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HEALTH HISTORY Please complete the following information for review by your provider. Name: Height: Weight: Referring Doctor: Birth Date: Race: Sex: M F Family Doctor: / / Dominant Hand: Occupation:
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How to fill out carpal tunnel syndrome

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How to treat carpal tunnel syndrome:

Take breaks from repetitive activities:

01
Avoid activities that worsen the symptoms of carpal tunnel syndrome, such as repetitive hand movements or prolonged use of vibrating tools.
02
Take regular breaks to rest your hands and stretch your fingers, wrists, and arms.

Use wrist splints:

01
Wear a wrist splint at night to keep your wrist in a neutral position.
02
Consider using a wrist splint during activities that aggravate your symptoms.

Modify your hand and wrist movements:

01
Avoid bending your wrist all the way up or down.
02
Keep your hands and wrists in a neutral, relaxed position during activities like typing or using a computer mouse.

Apply cold packs:

01
Applying cold packs to your wrists can help reduce inflammation and relieve pain.
02
Wrap an ice pack or a bag of frozen peas in a thin towel and apply it to the affected area for about 10-15 minutes.

Take over-the-counter pain relievers:

01
Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, can help reduce pain and inflammation associated with carpal tunnel syndrome.
02
Follow the instructions on the packaging and consult with a healthcare professional if needed.

Who needs carpal tunnel syndrome:

Office workers:

01
Individuals who spend long hours typing, using a computer mouse, or performing repetitive hand movements may be at a higher risk of developing carpal tunnel syndrome.
02
Office workers should be mindful of their hand and wrist positions and take regular breaks to prevent or manage symptoms.

Manual laborers:

01
Individuals involved in activities that require repetitive hand and wrist movements, such as assembly line workers, construction workers, or musicians, may be susceptible to carpal tunnel syndrome.
02
Ergonomic tools, proper technique, and adjustments in work practices can help reduce the risk of developing or exacerbating the condition.

Pregnant women:

01
Hormonal changes during pregnancy can lead to fluid retention and swelling, which may increase pressure on the median nerve in the wrist.
02
Pregnant women experiencing symptoms of carpal tunnel syndrome should consult with their healthcare provider for appropriate management options.
03
Certain measures, such as wearing wrist splints or modifying hand movements, may provide relief during pregnancy.
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Carpal tunnel syndrome is a condition that occurs when the median nerve is compressed as it travels through the wrist at the carpal tunnel.
Employers are required to file carpal tunnel syndrome cases if they occur in the workplace.
To fill out a carpal tunnel syndrome report, include details of the employee, the diagnosis, the treatment plan, and any accommodations needed.
The purpose of reporting carpal tunnel syndrome is to document workplace injuries and ensure proper treatment for affected employees.
Information to report on carpal tunnel syndrome includes employee details, diagnosis, treatment plan, and any workplace factors contributing to the condition.
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