpal tunnel?

Not usually, you can sometimes get "retrograde" symptoms that go up the forearm from the wrist from CTS. However, you may have elbow pathology..something like lateral or medial epicondylitis (tennis/golfers elbow) or you could have ulnar neuritis or cubital tunnel syndrome. This ulnar nerve passes through the elbow joint and can give you symptoms at the elbow and DOWN the forearm into the hand(4th and 5th fingers) where as CTS effects the first 2-3 fingers typically.

Why is your hand itching after carpal tunnel surgery?

This is not too uncommon, sometimes the itching can be from the soaps used to clean your hand for surgery..it may take a week or or so but in some people it will cause a mild rash or itching. Also it could be from the skin being dried out or eczema. Also the skin in that area was kind of stretched so this sometimes irritates the nerves causing an itchy sensation later on. There's not a whole lot to be worried about and it should go away. Try soaking area in epson salts with warm water 2 x day, then apply neurtogena concentrated hand cream.

What can you do if you have carpal tunnel and your employer insurance workers compensation sent you to a doctor that told you it comes from smoking not 30 years of doing data entry?

That sounds pretty dodgy - the Dr. should know better than to tell you the exact cause of your CTS was smoking. Go of your own accord to another doctor not connected to your employer insurance workers compensation to get another opinion - and ask the doctor to give you a written, signed and dated opinion. The insurance should be sending you to an unbiased 3rd party for evaluation. If it comes down to legal issues you'll be wanting a competing professional opinion anyways.

The problem with carpal tunnel is that in most cases its idiopathic - arising spontaneusly or from a cause that can't be readily established. While it has been found that very repetitive tasks are associated with higher cases of CTS, the issue is that it hasn't been established that they causes CTS (As far as I'm aware) - sort of like you know that people that eat mcdonalds are also likely to eat burger king, but they don't eat at burger king as a consequence of eating mcdonalds. The biggest risk factors for CTS are genetics or biological actors (such as smoking), rather than environmental factors or activity. However, that doesn't mean its due to smoking. It may be due to smoking, or genetics, illness (ie. arthritis) or tissue damage caused by 30 years of doing data entry.

If you're going after that it was due to the damage caused, ask the Dr. if it is due to a repetitive stress injury, if it may show up on a CT or Xray (or MRI?). They may refer you to get some, which might help support your argument.

Can you get carpal tunnel after working at a job for 18 months?

There are al kinds of reasons why a person might get carpel tunell but it would seem unlikely to be the result of doing something for only 18 months.

Causes of Carpal tunel syndrome

These can be local or arise from any wider body problem that causes the retention of fluid.

  • Tenosynovitis. Inflammation of the tendons of the palm side of the wrist This is often due to overuse injury.
  • Rheumatoid arthritis.
  • Premenstrual effects. Some women build up fluid in the lead up to menstruation; in some individuals this can result in carpal tunnel syndrome that appears and disappears as the menstrual cycle progresses.
  • Pregnancy.
  • Thyroid disease. Deficiency of thyroid hormone can cause carpel tunnel syndrome.


What is the most common treatment for carpal tunnel?

CTS is usually treated with conservative treatments including rest and splinting of the wrist, especially at night. Using non-steriodal anti-inflammatory medications may relieve some of the swelling in the carpal tunnel.

Can being in a traffic accident that nearly killed me with injuries to hands and elbows cause Carpal Tunnel Syndrome?

Answer

Carpal tunnel syndrome is often the result of a combination of factors that increase pressure on the median nerve and tendons in the carpal tunnel, rather than a problem with the nerve itself. Most likely the disorder is due to a congenital predisposition - the carpal tunnel is simply smaller in some people than in others. Other contributing factors include trauma or injury to the wrist that cause swelling, such as sprain or fracture; overactivity of the pituitary gland; hypothyroidism; rheumatoid arthritis; mechanical problems in the wrist joint; work stress; repeated use of vibrating hand tools; fluid retention during pregnancy or menopause; or the development of a cyst or tumor in the canal. In some cases no cause can be identified.

There is little clinical data to prove whether repetitive and forceful movements of the hand and wrist during work or leisure activities can cause carpal tunnel syndrome. Repeated motions performed in the course of normal work or other daily activities can result in repetitive motion disorders such as bursitis and tendonitis. Writer's cramp - a condition in which a lack of fine motor skill coordination and ache and pressure in the fingers, wrist, or forearm is brought on by repetitive activity - is not a symptom of carpal tunnel syndrome.

For more information on neurological disorders or research programs funded by the National Institute of Neurological Disorders and Stroke, contact the Institute's Brain Resources and Information Network (BRAIN) at:

BRAIN

P.O. Box 5801

Bethesda, MD 20824

(800) 352-9424

http://www.ninds.nih.gov

Information also is available from the following organizations:

American Chronic Pain Association (ACPA)

P.O. Box 850

Rocklin, CA 95677-0850

ACPA@pacbell.net

http://www.theacpa.org

Tel: 916-632-0922 800-533-3231

Fax: 916-632-3208

National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)

National Institutes of Health, DHHS

31 Center Dr., Rm. 4C02 MSC 2350

Bethesda, MD 20892-2350

NIAMSinfo@mail.nih.gov

http://www.niams.nih.gov

Tel: 301-496-8190 877-22-NIAMS (226-4267)

Centers for Disease Control and Prevention (CDCP)

U.S. Department of Health and Human Services

1600 Clifton Road, N.E.

Atlanta, GA 30333

inquiry@cdc.gov

http://www.cdc.gov

Tel: 800-311-3435 404-639-3311/404-639-3543

Occupational Safety & Health Administration

U.S. Department of Labor

200 Constitution Avenue, NW

Washington, DC 20210

http://www.osha.gov

Tel: 800-321-OSHA (-6742)

American Academy of Orthopaedic Surgeons/ American Association of Orthopaedic Surgeons

6300 North River Road

Rosemont, IL 60018

hackett@aaos.org

http://www.aaos.org

Tel: 847-823-7186

Fax: 847-823-8125

American Society for Surgery of the Hand

6300 North River Road

Suite 600

Rosemont, Il 60018-4256

info@assh.org

www.assh.org

Tel: 847-384-8300

Fax: 847-384-1435

What is the immediate area of pain or swelling in a case of carpal tunnel syndrome?

