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The Numb Hand (pdf)

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Carpal Tunnel Syndrome<br />

• Corticosteroid<br />

injections<br />

– Most effective if<br />

symptomatic for <<br />

1 year<br />

– Diffuse and<br />

intermittent<br />

numbness<br />

– Normal 2-point<br />

discrimination<br />

– No weakness or<br />

thenar atrophy<br />

– EMG reveals no<br />

denervation<br />

– 1-2 millisecond<br />

prolongation on<br />

NCS<br />

– 40% of this group<br />

symptom free at 1<br />

year

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