Pain and tingling in fingers, radiating up forearms, ongoing for a month
Worse after spending time on computer and after sleep
OBJECTIVE
23-year-old male
Computer use 8–10 hours daily for work and recreation
Rests wrists on keyboard when at computer
ASSESSMENT
Carpal tunnel syndrome
PLAN
Suggest improved ergonomics for work space
Suggest NSAIDs (non-steroidal anti-inflammatory drugs, such as ibuprofen)
Give information on myofascial release
Give information on carpal tunnel release
Questions
What causes the symptoms of carpal tunnel syndrome?
What diagnostic procedure is used to evaluate joint mobility and muscle strength?
Which of the nonsurgical planned interventions will help reduce the strain and stress that causes carpal tunnel syndrome?
Define the terms radiating and ergonomics.
Pain and tingling are reported by the patient. Are these signs or symptoms?
If the non-surgical therapies don't work, what is the next step for Brett? (This may require researching outside of the textbook)
