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    Carpal Tunnel Syndrome, A Simple Guide To The Condition, Treatment And Related Conditions
    Carpal Tunnel Syndrome, A Simple Guide To The Condition, Treatment And Related Conditions
    Carpal Tunnel Syndrome, A Simple Guide To The Condition, Treatment And Related Conditions
    Ebook77 pages48 minutes

    Carpal Tunnel Syndrome, A Simple Guide To The Condition, Treatment And Related Conditions

    By Kenneth Kee

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    About this ebook

    Carpal Tunnel Syndrome is the compression of the median nerve in the carpal tunnel of the wrist.
    The carpal tunnel is a ligamentous sheath which provides protection for the median nerve as it travels across the carpal bone
    Carpal Tunnel Syndrome occurs as a result of pressure on the median nerve between the transverse carpal ligament and the flexor tendons with their inflamed and enlarged synovium.
    Local causes:
    1. Trauma including injury, fractures
    2. Tenosynovitis (inflammation of the tendon and their synovial sheath)
    3. Lipoma
    4. Ganglion
    Systemic causes:
    1. Polyarthritis
    2. Myxedema (hypothyroidism)
    Symptoms:
    The onset is usually spontaneous with gradual increasing night pains which cause the patient to seek treatment:
    1. Painful night tingling sensation of the fingers which can extend to the forearm-relieved by hanging the arm down or shaking
    2. Paresthesia and numbness of the index, middle and ring finger
    3. Fingers feel clumsy
    4. Thenar muscle wasting and weakness may be present
    5. Impairment of light touch and pin prick sensation on the 3 middle fingers
    1. Physical examination
    a. Phalen's test- flex wrists so that the dorsal surfaces of the hands are in full contact with each other, hold for 1 min: tingling and numbness occur in median nerve distribution
    b. Reverse Phalen's test (prayer Sign)-extend wrists so that the palms of hands are in full contact like in prayer, hold for 1 min: tingling and numbness occur in median nerve distribution
    c. Tinel's test - tap volar surface of the wrist tingling means positive test
    2. EMG - electromyography to test movement of the muscles
    3. Nerve conduction tests on median nerve
    Treatment is by:
    1. Treat underlying conditions such as myxedema, polyarthritis, and amyloid
    2. Diuretic in mild cases and those present in pregnant women
    NSAIDS may reduce inflammation.
    3. Wrist splintage in extension
    4. Injection of the carpal tunnel with corticosteroid (avoiding the carpal nerve)
    Surgical decompression is by division of the transverse carpal ligament.
    Results are usually good.

    TABLE OF CONTENT
    Introduction
    Chapter 1 Carpal Tunnel Syndrome
    Chapter 2 More Facts of Carpal Tunnel Syndrome
    Chapter 3 Treatment of Carpal Tunnel Syndrome
    Chapter 4 Trigger Finger
    Chapter 5 De Quervain Disease
    Chapter 6 Cervical Spondylosis
    Chapter 7 Ganglion
    Epilogue

    LanguageEnglish
    PublisherKenneth Kee
    Release dateNov 22, 2016
    ISBN9781370266074
    Carpal Tunnel Syndrome, A Simple Guide To The Condition, Treatment And Related Conditions
    Author

    Kenneth Kee

    Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"

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      Book preview

      Carpal Tunnel Syndrome, A Simple Guide To The Condition, Treatment And Related Conditions - Kenneth Kee

      Carpal Tunnel

      Syndrome,

      A

      Simple

      Guide

      To

      The Condition,

      Treatment

      And

      Related Conditions

      By

      Dr Kenneth Kee

      M.B.,B.S. (Singapore)

      Ph.D (Healthcare Administration)

      Copyright Kenneth Kee 2014 Smashwords Edition

      Published by Kenneth Kee at Smashwords.com

      Dedication

      This book is dedicated

      To my wife Dorothy

      And my children

      Carolyn, Grace

      And Kelvin

      This book describes the disease Carpal Tunnel Syndrome and Its Treatments and Related Diseases or in vernacular terms

      (What You Need to treat Carpal Tunnel Syndrome)

      This eBook is licensed for the personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.

      If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.

      Thank you for respecting the hard work of this author.

      Introduction

      Ode to Carpal Tunnel Syndrome

      Carpal Tunnel Syndrome is the compression of the median nerve sheath

      This usually occur where the median nerve is covered by the sheath at the wrist

      Compression of the median nerve includes injury and trauma

      Other causes may be tenosynovitis, wrist bending, ganglion or myeloma

      Swelling of the wrist may occur due to edema

      As occurred in retention of fluid in pregnancy and myxedema

      Because of this, women are more affected than men

      Sensory symptoms are more common than motor movement

      The more the hand and wrist are used the greater the symptoms,

      Certain activities such as driving, reading the newspaper, holding a phone

      Diagnosis is by symptoms and elimination of other diseases

      Electrophysiologic testing may be done to check on the neuropathy

      Treatment is usually with non-steroidal anti-inflammatory medications

      Diuretics may help to reduce the edema of carpal tunnel inflammation

      Corticosteroids injection into the wrist will often provide improvement

      Surgical decompression is by division of the transverse carpal ligament

      -An original poem by Kenneth Kee

      Interesting Tips about the Carpal Tunnel Syndrome

      A Healthy Lifestyle

      1. Take a well Balanced Diet

      2. Treatment of Carpal Tunnel Syndrome

      a. Treat underlying conditions such as myxedema, polyarthritis, and amyloid

      b. Diuretic in mild cases and those present in pregnant women

      c. NSAIDS may reduce inflammation.

      d. Wrist splintage in extension

      e. Injection of the carpal tunnel with corticosteroid (avoiding the carpal nerve)

      Surgery:

      a. Surgical decompression by division of the transverse carpal ligament

      Results are usually good.

      3. Keep bones and body strong

      Bone marrow produces our blood

      Eat foods rich in calcium like yogurt, cheese, milk, and dark green vegetables.

      Eat foods rich in Vitamin D, like eggs, fatty fish, cereal, and fortified milk.

      Eat food rich in Vitamins B and C such as green vegetables and fruits

      Zinc and other minerals are important to the body

      4. Get enough rest and Sleep

      Avoid stress and tension

      5. Exercise and stay active.

      It is best to do weight-bearing exercise such as walking, jogging, stair climbing, dancing, or lifting weights for 2½ hours a week.

      One way to do this is to be active 30 minutes a day at least 5 days a week.

      Begin slowly especially if a person has not been active.

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