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Evaluation and Treatment of Carpal Tunnel Syndrome

presented by Jamie L. Bergner, OTD, OTR/L, CHT, COMT

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Disclosure Statement:

Financial: Jamie L. Bergner is an instructor for the International Academy of Orthopedic Medicine – US, Hand and Upper Extremity Track. She receives compensation from MedBridge for this course. There is no financial interest beyond the production of this course.

Nonfinancial: Jamie L. Bergner has no competing nonfinancial interests or relationships with regard to the content presented in this course.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

MedBridge is committed to accessibility for all of our subscribers. If you are in need of a disability-related accommodation, please contact [email protected]. We will process requests for reasonable accommodation and will provide reasonable accommodations where appropriate, in a prompt and efficient manner.

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Video Runtime: 81 Minutes; Learning Assessment Time: 25 Minutes

Do your patients report having numbness and tingling in their hands? This course will explore the anatomy of the carpal canal and the anatomical considerations influencing median nerve compression of the wrist. Unraveling the complexities of nerve compression, you will problem-solve the site of nerve compression that matches your client's clinical presentation. Special tests and differential diagnosis will be explored to rule out proximal impingement, and you will gain new treatment ideas and manual therapy techniques to improve the nerve's ability to glide.

Meet Your Instructor

Jamie L. Bergner, OTD, OTR/L, CHT, COMT

Jamie L. Bergner has more than 20 years of clinical expertise as an experienced occupational therapist specializing in the care of clients after hand and upper extremity trauma, injury, and surgery. She is a Certified Hand Therapist (CHT) and a Certified Orthopedic Manual Therapist (COMT) working at a level 1 trauma center for Vanderbilt University…

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Chapters & Learning Objectives

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1. Nerves: Anatomy, Location, and Basic Function of the Median Nerve

This chapter provides an overview of nerve cell function, origins, pathway, and branching patterns of the median nerve. Course participants will explore the anatomy around the carpal canal of the wrist to gain an understanding of the causes and risks for median nerve compression.

2. Carpal Tunnel Syndrome Imposters

This chapter will explore the necessary differential diagnosis for clients who present to the clinic with median nerve distribution numbness or tingling. Screening for and ruling out conditions such as cervical radiculopathy, neurogenic thoracic outlet syndrome, and proximal median nerve impingement will increase confidence in your treatment diagnosis and lead to more effective treatment interventions.

3. Carpal Tunnel Syndrome: Evaluation Considerations

This chapter will use a basic clinical examination coupled with special tests to further identify sensory and motor nerve compression at the carpal canal. This chapter will provide a scaffolding to assess nerve glide ability of the median nerve.

4. Carpal Tunnel Syndrome: Conservative Management

This chapter will integrate learning from previous chapters regarding differential diagnosis and focus on interventions specifically for conservative management of carpal tunnel syndrome. Conservative management evidence will be presented, and manual therapy techniques will be highlighted to improve longitudinal and transverse neural mobility.

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