History

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  Length of time that symptomatology has been present and has been affecting the patient throughout the day.

  
  
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  Measures previously taken to prevent symptoms (e.g., splinting, positioning, avoidance of activities).

  
  
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  Pertinent symptoms consistent with nerve compression

  
  
  
  
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    Nocturnal pain, numbness, tingling in the thumb and one or more radial fingers.

    
    
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    Daytime paresthesias elicited with activities involving prolonged wrist flexion and/or extension.

    
    
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    Need for shaking and wringing the hands to alleviate symptoms.

    
    
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    Gritty sensation or numbness in fingers, grip and pinch weakness, diminished finger dexterity with a history of dropping objects.

    
    
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    Cold intolerance, dryness, and unusual textures in the radial digits.