Median Nerve Compression (carpel Tunnel Syndrome)

Symptoms

  • Chronic pain
  • Worse in AM
  • Affects thumb/2nd/3rd and 1/2 4th fingers
  • Patient feels need to "shake out hands" to "improve blood flow,"

Physical Exam Findings

  • Hand exam often normal
  • Pain sometimes provoked by forced wrist flexion, tapping over nerve
  • Diminished 2 point discrimination, weakness and atrophy late findings

Links