Carpal tunnel syndrome

A 64-year-old woman has a three-month history of intermittent numbness, tingling, and burning pain in the three radial digits of both hands. These symptoms awaken her several times each night. She has no atrophy of the thenar muscles. How should she be evaluated and treated?

[1]  C. Krarup,et al.  The carpal tunnel syndrome: diagnostic utility of the history and physical examination findings. , 1990, Annals of internal medicine.

[2]  J. Stevens,et al.  Conditions associated with carpal tunnel syndrome. , 1992, Mayo Clinic proceedings.

[3]  N. Battistini,et al.  Electrophysiologic evaluation of local steroid injection in carpal tunnel syndrome. , 1991, Archives of physical medicine and rehabilitation.

[4]  D. Berry,et al.  Endoscopic release of the carpal tunnel: a randomized prospective multicenter study. , 1992, The Journal of hand surgery.

[5]  G. Lundborg,et al.  Carpal tunnel syndrome. A scientific basis for clinical care. , 1988, The Orthopedic clinics of North America.

[6]  W. Pryse-Phillips.  Validation of a diagnostic sign in carpal tunnel syndrome. , 1984, Journal of neurology, neurosurgery, and psychiatry.

[7]  R. Gelberman,et al.  Carpal-tunnel syndrome. Results of a prospective trial of steroid injection and splinting. , 1980, The Journal of bone and joint surgery. American volume.

[8]  G. S. Phalen,et al.  The carpal-tunnel syndrome. Seventeen years' experience in diagnosis and treatment of six hundred fifty-four hands. , 1966, The Journal of bone and joint surgery. American volume.

[9]  J. Durkan.  A new diagnostic test for carpal tunnel syndrome. , 1991, The Journal of bone and joint surgery. American volume.

[10]  D. Schoenfeld,et al.  Carpal tunnel release. A prospective, randomized assessment of open and endoscopic methods. , 1993, The Journal of bone and joint surgery. American volume.

[11]  D. M. Rose,et al.  Clinical tests for carpal tunnel syndrome: an evaluation. , 1986, British Journal of Rheumatology.