Kenneth Kee

Carpal Tunnel Syndrome, A Simple Guide To The Condition, Treatment And Related Conditions (eBook, ePUB)

• Format: ePub

Produktbeschreibung

Carpal Tunnel Syndrome is the compression of the median nerve in the carpal tunnel of the wrist.
The carpal tunnel is a ligamentous sheath which provides protection for the median nerve as it travels across the carpal bone
Carpal Tunnel Syndrome occurs as a result of pressure on the median nerve between the transverse carpal ligament and the flexor tendons with their inflamed and enlarged synovium.
Local causes:
1. Trauma including injury, fractures
2. Tenosynovitis (inflammation of the tendon and their synovial sheath)
3. Lipoma
4. Ganglion
Systemic causes:
1. Polyarthritis
2. Myxedema (hypothyroidism)
Symptoms:
The onset is usually spontaneous with gradual increasing night pains which cause the patient to seek treatment:
1. Painful night tingling sensation of the fingers which can extend to the forearm-relieved by hanging the arm down or shaking
2. Paresthesia and numbness of the index, middle and ring finger
3. Fingers feel clumsy
4. Thenar muscle wasting and weakness may be present
5. Impairment of light touch and pin prick sensation on the 3 middle fingers
1. Physical examination
a. Phalen's test- flex wrists so that the dorsal surfaces of the hands are in full contact with each other, hold for 1 min: tingling and numbness occur in median nerve distribution
b. Reverse Phalen's test (prayer Sign)-extend wrists so that the palms of hands are in full contact like in prayer, hold for 1 min: tingling and numbness occur in median nerve distribution
c. Tinel's test - tap volar surface of the wrist tingling means positive test
2. EMG - electromyography to test movement of the muscles
3. Nerve conduction tests on median nerve
Treatment is by:
1. Treat underlying conditions such as myxedema, polyarthritis, and amyloid
2. Diuretic in mild cases and those present in pregnant women
NSAIDS may reduce inflammation.
3. Wrist splintage in extension
4. Injection of the carpal tunnel with corticosteroid (avoiding the carpal nerve)
Surgical decompression is by division of the transverse carpal ligament.
Results are usually good.

TABLE OF CONTENT
Introduction
Chapter 1 Carpal Tunnel Syndrome
Chapter 2 More Facts of Carpal Tunnel Syndrome
Chapter 3 Treatment of Carpal Tunnel Syndrome
Chapter 4 Trigger Finger
Chapter 5 De Quervain Disease
Chapter 6 Cervical Spondylosis
Chapter 7 Ganglion
Epilogue

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Produktdetails

• Verlag: Kenneth Kee
• Erscheinungstermin: 22. November 2016
• Englisch
• ISBN-13: 9781370266074
• Artikelnr.: 48757941

Autorenporträt

Dr. Kenneth Kee is a well-known medical doctor from Singapore who has been practicing medicine since 1972.
He graduated from the University of Singapore and furthered his studies with a Master of Science in Health Management in 1991, followed by a Ph.D. in Healthcare Administration in 1993.
Dr. Kee established Kee Clinic in 1974, located in the Holland Drive area of Singapore. The clinic has been a prominent feature of the community, offering general medical services for 5 decades.
Dr Kee also served his country Singapore as a national service police Inspector at night from 1975 to 1985 while working at his clinic during the day.
He had served as a police guard to the Woodland Petroleum Tanks at night during the Indonesian Confrontation period, took part in police rounds at night in the Beach Road area and taught First aid and emergency resuscitation to Police recruits.
He received the Singapore Police Bicentennial 2020 Medallion on 1st March 2024 as recognition for his work in the Singapore Police.
Even as he grew older, Dr. Kee continued to work actively in his clinic, although he eventually reduced his consultation hours.
Beyond his medical career, Dr. Kee is also an author.
He started writing about medical conditions in 2007, using blogs and other online platforms to share his knowledge with a broader audience.
Over time, he published various books, many of which provide simple and accessible guides to different health conditions.
His works include "A Family Doctor's Tale," "My Personal Singapore History," and numerous medical guides, available through platforms like Amazon.
His books often combine his personal experiences as a family doctor with insights into Singapore's healthcare system and history.
Dr. Kee has written extensively on health topics, contributing to both medical literature and general knowledge resources.

Dr. Kenneth Kee has written numerous books, primarily focused on health education and personal experiences as a family doctor. Some of his notable titles include:
"A Family Doctor's Tale"
This book is a blend of Dr. Kee's personal experiences and his reflections on being a family doctor in Singapore. It's a great choice if you're looking for a narrative that combines both medical knowledge and human stories.
"Specialized Medical Conditions"
Books like **"Congestive Heart Failure: Diagnosis and Treatment"** focus on specific conditions, offering in-dept...