Sedentary Work Exerting up to 10 pounds (4.5 kg) of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull, or otherwise move objects, including the human body. Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and other sedentary criteria are met.

Light Work Exerting up to 20 pounds (9.1 kg) of force occasionally and/or up to 10 pounds (4.5 kg) of force frequently, and/or negligible amount of force constantly to move objects. Physical demand requirements are in excess of those for Sedentary Work. Light Work usually requires walking or standing to a significant degree. However, if the use of the arm and/or leg controls requires exertion of forces greater than that for Sedentary Work and the worker sits most the time, the job is rated Light Work.

Medium Work Exerting up to 50 (22.7 kg) pounds of force occasionally, and/or up to 25 pounds (11.3 kg) of force frequently, and/or up to 10 pounds (4.5 kg) of forces constantly to move objects.

Heavy Work Exerting up to 100 pounds (45.4 kg) of force occasionally, and/or up to 50 pounds (22.7 kg) of force frequently, and/or in excess of 20 pounds (9.1 kg) of force constantly to move objects.

Very Heavy Work Exerting in excess of 100 pounds (45.4 kg) of force occasionally, and/or in excess of 50 pounds (22.7 kg) of force frequently, and/or in excess of 20 pounds (9.1 kg) of force constantly to move objects.

Job Classification

In most duration tables, five job classifications are displayed. These job classifications are based on the amount of physical effort required to perform the work. The classifications correspond to the Strength Factor classifications described in the United States Department of Labor's Dictionary of Occupational Titles. The following definitions are quoted directly from that publication.

Sedentary Work Exerting up to 10 pounds (4.5 kg) of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull, or otherwise move objects, including the human body. Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and other sedentary criteria are met.

Light Work Exerting up to 20 pounds (9.1 kg) of force occasionally and/or up to 10 pounds (4.5 kg) of force frequently, and/or negligible amount of force constantly to move objects. Physical demand requirements are in excess of those for Sedentary Work. Light Work usually requires walking or standing to a significant degree. However, if the use of the arm and/or leg controls requires exertion of forces greater than that for Sedentary Work and the worker sits most the time, the job is rated Light Work.

Medium Work Exerting up to 50 (22.7 kg) pounds of force occasionally, and/or up to 25 pounds (11.3 kg) of force frequently, and/or up to 10 pounds (4.5 kg) of forces constantly to move objects.

Heavy Work Exerting up to 100 pounds (45.4 kg) of force occasionally, and/or up to 50 pounds (22.7 kg) of force frequently, and/or in excess of 20 pounds (9.1 kg) of force constantly to move objects.

Very Heavy Work Exerting in excess of 100 pounds (45.4 kg) of force occasionally, and/or in excess of 50 pounds (22.7 kg) of force frequently, and/or in excess of 20 pounds (9.1 kg) of force constantly to move objects.

Carpal Tunnel Syndrome


Related Terms

  • Compression Neuropathy
  • CTS
  • Median Nerve Compression
  • Median Nerve Entrapment Wrist
  • Median Nerve Mononeuropathy

Differential Diagnosis

Specialists

  • Ergonomist
  • Hand Surgeon
  • Neurologist
  • Neurosurgeon
  • Occupational Therapist
  • Orthopedic (Orthopaedic) Surgeon
  • Physiatrist (Physical Medicine and Rehabilitation Specialist)
  • Physical Therapist

Comorbid Conditions

  • Diabetes mellitus
  • Obesity
  • Rheumatoid arthritis
  • Thyroid illness
  • Toxic exposures

Factors Influencing Duration

Tolerance is the limiting factor for disability durations. The ability (or lack thereof) to limit activities that increase the symptoms, the response to conservative treatment, and the ability to perform tasks while wearing adaptive splints may influence disability time. Surgical technique such as mini-palm and endoscopic allow for earlier return to work that the traditional CTS surgery.

Medical Codes

ICD-9-CM:
354.0 - Carpal Tunnel Syndrome; Median Nerve Entrapment; Partial Thenar Atrophy

Overview

© Reed Group
Carpal tunnel syndrome (CTS) is a condition that results in symptoms of numbness, paresthesia, or pain in the distribution of the median nerve at the wrist. The exact pathophysiology is not completely understood but can be viewed as compression of the median nerve as it passes from the forearm into the hand at the level of carpal ligament. The median nerve is the main nerve of the hand. Its branches enter the hand through a narrow passageway (carpal tunnel) formed by the wrist bones (carpal bones) and the tough ligament that holds the tendons in place (the transverse carpal ligament). The median nerve supplies sensation to the thumb, index finger, middle finger, and, in most people, to part of the ring finger. Because this passageway is rigid, thickening of structures, inflammation, swelling, or increased fluid retention may compress the nerve (nerve entrapment), causing pain and numbness in the fingers (particularly the thumb and the index and middle fingers) and, over time, hand weakness. Pain may eventually extend to the arm, shoulder, and, rarely, the neck. Sensation in the palm is not always affected because of a branch of the median nerve that does not go through the carpal tunnel.

Incidence and Prevalence: An estimated 5% of the US population is affected by carpal tunnel syndrome (Hooker). Idiopathic CTS is more common in adults (NINDS). During the period from 1981 to 2005, the average annual incidence of carpal tunnel release surgery was 109 per 100,000, while that for work-related CTS was 11 per 100,000 (Gelfman).

Source: Medical Disability Advisor






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