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Carpal Tunnel Syndrome

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Newsletter Articles
Guides Newsletter (2020) 25 (4): 14–15.
Published: 01 July 2020
... but are not considered an official revision to the AMA Guides. © 2020 American Medical Association. All Rights Reserved. 2020 American Medical Association QUESTION: When performing an impairment rating (IR) for carpal tunnel syndrome (CTS), cubital tunnel, etc, I have always disregarded Quick DASH...
Newsletter Articles
Guides Newsletter (2016) 21 (3): 10–14.
Published: 01 May 2016
... is assessed by an orthopedic surgeon who is the agreed medical evaluator (AME). In addition to her pre-existing rheumatoid arthritis and lupus, the individual also had Sjogren's syndrome, osteoarthritis, degenerative disc disease, left carpal tunnel syndrome, osteopenia, and obesity. She has undergone...
Newsletter Articles
Guides Newsletter (2009) 14 (3): 1–2.
Published: 01 May 2009
...Craig Uejo, MD, MPH Carpal tunnel syndrome (CTS), the most common peripheral entrapment neuropathy, is caused by compression of the median nerve at the wrist, and annual costs of CTS treatment in the United States total $2 billion. Although CTS often is attributed to repetitive motions at work...
Newsletter Articles
Guides Newsletter (2008) 13 (5): 9–10.
Published: 01 September 2008
... illustrates the process of assessing impairment for carpal tunnel syndrome using the fourth, fifth, and sixth editions. In this case, a 45-year-old woman who packed boxes on an assembly line developed insidious onset numbness and tingling in her right, dominant hand. A nerve conduction study was consistent...
Newsletter Articles
Guides Newsletter (2007) 12 (6): 5–8.
Published: 01 November 2007
... often result in dissatisfaction for litigants, uncertainty for judges, and friction between health care and legal professionals. Carpal tunnel syndrome (CTS) provides an example: Popular notions suggest that CTS results from occupational arm or hand use, but medical factors range from congenital...
Newsletter Articles
Guides Newsletter (2007) 12 (1): 5–8.
Published: 01 January 2007
... with moderate right carpal tunnel syndrome. The following records were reviewed in conjunction with my examination: 1/4″ of correspondence and subpoenaed medical records from XYZ Inc. 1/20/05, James Adams, MD, Progress Note. 1/20/05, Joan Brown, MD, X-ray of right wrist 4 views. IMPRESSION: Mild...
Newsletter Articles
Guides Newsletter (2006) 11 (1): 1–3, 9-10.
Published: 01 January 2006
...James B. Talmage, MD; Christopher R. Brigham, MD; Charles N. Brooks, MD The pain, numbness, and paresthesias of carpal tunnel syndrome generally are intermittent and are felt in the wrist, hand, thumb, and fingers, often in a distribution approximating that of the median nerve. No specific physical...
Newsletter Articles
Guides Newsletter (2006) 11 (1): 11.
Published: 01 January 2006
... © 2006 American Medical Association. All Rights Reserved. 2006 American Medical Association There are many potential causes of carpal tunnel syndrome (CTS), including occupational and avocational activities, a variety of diseases, trauma, and lifestyle. In brief, the median nerve may...
Newsletter Articles
Guides Newsletter (2004) 9 (5): 4–10.
Published: 01 September 2004
... and was advised that he probably had tendinitis. Initially, he was referred for evaluation by Dr Colleague who diagnosed carpal tunnel syndrome. The patient had a nerve conduction study and EMG on 07-14-00 that was positive for carpal tunnel syndrome in both hands. He has not been able to work since 03-20-00...
Newsletter Articles
Guides Newsletter (2003) 8 (4): 4–5.
Published: 01 July 2003
... to 12 months, until symptoms appear to stop improving. A patient with carpal tunnel syndrome who declines a release can be rated for impairment, and, as appropriate, the physician may wish to make a written note of this in the medical evaluation report. © 2003 American Medical Association. All Rights...
