concluzie

While gaps in the evidence prevent us from drawing firm conclusions in some areas, we are able to reach
consensus on a number of essential points. Rigorous diagnosis of carpal tunnel syndrome is the basis of
appropriate treatment: the importance of an accurate medical diagnosis cannot be overstated. CTS
diagnosis is vastly complicated by the lack of agreement on a "gold standard" diagnostic method for
definitively verifying the presence or absence of CTS.
Despite their limitations, electrodiagnostic studies are the most objective tests available to demonstrate
median nerve deficit, and their accuracy is good when properly performed. If surgery is being
contemplated, electrodiagnostic confirmation of the clinical diagnosis is desirable. Use of
electrodiagnostic study findings as the sole diagnostic tool is not recommended: EDS findings must be
correlated with the history and physical examination, and the evidence shows that certain clinical
diagnostic tools are significantly more accurate than others in suggesting the presence of carpal tunnel
syndrome.
The epidemiological transition from acute, unequivocal injuries to slow onset, multifactorial disorders
like carpal tunnel syndrome has emerged as one of the fundamental challenges to North American
workers' compensation systems. Carpal 93 tunnel syndrome has an indistinct etiology: a variety of
contributing factors and conditions can effect the median nerve in the carpal tunnel. Susceptibility to
developing carpal tunnel syndrome varies with anatomic structure, body mass index, gender, age, genetic
predisposition and psychosocial factors. Systemic conditions and pathologies also contribute to the
causation of carpal tunnel syndrome.
Carpal tunnel syndrome can have a spontaneous or idiopathic onset. Carpal tunnel syndrome is a
condition that certainly effects workers, but it is not necessarily a condition that is caused by work. The
risk depends on the interaction of person and task, and not all cases of carpal tunnel syndrome potentially
related to work are in fact directly related to physical activities performed in the workplace.
There is some evidence that force, either alone or combined with repetition, is associated with carpal
tunnel syndrome, as is vibration: a caveat here is that causal thresholds have not been adequately
quantified. Tasks characterized by high frequency but low force (like computer keyboarding) do not
appear to be important precipitating factors.
There is insufficient evidence of association between other putative occupational risk factors and carpal
tunnel syndrome. Work may be only one contributor to carpal tunnel syndrome, but carpal tunnel
syndrome (whatever its cause) can, if poorly managed, have a devastating effect on a person's ability to
work. In the majority of cases, a course of appropriate conservative management is the first step in
treatment, except where there is evidence of thenar wasting. If there is evidence of wasting, expedited
medical and surgical assessment is required due to the risk of progressive and permanent neurological
damage.
Even though carpal tunnel syndrome afects individuals ability to work is not necessarily the main cause

Although office equipment and technology like computers and desk chairs, are essential to the workplace,
incorrect usage may have unexpected health implications. After hours of typing-away on a keyboard, your
body begins to feel the effects. Typing is a skill that requires a certain position in order to avoid ailments
like CTS and other repetitive stress injuries.