{"id":419,"date":"2017-03-26T14:07:10","date_gmt":"2017-03-26T14:07:10","guid":{"rendered":"http:\/\/papergp.com\/index.php\/rheumatology-and-musculoskeletal\/carpal-tunnel-syndrome\/"},"modified":"2023-01-24T11:25:26","modified_gmt":"2023-01-24T11:25:26","slug":"carpal-tunnel-syndrome","status":"publish","type":"page","link":"https:\/\/papergp.com\/index.php\/rheumatology-and-musculoskeletal\/rheumatology\/carpal-tunnel-syndrome\/","title":{"rendered":"Carpal tunnel syndrome"},"content":{"rendered":"<div class=\"content-box-blue\">\n<h4>Data gathering<\/h4>\n<ul>\n<li>Red flags &#8211; wasting of hand muscles, leg weakness<\/li>\n<li>Others &#8211; diabetes, thyroid, occupation<\/li>\n<li>Examine &#8211; muscle wasting, thumb abduction, Phalen&#8217;s, Tinel&#8217;s<\/li>\n<\/ul>\n<\/div>\n<p>&nbsp;<\/p>\n<div class=\"content-box-blue\">\n<h4>Clinical management<\/h4>\n<ul>\n<li>Investigations\n<ul>\n<li>Bloods &#8211; FBC, U+E, TFTs, HbA1c<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Explanation\n<ul>\n<li>due to pressure on a nerve in the wrist &#8211; this nerve supplies sensation to the thumb, first and middle finger and some thumb movements<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Treatment\n<ul>\n<li>Lifestyle &#8211; weight loss, avoid over use<\/li>\n<li>Wrist splint<\/li>\n<li>Medications &#8211; analgesia<\/li>\n<li>Analgesia<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Follow-up \/ Safety net\n<ul>\n<li>Refer &#8211; steroid injection, surgery<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>NB: refer if thenar wasting, may be myelopathy<\/p>\n<\/div>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Data gathering Red flags &#8211; wasting of hand muscles, leg weakness Others &#8211; diabetes, thyroid, occupation Examine &#8211; muscle wasting, thumb abduction, Phalen&#8217;s, Tinel&#8217;s &nbsp; Clinical management Investigations Bloods &#8211; FBC, U+E, TFTs, HbA1c Explanation due to pressure on a nerve in the wrist &#8211; this nerve supplies sensation to the thumb, first and middle &hellip; <a href=\"https:\/\/papergp.com\/index.php\/rheumatology-and-musculoskeletal\/rheumatology\/carpal-tunnel-syndrome\/\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">Carpal tunnel syndrome<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":2019,"menu_order":163,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-419","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/419","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/comments?post=419"}],"version-history":[{"count":7,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/419\/revisions"}],"predecessor-version":[{"id":2032,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/419\/revisions\/2032"}],"up":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/2019"}],"wp:attachment":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/media?parent=419"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}