10 / 30
Orthopedics and Osteoporosis 2018
N o v e m b e r 2 9 - 3 0 , 2 0 1 8
Am s t e r d a m , N e t h e r l a n d s
Page 28
Journal of Clinical & Experimental Orthopaedics
ISSN: 2471-8416
E u r o p e a n C o n f e r e n c e o n
Orthopedics and
Osteoporosis
Aim:
The aim of this paper is to sensitize clinician (physiotherapists,
orthopaedists and orthopaedic surgeons) about other condition that can
closely mimic carpal tunnel syndrome and to encourage team work approach
using case study of patients treated at the Department of Physiotherapy,
Princess Margaret Hospital.
Method:
This paper focuses specifically on three different cases of diagnosed
carpal tunnel syndrome referred from orthopaedic surgeons. The first case
was referred for post surgical physiotherapy management while the other
two cases were referred for pre-operative physiotherapy management. The
screening assessment includes history taking, physical examinations, phallen's
test and carpal tunnel compression test.
Result: The screening assessment revealed condition other than carpal tunnel
syndrome (CTS) must have been responsible for the neurological symptoms
they presented (which mimic CTS). In this paper, due to specific intervention
which alleviates their symptoms, vitamin B12 deficiency was suspected to
be the cause of this carpal tunnel mimicked symptoms. The post-operative
patient was managed symptomatically but the initial neurological symptoms
persist. The other two clients were successfully screened. Vitamin B12 was
recommended for the three clients and their symptoms subsequently subsided.
Conclusion:
Bilateral presentation of neurological symptoms that mimic carpal
tunnel syndrome can be mistaken for CTS and managed as CTS. Sometimes
screening for vitamin B12 deficiency can be helpful in ruling out carpal tunnel
syndrome.
Recommendations:
It is therefore recommended that there should be proper
screening of patients that are presented with bilateral neurological symptoms
that mimic carpal tunnel syndrome so as to avoid ineffective utilization of
procedures and intervention.
Biography
Timothy O Dada has completed his Clinical Doctorate Degree
in Physical Therapy from University of Medical Science
Arizona. He completed his professional competence course
at ATSTILL School of Health Science, Arizona. He is presently
pursuing a Master degree in Health System Administration at
Rochester Institute of Technology, New York and a Law degree
from University of London. He is the Head of Physiotherapy
Department, Princess Margaret Hospital, the National Hospital
of Commonwealth of Dominica.
dadatisaoko@yahoo.comRed flag in the physiotherapy management of bilateral carpal
tunnel syndrome
Timothy O Dada
Princess Margaret Hospital, Dominica
Timothy O Dada, J Clin Exp Orthop 2018, Volume: 4
DOI: 10.4172/2471-8416-C1-005