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Chapter-080 Wrist and Hand Pain

BOOK TITLE: Ramamurthy's Decision Making in Pain Management: An Algorithmic Approach

Author
1. S Patel
2. Faculty, Department of Anesthesiology UT Health San Antonio, San Antonio, TX, USA
ISBN
9789386261458
DOI
10.5005/jp/books/14128_81
Edition
3/e
Publishing Year
2018
Pages
2
Author Affiliations
1. UT Health San Antonio, San Antonio, TX, USA
Chapter keywords
Wrist pain, hand pain, carpal tunnel syndrome, median nerve, nonsteroidal anti-inflammatory drug, NSAID, magnetic resonance imaging, MRI

Abstract

Pain in the wrist and hand is not an unusual problem, especially in the younger population as people perform repetitive tasks which can lead to carpal tunnel. Besides the idiopathic causes of hand pain, the major determinants of hand pain and their respective frequency include female sex (frequency of 58.3%), age more than or equal to 70 years (30.8%), manual occupation (29.4%), and radiological hand osteoarthritis (28.3%). One of the many complaints of hand pain will likely be carpal tunnel syndrome. Carpal tunnel syndrome, which involves the median nerve of the wrist, is the most common compressed nerve in the body, accounting for about 0.2% of all outpatient office visits in 2006 and is estimated to be present in 3.8% of the population. It has a prevalence rate of up to 9% in females and 6% in males.

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