Practical Management of Carpal Tunnel Syndrome.

Abstract

Carpal tunnel syndrome can result from occupational or recreational overuse. Cycling, rowing, and weight lifting are examples of sports that can provoke or exacerbate the syndrome. A detailed sensory examination, motor testing, and provocative tests such as Phalen's maneuver are essential. Nerve conduction studies may also be useful. Conservative treatment is usually attempted first. Modification of technique and equipment, together with use of a splint, often allows patients to continue their desired activities. In selected cases, carpal tunnel release is effective, but complication rates are high.