Carpal Tunnel Syndrome


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I hired Mr. Traub following a motor vehicle accident in which a driver ran a red light and t-boned and totaled my car. I was injured in several places, one of which was a significant concussion which rendered me unable to think clearly or deal with the stress of wrangling insurance companies and all the other mountains of details that must be dealt with in situations like these. From the beginning, he was caring first and foremost. He was patient with my repeated questions (my concussion left me unable to hang onto details, for about a month I'd have to ask and re-ask even the simplest of things). He took my case and got started right away. Thanks to working with him I was able to have access and referrals to medical care that would have been difficult for me to attain otherwise, as I am self-employed and without health insurance. I felt the wonderful feeling of peace of mind knowing that someone was in charge and on my case, being a very strong advocate for me, my recovery, and my well-being going forward. I know having that kind of trust was an asset in my being able to focus all my attention and energy on getting back to myself and my routines. I always had prompt responses to emails or phone calls, and to address the earlier comment that expressed having a negative experience in communicating, any "cross-examining" I experienced-- and it was only one conversation-- was only about trying to get all the information straight and clear for the purpose of keeping things on task, up to date and 100% accurate for my case. It was one conversation, and it was quickly and easily resolved. And it was all because he had my back. I would highly and enthusiastically recommend hiring him when in need.

Natalie Durkin Avatar
Natalie Durkin
8/31/2018

 

Carpal tunnel syndrome causes pain, tingling, and numbness in your hand from pressure on the median nerve in your wrist.

carpal tunnel syndrome image

Carpal tunnel syndrome occurs when the median nerve, which runs from the forearm into the palm of the hand, becomes pressed or squeezed at the wrist.  The carpal tunnel which houses the median nerve and tendons, is a narrow, rigid passageway of ligaments and tendons at the base of the hand.  The thickening from irritated tendons or other swelling narrows the tunnel and causes the median nerve to be compressed.  This may show up as pain, weakness, or numbness in the hand and wrist.  It can also radiate up the arm.

Car accidents can cause trauma induced carpal tunnel syndrome according to Dr. Elliot L. Ames.  Ames is a clinical assistant professor of surgery, division of orthopedic surgery, School of Osteopathic Medicine in Stratford, New Jersey.

The injury can occur when the hand is braced on the steering wheel at the time of a front or rear- end collision.  The base of the thumb can be injured by the steering wheel and the carpal tunnel is in close proximity to the base of the thumb.   It is reasonable to determine that the carpal tunnel takes blunt trauma during impact.

Symptoms may not occur immediately after the accident.  In a study published by Gregory Mack M.D., Scott McPherson M.D., and Bruce Lutz M.D., symptoms of carpal tunnel syndrome developed in 96 patients within 2 months or later following a car accident.

Carpal tunnel syndrome can be diagnosed with two different tests.  The first test is the Tinel test, where the doctor taps on or presses on the median nerve in the patient’s wrist.  If there is tingling in the fingers or a shock like sensation, then the test it positive.

The second test is the Phalen or wrist-flexion test.  This involves having the patient hold his or her forearms upright by pointing the fingers down and pressing the backs of the hands together.  Carpal tunnel syndrome is present if one or more of the symptoms is present such as tingling and numbness is felt in the fingers with in one minute.

The diagnosis can be confirmed with the use of an electrodiagnostic test or nerve conduction study where the electrodes are placed on the hand and wrist.  Small electric shocks are applied and the speed with which the nerve transmit impulses is measured.  An electromyography is where a fine needle is inserted into a muscle.  Electrical activity viewed on a screen can determine how severe the damage is to the median nerve.  Ultrasound imaging can show impaired movement of the median nerve as well.

If you have pain, tingling, and numbness in your wrist or arm seek medical attention right away.  If you are told it is your back or neck causing this pain, you should get a second opinion.  It might not be your back at all, but you might have carpal tunnel syndrome caused by a recent car accident.

If you are experiencing carpal tunnel syndrome as a result of a car accident or slip and fall, contact us at (512) 246-9191 or fill in the form below.