The rehabilitation treatment in carpal tunnel syndrome associated with diabetes mellitus (case report)

Abstract

Carpal Tunnel Syndrome (CTS) is a common peripheral neuropathy. The anatomical configuration of the carpal tunnel is that of an inelastic channel. Any increase in its volume or alteration in shape will usually result in a significant increase in interstitial pressure. Systemic associated diseases (for example diabetes) can be considered cause CTS. The efficacy of different types of electrotherapy for painful peripheral neuropathy has been evaluated in many studies. We describe the rehabilitation treatment effect in the CTS with diabetes mellitus etiology.
Case report. A 52-years-old female person, with diabetes mellitus type II, non-insulin dependent, with symptoms of CTS, that do not yield to treatment with NSAIDs and analgesics. Electrodiagnostic evaluation confirmed diagnosis of carpal tunnel syndrome, radiography of the wrist and right hand and the carpal tunnel sonography do not revealed changes which would suggest a local cause of the carpal tunnel syndrome. Rehabilitation program (electrotherapy, massage, physical exercises, occupational therapy) is aimed to reducing pain and numbness, maintain the pain-free range of motion and muscle toning, increase the ability of the hand. Conclusion. Rehabilitation treatment has had a favorable impact on patient's symptoms, leading to pain and numbness disappearance, daily activities can be performed without difficulty and the Sensory Nerve Conduction Velocity (CV) increased with 36 %.

Key words:

peripheral neuropathy, diabetes mellitus, rehabilitation

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