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 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.

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.

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.