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Carpal Tunnel Syndrome

Related Terms

Compression Neuropathy
CTS
Median Nerve Compression
Median Nerve Mononeuropathy

Differential Diagnoses

Brachial plexopathy
Cervical disc disorder
Diabetic neuropathy
Ganglion cyst of the wrist
Neuropathy due to hypothyroidism or hyperthyroidism
Osteoarthritis of the thumb carpal-metacarpal joint
Polyneuropathy
Rheumatoid arthritis
Tendinitis of the wrist
Tenosynovitis of the thumb (De Quervain's syndrome)
Thoracic outlet syndrome
Toxic neuropathy
Tumor

Specialists

Ergonomist
Hand Surgeon
Neurologist
Neurosurgeon
Occupational Therapist
Orthopedic (Orthopaedic) Surgeon
Physiatrist
Physical Therapist

Comorbid Conditions

Diabetes mellitus
Obesity
Thyroid illness
Toxic exposures

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The ability (or lack thereof) to stop activities that increase the symptoms, the response to conservative treatment, and the ability to perform tasks while wearing adaptive splints may influence disability time. The endoscopic form of carpal tunnel release surgery, which involves smaller incisions, has a shorter recovery period but a higher complication rate, and final outcomes are the same, regardless of whether surgery is done by open "mini-palm" or by endoscopic technique.

Duration Trends from Reference Data

DURATION TRENDS

ICD-9-CM: 354

Cases	Mean	Min	Max	No Lost Time	Over 6 Months
9785	51	0	255	0.2%	0.4%

Percentile:	5^th	25^th	Median	75^th	95^th
Days:	12	27	43	67	123

DURATION TRENDS

ICD-9-CM: 354.0

Cases	Mean	Min	Max	No Lost Time	Over 6 Months
6161	55	0	217	0.1%	2.7%

Percentile:	5^th	25^th	Median	75^th	95^th
Days:	11	27	44	72	147

Differences may exist between the duration tables and the reference graphs. Duration tables provide expected recovery periods based on the type of work performed by the individual. The reference graphs reflect the actual experience of many individuals across the spectrum of physical conditions, in a variety of industries, and with varying levels of case management. Selected graphs combine multiple codes based on similar means and medians.

Medical Codes

	ICD-9-CM:
	354 -	Mononeuritis of Upper Limb and Mononeuritis Multiplex
	354.0 -	Carpal Tunnel Syndrome; Median Nerve Entrapment; Partial Thenar Atrophy

Prognosis

Recurrence of CTS after successful treatment is rare. Most patients enjoy complete recovery. If pain and tingling increase or weakness persists despite nonoperative treatment, surgery may be necessary. Although the majority of individuals experience permanent relief of symptoms after carpal tunnel release surgery, some residual numbness, pain, weakness, or stiffness may persist.

Source: Medical Disability Advisor

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