title: Diagnosis and Treatment of Work-Related Proximal Median and Radial Nerve Entrapment.
abstract: Proximal median (PMNE) and radial (RNE) nerve entrapment syndromes are uncommon. This article provides an evidenced-based treatment guideline for PMNE and RNE based on the available literature. Arriving at an accurate diagnosis must involve an electrodiagnostic (EDx) workup. EDx, including nerve conduction velocity studies and needle electromyography, should corroborate the clinical diagnosis and must be done before consideration of any surgical treatment. Conservative care includes rest, modified activities, splinting at wrist and elbow, physical therapy, antiinflammatory drug therapy, and corticosteroid injections. Conservative care should be required for at least 6 weeks before any operative interventions are considered.
authors.affiliation: St Luke's Rehabilitation Institute, 711 South Cowley Avenue, Spokane, WA 99202, USA. Electronic address: gtcarter@uw.edu.
authors.forename: Gregory T
authors.initials: GT
authors.lastname: Carter
authors.affiliation: Neuromuscular Division, Department of Neurology, University of Washington School of Medicine, Seattle, 1959 NE, Pacific Avenue, WA 98195, USA.
authors.forename: Michael D
authors.initials: MD
authors.lastname: Weiss
mesh_terms: D006801:Humans; D008475:Median Nerve; D009408:Nerve Compression Syndromes / Q000175:diagnosis / Q000191:economics / Q000628:therapy; D009784:Occupational Diseases / Q000175:diagnosis / Q000191:economics / Q000628:therapy; D009787:Occupational Medicine / Q000379:methods*; D011826:Radial Nerve; D014942:Workers' Compensation
keywords: Posterior interosseous nerve syndrome; Pronator teres syndrome; Proximal median nerve entrapment; Radial nerve entrapment