Newsletter Articles
Guides Newsletter (2000) 5 (5): 3–3, 10.
Published: 01 September 2000
...J. True Martin, MD, FAADEP The author responds to The Continuing Challenge of Evaluating Carpal Tunnel Syndrome Impairment in the March/April 2000 issue of The Guides Newsletter . Carpal Tunnel Syndrome (CTS) is a clinical diagnosis based on the patient's history and objective findings...
Newsletter Articles
Guides Newsletter (2000) 5 (2): 8–8, 11.
Published: 01 March 2000
...Leon H. Ensalada, MD, MPH © 2000 American Medical Association. All Rights Reserved. 2000 American Medical Association In the November/December 1996 issue of The Guides Newsletter , Talmage wrote about the challenges faced by those evaluating carpal tunnel syndrome (CTS) impairment. 1...
Newsletter Articles
Guides Newsletter (1996) 1 (2): 1–3.
Published: 01 November 1996
...James B. Talmage, MD, FAADEP According to the AMA Guides to the Evaluation of Permanent Impairment ( AMA Guides ) the impairment rating of patients with Carpal Tunnel Syndrome (CTS) begins with a documented, objectively verifiable diagnosis by nerve conduction testing and is not based on symptoms...
Newsletter Articles
Guides Newsletter (2019) 24 (2): 3–5, 16.
Published: 01 March 2019
...J. Mark Melhorn, MD; Kurt T. Hegmann, MD, MPH Physicians often must evaluate patients who present with symptoms in a median nerve distribution and typically diagnose carpal tunnel syndrome (CTS), but an accurate diagnosis is critical to determine causation and to define possible impairment. CTS...
Newsletter Articles
Guides Newsletter (2000) 5 (5): 10.
Published: 01 September 2000
... © 2000 American Medical Association. All Rights Reserved. 2000 American Medical Association Drs Martin and Ensalada provide insight to the use of electrodiagnostic studies in diagnosing carpal tunnel syndrome (CTS). In a recent review D’Arcy and McGee found that in patients presenting...
Newsletter Articles
Guides Newsletter (2015) 20 (1): 3–8.
Published: 01 January 2015
... in general (Section 5.4) and upper limb entrapment syndromes (Section 15.4f). The first portion of this article reviews the evaluation of upper extremity nerve impairment and summarizes inclusion criteria and causation correlation for carpal tunnel syndrome, Guyon's canal syndrome, cubital tunnel syndrome...
Newsletter Articles
Guides Newsletter (2019) 24 (6): 12–15.
Published: 01 November 2019
...Jay Blaisdell, MA; James B. Talmage, MD Like the diagnosis-based impairment (DBI) method and the range-of-motion (ROM) method for rating permanent impairment, the approach for rating compression or entrapment neuropathy in the upper extremity (eg, carpal tunnel syndrome [CTS]) is a separate...
Newsletter Articles
Guides Newsletter (2015) 20 (2): 11.
Published: 01 March 2015
... a hypothetical motor nerve conduction report for a case that shows both mild neuropathy (conduction delay) of the median nerve at the wrist (carpal tunnel syndrome) and severe neuropathy (axon loss) of the ulnar nerve at the elbow (cubital tunnel syndrome). If both fibrillations and positive waves are seen...
Newsletter Articles
Guides Newsletter (2012) 17 (4): 1–10.
Published: 01 July 2012
..., the workers’ compensation system has been plagued by scientifically nonsup-portable claims that prolonged typing on a computer keyboard could cause carpal tunnel syndrome (CTS). However, multiple attempts to scientifically establish a causative link between typing and CTS have failed to do so. 1 – 13...
Newsletter Articles
Guides Newsletter (2000) 5 (2): 4–5.
Published: 01 March 2000
... The November/December 1996 issue of The Guides Newsletter included an article regarding the challenges faced by those who evaluate carpal tunnel syndrome (CTS) impairment. A recent case highlights some of these challenges: Ms Kirby presented for an independent medical evaluation to address two...