Pain or numbness appears in the thumb and fingers, although the cause is farther up the arm, where the median nerve passes through the carpal tunnel from the wrist to the upper hand.

Does Cubital tunnel syndrome go away?

Cubital tunnel syndrome is the result ofpressure being put on the ulnar nerve beside one of the bones of the elbow. This pressure can be caused by inflammation or as a result of tissue build up on the bone and surrounding area as a result of arthritis. It may be necessary for you to get the thing scanned and get expert medical opinion on it as it may very well need surgery to fix it.

How much will worker comp pay for carpal tunnel syndrome?

That depends on several things, like if it is caused and proven to be workrelated and what your specific state allows regarding workcomp settlements. Also you must obtain an impairment rating from a specialist (physician).

What research has been done on carpal tunnel syndrome?

Some studies have shown that persons with carpal tunnel syndrome are deficient in vitamin B6 (pyridoxine ) and that supplementation with this vitamin is beneficial.

How does carpal tunnel syndrome start?

If you are experiencing simple aching of hands and wrists, you feel clumsy and fumble often when lifting light objects or even fumble when buttoning up a shirt, do not take it for granted! Those are the common and immediate symptoms of Carpal Tunnel Syndrome. It is important that you seek the help of the doctor as soon as you experience those.

http://www.eliminatecarpaltunnelpain.com/

You are on unemployment with no health insurance and you have a case of glaucoma in both eyes and have carpal tunnel syndrome can you get some kind of assistance?

In Australia you need only go to see a doctor to get a re feral to a specialist. The specialist would in turnrecommend treatment. and this would be covered by medicare if you have no resources to pay for it. if the problem is not life threatening you may have to wait for a couple of months for surgery or treatment.

What causes a swollen submental lymph node?

Common causes of enlargement: Viral infections, HIV, Mononucleosis syndromes, Epstein-Barr virus, cytomegalovirus, toxoplasmosis, dental pathology such as periodontitis.

You had carpal tunnel surgery in both hand how much should you ask for?

Perhaps nothing. More than likely, if this is workers comp they have already expended at least 15k-30K for surgeon/physician fees, hospital, medicine, lab bills,time off work etc..

If for instance after your surgery you do not have any type of impairment to your hands (which typically happens more in non-work comp cases) you would usually not be entitled to any additional money because like I said you have received thousands of dollars of free care already.

On the other hand, pun intended, if your ortho hand surgeon gives you an impairment rating..it will be given to the hand and then to the upper extremities and then to the body as a whole. So it is impossible to tell you how much you should ask for, because if your surgery went great and you have no residual symptoms you may be entitled to very little vs if you had severe CTS and permnanent damage and a large impairment can be proven you may be entitled to more. Remember lawyers will get about 25-30% off the top if they are involved.

What is disc bulg at L4 L5 and L5 S1?

Bulging discs are fairly common in both young adults and older people. They are not cause for panic. In fact, abnormalities that show up on MRIs, such as bulging or protruding discs, are seen at high rates in patients both with and without back pain.

Most likely, some discs begin to bulge as a part of both the aging process, and the degeneration process of the intervertebral disc. A bulging disc is not necessarily a sign that anything serious is happening to your spine. A bulging disc becomes important when it bulges enough to cause narrowing of the spinal canal. If there are bone spurs present on the facet joints behind the bulging disc, the combination may cause narrowing of the spinal canal in that area. This is sometimes referred to as segmental spinal stenosis. The human spine is made up of 26 bones; grouped as follows: * 7 Cervical Vertebrae - in the neck * 12 Thoracic Vertebrae - that articulate 12 pairs of ribs * 5 Lumbar Vertebrae - lower back * Sacrum - Fusion 5 of Sacral Vertebrae of lower back * Coccyx - 'tailbone' which is a fusion of 4 Coccygeal Vertebrae In between these vertebrae we have our discs (shock absorbers)

Can you receive Worker's comp for carpal tunnel syndrome?

Yes, this is not only possible, but many (who work on keyboards, and other manual tasks) have obtained workman's comp for this.

Is surgery the best solution for Carpal Tunnel?

Check with chiropractors in your area for a second opinion. In particular, locate a chiropractor who performs Graston therapy. I've had success with this method to break up scar tissue in the area that I didn't know I had, and I don't feel I need surgery. Many people don't realize that chiropractors take more hours in medical school than many medical doctors, and can be a valuable addition to your health care regimen.

What is an impairment rating for carpal tunnel?

An impairment rating is a rating that tries to assign a value to your best recovered state after an injury. Lets say that you had normal grip strength and now you have 75% of that grip strength. There are tests and charts and exams etc.. that can determine what percentage this would be. Every state can be different because it involves workers comp too. So the orthopedist may determine that you have a 15% impairment rating to your hand as a whole and 3% to the arm as a whole. Then you would have to see how much that translates to under your work comp laws.

What can the doctor do about carpal tunnel syndrome?

Thesurgeon opens up the area of the hand that covers the carpel tunnel and removes the build up of unwanted tissue that surrounds the nerve that passes through the carpel tunnel. As a result the nerves are no longer being interfered with and your hand feel normal again.