Carpal Tunnel Syndrome
Findings consistent with median nerve distribution of the right hand
Possible carpal tunnel syndrome.
Moderate thenar atrophy visible on the right hand in comparison with the opposite side.
Length of time that symptomatology has been present and has been affecting the patient throughout the day.
Measures previously taken to prevent symptoms (e.g., splinting, positioning, avoidance of activities).
Pertinent symptoms consistent with nerve compression
Nocturnal pain, numbness, tingling in the thumb and one or more radial fingers.
Daytime paresthesias elicited with activities involving prolonged wrist flexion and/or extension.
Need for shaking and wringing the hands to alleviate symptoms.
Gritty sensation or numbness in fingers, grip and pinch weakness, diminished finger dexterity with a history of dropping objects.
Cold intolerance, dryness, and unusual textures in the radial digits.