Management of Carpal Tunnel Syndrome

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Management of Carpal Tunnel Syndrome

Introduction


Carpal tunnel syndrome (CTS) is a condition whereby increased pressure in the carpal tunnel exists, affecting median nerve function in the wrist. The pressure ultimately affects microvascular circulation and is increased by movement of the wrist and flexion of the fingers, leading to hand discomfort and functional impairment. It has been estimated that 4 to 10 million Americans are afflicted with CTS; however, it is difficult to determine an exact number due to the fact that there is no standard definition or gold standard for diagnosis of the condition. CTS is prevalent in approximately 3 to 6 million women and 1 to 4 million men In 2005, CTS was found to be a leading cause of work-related disability, resulting in a median of 27 days away from work for employees and a significant cost to employers. The medical costs of this condition in the U.S. have been estimated to exceed $2 billion annually.

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