Carpal tunnel syndrome

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1. Symptoms

    1. paresthesia worsening at night

    2. can awake the pt from sleep

    3. no radiation to neck

    4. more common in diabetes and pregnancy

2. Dx: Fallen test, Tinel test

3. DDx: QdQuervain syndrome (Abductor pollicis longus inflammation)

4. Treatment:

    1. Fixation with splint

    2. Cap celexib 100mg bid #30

    3. Tab vit B1 #30 qd

    4. Can use Tab prednisolone instead of NSAIDs

5.