Surgical treatments generally involve open surgical release of the flexor retinaculum and is recommended for patients who fail conservative treatment, have intolerable pain, constant numbness and weakness with ADLS (Bayramaglu., 2004).
CTS is the most common entrapment neuropathy of the upper limb. It is commonly considered in the differential diagnosis with thoracic outlet syndrome and cervical radiculopathy. Understanding the primary cause of CTS can be challenging based purely of clinical test, so be sure to question for medical conditions that can be causing CTS by changing fluid balance, inflammation and structure of the canal.
Take care in considering proximal points of entrapment and the role of the cervical spine in this condition. From a treatment perspective, neurodynamic assessment and treatment are becoming increasingly recognised for their ability to altered the mechanics and physiology of the nerve.
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