Purpose: This study aims to review the different clinical and theoretical facets of median nerve compression syndromes, in order to differentiate carpal tunnel disorders from other more proximal median nerve compressions.
Data Source: All relevant studies and data in the article were obtained from MEDLINE searches between 1966 and 1998 and from reference volumes dealing with the subject of the article.
Results: Carpal tunnel disorder is the most common compression of the median nerve. However, compression of the elbow below Struthers' ligament, compression of the forearm below the pronator ring and biceps, and compression of the anterior branch of the median nerve can cause signs and symptoms similar to those of carpal tunnel disorder. Orthopedic examinations and neurological evaluation (electromyography and nerve conduction velocity) are used to determine the specific analysis and website of the nerve compression.
Conclusion: In order to avoid ineffective treatments, it is important to ensure that the diagnosis of signs and symptoms of median nerve damage is accurate and that the site and mechanism of median nerve compression have been identified. The chiropractor has all the necessary knowledge to make a good diagnosis and to direct the individual to the most appropriate interventions.