A
.
Carpal
Tunnel
-
(
soft
tissue
and
/
or
bony
compression
of
____________________
nerve
)
S
/
S
:
Pain
radiates
(
into
hand
,
arm
,
neck
)
,
tingling
,
numbness
,
____________________
,
cool
hands
shake
for
relief
,
night
pain
often
Dx
:
____________________
,
____________________
,
Compression
Test
(
thumbs
on
volar
surface
of
wrist
15
sec
-
2
min
)
.
NCV
,
EMG
,
Tourniquet
test
(
cuff
diminishes
arterial
flow
30
-
60
sec
)
Tx
:
Eliminate
cause
(
job
modification
,
endocrine
,
pregnancy
,
PMS
,
etc
.
)
____________________
(
wrist
,
elbow
,
neck
)
:
Nutrition
(
B6
)
PT
:
Ice
and
HVG
(
acute
)
moist
heat
and
diathermy
(
chronic
)
;
Exercise
:
(
putty
)
____________________
:
cock
-
up
or
plaster
;
Work
:
modify
,
____________________
,
stretch
B
.
Tunnel
of
Guyon
-
(
compression
of
____________________
nerve
between
pisiform
and
hamate
)
S
/
S
:
Numbness
and
weakness
of
last
two
____________________
Dx
:
____________________
,
muscle
test
,
NCV
Tx
:
____________________
,
PT
C
.
____________________
-
(
taut
fascia
leads
to
nodules
and
flexion
contracture
of
the
last
2
-
3
digits
)
S
/
S
:
Familial
,
related
to
____________________
,
post
vascular
accident
Dx
:
Palpation
of
fascia
,
MRI
Tx
:
____________________
D
.
Volkmann's
Ischemic
Contracture
(
last
2
-
3
digits
)
S
/
S
:
Post
trauma
usually
(
____________________
fracture
)
Dx
:
History
,
MRI
Tx
:
Adjust
elbow
,
shoulder
,
and
spine
,
PT
E
.
____________________
Hand
(
last
2
-
3
digits
)
Tx
:
____________________
(
ulnar
nerve
)
