Overview Snapshot A 45-year-old woman presents to her primary care physician's office due to pain in her hand. The patient reports that the pain is worse at night and when her hand is outstretched. Her symptoms are also accompanied by paresthesias in the affected hand. She denies any recent injury to or pain in the hand or neck. She works as a secretary at a medical clinic. On physical exam, she has a positive Phalen and Tinel test. Introduction Clinical definition login to view 1 more bullet Epidemiology login to view 11 more bullets Etiology login to view 1 more bullet Pathoanatomy login to view 13 more bullets Prognosis login to view 1 more bullet Presentation Symptoms login to view 5 more bullets Physical exam login to view 7 more bullets Studies Making the diagnosis login to view 1 more bullet Nerve conduction studies login to view 2 more bullets Electromyogram login to view 5 more bullets Differential Cervical radiculopathy compressing C5-C6 login to view 3 more bullets Treatment Conservative login to view 3 more bullets Medical login to view 3 more bullets Operative login to view 4 more bullets Complications Rare