Case study ( 3859 views as of January 22, 2019 )
Judy is a 42-year-old corporate lawyer who visits her doctor complaining of bilateral hand and wrist pain, in her palms as well as the index and middle fingers, along with some tingling and numbness. She just recently had a baby, and is back to work 6 weeks later. She had this issue beginning in pregnancy. She feels her hands are somewhat weak. She types a great deal all day.
On exam, she’s 5’2” tall. She has a positive Tinel’s sign and Phalen’s sign on both sides, with some complaint of numbness on testing sensation in the palm side of her index and middle fingers on both sides. Her neck exam is normal.
Judy would benefit from a consultation with a physiotherapist to work on stretching and posture. She likely requires an ergonomic assessment, given that she types a lot and also is in the lower end of the height bell curve. Most equipment fits people between 5’5” and 5’10”, at best. She may require wrist splints for nighttime as well; this reduces pressure on the median nerves, the nerves that are compressed in carpal tunnel syndrome.
Judy may also wish to consider consulting with a massage therapist and/or a chiropractor for additional treatment options that could help relieve her carpal tunnel pain.Author: Dr. Grant Lum