CHIEF COMPLAINT: Left elbow pain. HISTORY OF PRESENT ILLNESS: Makayla is a very pleasant 4-year-old right-hand dominant female who presented to the emergency department yesterday after sustaining a fall while playing with another young family member. She fell onto an outstretched left arm and had pain in and around the left elbow. She was seen in the emergency department, where clinical and radiographic evaluations demonstrated the presences of a fracture through the left proximal ulna. The nurse practitioner who saw the patient asked that I evaluate the x-rays at that time.…
Dr. Scott thought the pain was from the C5. Dr. Giancarlo indicated that his testing revealed mild carpal tunnel not related to the neck…
The main site from where the people get the carpel tunnel syndrome is the office. The constant typing, using keyboards and mouse without break and continuously will give pressure to the wrists and lead to the compression of the median nerve. So the first advise would be to take rests every 20 minutes from whatever you are performing with your hands and do little exercises like stretching. It does not matter even if you do not do any exercise, you just have to give your wrist a relief from the continuous motion or a change of course and intensity in the…
DOI: 5/9/2011. The patient is a 63 -year-old female contract buyer who sustained a work-related injury due to computer/typing duties. The patient is status post left wrist endoscopic carpal tunnel release, first dorsal compartment release, second dorsal compartment release and tenosynovectomy and arthroscopy and excision of central triangular fibrocartilage complex tear on 08/25/14 and right wrist arthroscopy and excision of central triangular fibrocartilage complex tear, carpal tunnel syndrome, first and second dorsal compartment tenosynovitis and lunotriquetral ligament partial tear on 01/25/16. Based on the progress report dated 05/26/16, the patient presents for follow-up of her bilateral upper extremity complaints.…
DOI: 1/20/2016. Patient is a 62-year-old right hand dominant female sonographer/cardiovascular technician who sustained bilateral pain and numbness of hands, left arm and shoulder due to repetitive movement. Per OMNI, the patient had bilateral carpal tunnel syndrome, left rotator cuff tendinitis, and strained muscles and tendons of the left rotator cuff. Per the medical report dated 07/19/16, the patient is being evaluated for her progressive paresthesias in both hands along the median nerve distribution, involving the thumb, index, and long fingers, especially when she performs repetitive activities.…
On examination, patient is still sore mostly over the radial aspect of the carpus, primarily over the STT joint. She has some irritability. She has some stiffness in her wrist. Her contralateral side is about 65 degrees of extension and flexion; however, on the affected side, she is close to 50 degrees. She has irritability with Watson’s test.…
After reading the short excerpt about Maria, I quickly realized that she is experiencing nerve issues. The median nerve supplies movement and feeling to the palm, thumb, index finger, and middle finger. (JH and Zhao M) Maria is undergoing numbness, and tingling in her thumb, index, and middle fingers, with an aching pain in the palmar sides of her wrists. Maria’s most likely diagnosis is Carpal Tunnel Syndrome, or CTS. While there is no direct correlation between typing on a computer for an extensive period of time and Carpal Tunnel Syndrome, the median nerve is put under pressure which leads to the tingling and numbness that she is feeling, especially if she is avid in writing blogs online.…
Carpal tunnel syndrome is a common condition that occurs mainly in the wrists. But people can get it in other areas of the body too, such as the elbows. It is caused by the nerves getting pinched because of repetitive movements that damage the delicate tendons and bones. Since the wrists are fairly small in size, there isn't enough room for the nerves to move freely enough. So some of them get trapped.…
Proper usage of the elbow and arms is necessary to decrease your risk of developing cubital tunnel syndrome (Nakamichi et al., 2009). Studies were conducted to find out if treating patients by educating them on the proper usage of their elbows would reduce the risk of developing cubital tunnel syndrome (Nakamichi et al., 2009). The study observed and treated patients for a period of three months to identify the effects and factors affecting outcome. The patient intervention treatment was education alone on the proper usage of the elbow and arms to decrease the risk of developing cubital tunnel syndrome. Patient education consisted of learning activity modification to unload the ulnar nerve from mechanical stress (Nakamichi et al., 2009).…
About 25 percent of patients that present these symptoms have work related issues. Not knowing about the patient's work history can lead to a misdiagnosis and wrong treatments. If the doctor assumes that the patient may have an underlying medical condition, a laboratory test will be taken. Test related to thyroid disease and rheumatoid arthritis may be considered, as well as x-rays to con-firm if the patient is experiencing any fractures. “Conditions including rheumatoid arthritis, gout, and osteoarthritis, can cause pain in the hands and fingers that may mimic carpal tunnel disease.…
The inclusive criteria were that participants must be within the ages of 20-40 years old and experience pain while performing any two of the three tests. The three tests performed were resisted middle finger extension, resisted wrist extension, and passive stretch of the wrist extensors. The 45 subjects were also required to meet the exclusive criteria as well as participate in the study. Any of the following would disqualify the participate: Bilateral elbow pain, history of surgery to the elbow or distal upper extremity, combined lesions, any medications or injection to the elbow in the past, any other medical or neurological condition, any patient experiencing pain beyond 6 weeks, allergies to adhesive tape and inability to fill the questionnaire. This questionnaire was the Patient-Rated Forearm Evaluation Questionnaire (PRFEQ).…
Fibromyalgia is a chronic condition that affects millions of Americans. It is characterized by chronic pain and tender points or points on the body where pain associated with fibromyalgia is located. Symptoms of fibromyalgia includes anxiety, fatigue, headaches, tingling, irritable bowel sleeplessness, stiff joints, and impaired memory. Fibromyalgia can mistaken for many other diseases, leading many people with fibromyalgia of being misdiagnosed. Also, fibromyalgia is commonly seen in middle aged women.…
Stroke is the leading cause of disability in the United States, so there is no doubt that stroke rehabilitation is one of the common services performed by OT practitioners (Schriner et al., 2014). When patient’s motor control is lost, therapeutic intervention is absolutely necessary to regain normal movement patterns. Therefore, the sensorimotor integrative treatment approaches are being used progressively by occupational practitioners to treat stroke patients (Jongbloed et al., 1988). Both the Rood and the neurodevelopmental treatment approaches are sensorimotor approaches used to treat poor motor control. These approaches are theoretically focused on promoting normal motion using reflexes and hierarchical model of motor control.…
The diagnosis of MD, along with the severity, and the specific type is of immense importance. Once the type and severity of the disease is figured out, the team of caregivers formulate a plan of treating the patient and improving the patient’s quality of care. The first step for a diagnosis is a thorough physical examination by a doctor. Early and overall physical signs of MD will vary due to which specific dystrophy is present. The simplest early physical finding is generalized weakness that starts proximal and spreads distally.…
Repetitive strain injuries (RSIs) to the upper body have occurred in epidemic proportions among computer users. These RSIs involve damage to muscles, tendons and nerves. They can cause pain, weakness, numbness or impairment of motor control. The parts of the body most frequently affected are the hands, wrists, fingers, arms, shoulders and neck.…