{"id":3776,"date":"2022-05-03T11:47:20","date_gmt":"2022-05-03T10:47:20","guid":{"rendered":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/carpaltunnelsyndrome\/"},"modified":"2023-09-13T08:41:11","modified_gmt":"2023-09-13T07:41:11","slug":"carpaltunnel","status":"publish","type":"page","link":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/musculoskeletalphysiotherapy\/wrist-and-hand\/carpaltunnel\/","title":{"rendered":"Carpal Tunnel"},"content":{"rendered":"\n<title>Carpal Tunnel Syndrome<\/title>\n\n\n\n<p>This condition involves the compression of the median nerve at the wrist.<\/p>\n\n\n\n<p><strong>NICE guidelines for management of carpal tunnel syndrome in primary care:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/cks.nice.org.uk\/carpal-tunnel-syndrome#%21scenario\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/cks.nice.org.uk\/carpal-tunnel-syndrome<\/a><\/li>\n<\/ul>\n\n\n\n<div class=\"wp-block-getwid-tabs\" data-active-tab=\"0\"><ul class=\"wp-block-getwid-tabs__nav-links\"><\/ul>\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Referral Guidelines<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p><strong>What we will see<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Early &lt;6 months intermittent pins and needles in median nerve distribution (thumb\/index\/middle and half ring finger).<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">What we won&#8217;t see<\/h4>\n\n\n\n<p>The following should be referred to secondary care:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Persistent pins and needles +\/- muscle weakness and wasting in median nerve distribution (thumb\/index\/middle and half ring finger)<\/li>\n\n\n\n<li>The diagnosis is unclear.<\/li>\n\n\n\n<li>There are persistent symptoms despite a trial of&nbsp;conservative treatment(s) in primary&nbsp;care.<\/li>\n\n\n\n<li>There are progressive symptoms or severe disease impacting on daily function.<\/li>\n\n\n\n<li>There are recurrent or persistent symptoms following carpal tunnel surgery.<\/li>\n<\/ul>\n\n\n\n<p>Secondary care options include&nbsp;<a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/carpal-tunnel-syndrome-3\/\" data-type=\"URL\" data-id=\"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/carpal-tunnel-syndrome-3\/\" target=\"_blank\" rel=\"noreferrer noopener\">Plastic Surgery\/Hand Surgery<\/a>&nbsp;or&nbsp;<a href=\"\/refhelp\/guidelines\/CarpalTunnelSyndromeNeurology\" target=\"_blank\" rel=\"noreferrer noopener\">Neurology<\/a><\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Primary Care Management<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p>\u200bNocturnal wrist splint to hold the wrist in a neutral position.<\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Resources and Links<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p><a href=\"https:\/\/lothianvirtualhandclinic.co.uk\/carpal-tunnel-syndrome\/\" target=\"_blank\" rel=\"noreferrer noopener\">Carpal Tunnel Syndrome \u2013 Lothian Virtual Hand Clinic<\/a><\/p>\n\n\n\n<p><a rel=\"noreferrer noopener\" href=\"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/carpal-tunnel-syndrome-3\/\" data-type=\"URL\" data-id=\"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/carpal-tunnel-syndrome-3\/\" target=\"_blank\">NHS Lothian Refhelp: Plastic &amp; Hand Surgery Carpal Tunnel Syndrome<\/a><\/p>\n\n\n\n<p><a rel=\"noreferrer noopener\" href=\"https:\/\/www.bssh.ac.uk\/patients\/conditions\/21\/carpal_tunnel_syndrome\" target=\"_blank\">BSSH website: Carpal Tunnel Syndrome<\/a><\/p>\n\n\n\n<p><a href=\"http:\/\/intranet.lothian.scot.nhs.uk\/Directory\/physiotherapy\/PatientInfoLeafletNetwork\/Documents\/Carpal%20Tunnel%20Syndrome%202021.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">NHS Lothian Patient Info Leaflet\/Carpal Tunnel Leaflet<\/a><\/p>\n\n\n<\/div><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Carpal Tunnel Syndrome This condition involves the compression of the median nerve at the wrist. NICE guidelines for management of carpal tunnel syndrome in primary care:<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":8924,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"categories":[550],"class_list":["post-3776","page","type-page","status-publish","hentry","category-carpaltunnelsyndrome"],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"NHS Lothian","author_link":"https:\/\/apps.nhslothian.scot\/refhelp\/author\/nhs-lothian\/"},"rttpg_comment":0,"rttpg_category":" <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/category\/plasticsurgery\/handsurgery\/carpaltunnelsyndrome\/\" rel=\"tag\">Carpal Tunnel Syndrome<\/a>","rttpg_excerpt":"Carpal Tunnel Syndrome This condition involves the compression of the median nerve at the wrist. NICE guidelines for management of carpal tunnel syndrome in primary care:","_links":{"self":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/3776","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/comments?post=3776"}],"version-history":[{"count":9,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/3776\/revisions"}],"predecessor-version":[{"id":16200,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/3776\/revisions\/16200"}],"up":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/8924"}],"wp:attachment":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/media?parent=3776"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/categories?post=3776"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}