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Thread: carpal tunnel syndrome

  1. #1

    carpal tunnel syndrome

    Well, I finally went to the doctor today and got a diagnosis, Carpal Tunnel Syndrome. I am not sure what to think about it. I am being referred to a neurologist, who the doctor said will do some type of nerve tests. Hopefully, I will know more about that tomorrow. I will be using a hand splint on my right hand every night until then. This is the same diagnosis I received a little over a year ago, which eventually was changed to syringomyelia (syrinx). It almost feels like "deja vous all over again." I hope not. Anyway, now I am wondering, what kind of "nerve tests" will be done? All I was told at the office today is, "they are not fun." Does anyone know anything about this? I am not looking forward to it. At least I will be seeing a neurologist though. Hopefully he will help me to figure this out.
    Last edited by Sugarcube; 01-04-2008 at 01:08 AM.

  2. #2
    In addition to doing an exam of your hand, the neurologist will probably do an EMG. Most physicians will not give a definite diagnosis of CTS without this test, and only if it is abnormal will further medical treatment (injections or surgery) be considered. They should also send you to see a hand-specialist OT for some exercises and training on how to modify your activities to decrease aggrevating your CTS.

    An EMG is not a fun test. The physician must stick needles (electrodes) into your skin at various places in your hands and forearms, then send an electrical charge through the needles. The machine (and a little computer) compare the nerve transmission times to a norm to see if yours are impaired.

    Try to follow the advice of the OT and any medications suggested as closely as possible. You definitely want to avoid having surgery as the recovery is very difficult with a SCI due to the limitations for placing any weight on the hands for 6 weeks afterwards. We have to set patients up with a power wheelchair and they are dependent for most ADLs and all transfers, turning, etc. for that period of time.

    (KLD)

  3. #3
    Thank you KLD. The doctor called today and I have an appointment for a "nerve reduction test," on January 21st. Is this the same thing as an EMG as you described above, or is this something different? They are sending me the paperwork that I will need when I get to the Hospital. Do you know how long it will take? Although I am a little nervous about the test, I am hopeful that it will help us to figure out what is going on. Again, thank you for the info. It is always helpful to know what to expect.

  4. #4
    I am pretty sure you misheard him. An EMG is also called a "nerve CONDUCTION test". An EMG usually takes about an hour, but most of it is setting up the equipment. The actually electrical conduction time is less than 10 minutes.

    (KLD)

  5. #5
    LoL, no wonder I couldn't find it in google search. I understand now, thanks....

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