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Neuropathy Entrapment

    Pain, loss of strength or sensory changes in the distribution of the median or ulnar nerves but not associated with neck pain.

Neuropathy EntrapmentNeuropathy Entrapment: Initial Diagnosis and Management

  • History and physical examination for neuropathy entrapment.
  • Plain radiographs are not required.
  • NSAIDs.
  • Adults – 200 to 400 milligrams (mg) every four to six hours as needed for up to 2 weeks.  Example: Ibuprofen
  • Take tablet or capsule forms of these medicines with a full glass (8 ounces) of water.
  • Do not lie down for about 15 to 30 minutes after taking the medicine. This helps to prevent irritation that may lead to trouble in swallowing.
  • To lessen stomach upset, these medicines should be taken with food or an antacid for neuropathy entrapment.
  • For Carpal Tunnel Syndrome symptoms prescribe a volar wrist splint to wear at night and during the day (take splint off every 2 hours and move wrist to prevent stiffness). Also avoid activities that promote symptoms.
  • For cubital tunnel syndrome, educate the patient to avoid pressure on elbow and to avoid activities that increase symptoms. Refer to Occupational Therapy for night elbow splints.

Neuropathy Entrapment: Ongoing Management and Objectives

  • Expect Resolution or decreasing symptoms within three to four weeks.

Neuropathy Entrapment: Indication a profile is needed

  • Any limitations that affect strength, range of motion, and general efficiency of upper arms.
  • Slightly limited mobility of joints, muscular weakness, or other musculo-skeletal defects that may prevent hand-to-hand fighting and disqualifies for prolonged effort.
  • Defects or impairments that require significant restriction of use due to neuropathy entrapment.

Neuropathy Entrapment: Specifications for the profile

  • Week 1-4
  • No upper body PT requiring flexion or extension at the wrist
  • No lifting or pushing with affected wrist
  • No low crawl
  • No stretcher duty with affected wrist(s)
  • Motor vehicle driving only with splint and with caution for neuropathy entrapment.