16 Jun BIOS105 W3 iLab Case Study
Question
BIOS105 W3 iLab
Case Study: The Hard Rocking Guitar player with Complaints of Joint Pain
A 35-year-old guitar player comes in to the clinic with complaints of joint pain for the past few months. He has nation-wide tour coming up next week, so he has been practicing more than usual for the past few months. He played to sellout crowds last year, and is extremely focused on putting on the best possible show this year. He particularly complains of wrist and palm pain after long practice sessions. He does not generally have pain in the morning. He is well appearing, and his general physical exam is normal. The joint exam does not find any swelling, though his palms and wrists are tender to palpation (touch). Both wrists extend past 90 degrees (this is a perfectly normal range of motion). The guitar player is diagnosed with carpal tunnel syndrome. It is your job to do some research pertaining to carpal tunnel syndrome, and answer the following ten questions below.
1) What is carpal tunnel syndrome?
2) What is the carpal tunnel? Which bones contribute to the carpal tunnel?
3) Describe the normal possible movement of the wrist joint.
4) What causes carpal tunnel syndrome?
5) Which structures are typically involved with carpal tunnel syndrome?
6) How is carpal tunnel syndrome typically treated?
7) What type of activities typically aggravate carpal tunnel syndrome?
8) What type of prognosis (outcome) is typical for a patient with carpal tunnel syndrome?
9) What can this guitar player do in order to keep playing his guitar and not aggravate his carpal tunnel syndrome?
10) If you have ever had joint pain before, how have you treated it? What type of things brought you relief? If you have never had joint pain before, find someone who has and describe how they treated it.
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