Practice Quiz

PTA Physical Therapy Assistant

Category - Interventions

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A 20-year-old pregnant woman presents with pain and numbness in the palmar surface of the hand in the median nerve distribution area. The pain is experienced more severely during the night but subsides temporarily after massaging the hand. In this case, which of the following is NOT a first line management?
  1. Wrist splint
  2. Activity modification
  3. Surgical decompression of the median nerve
  4. NSAIDs for controlling inflammation
Explanation
Answer: C - Surgical decompression of the median nerve is not a first line management.

Carpal tunnel syndrome is due to the compression of the median nerve at the carpal tunnel. Carpal tunnel syndrome is common during pregnancy.

The clinical features described here indicate the presence of carpal tunnel syndrome. Pregnant patients with carpal tunnel syndrome are usually treated non - operatively because the symptoms will subside after childbirth.
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