title: A rational approach to the management of carpal tunnel syndrome in the workplace.
abstract: Carpal tunnel syndrome (CTS) occurring in the working population continues to be a frequent cause of unpleasant patient symptoms, loss of worker productivity, and substantial expense to employers. The cause of CTS in these patients is often unknown, but is frequently attributed to work activities. Current scientific literature suggests that CTS is usually a multifactorial process, with both patient and environmental contributors that should be considered in determining work-relatedness. Outcome following carpal tunnel surgery is dependent on a positive patient attitude, physician encouragement, and employer cooperation. Determinations of permanent impairment and work restrictions should be made by physicians experienced in caring for upper extremity conditions, and should be based on objective evidence of anatomic dysfunction. Legislative efforts regarding Workers' Compensation law should be undertaken to encourage patients towards a faster and more-complete recovery.
authors.affiliation: Murfreesboro Medical Clinic & Surgicenter, TN 37130, USA.
authors.forename: D S
authors.initials: DS
authors.lastname: Martin
mesh_terms: D002349:Carpal Tunnel Syndrome / Q000628:therapy*; D006801:Humans; D009784:Occupational Diseases / Q000628:therapy*