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Carpal Tunnel Syndrome

Most common compressive neuropathy; due to compression of median nerve at carpal tunnel. Symptoms: nocturnal paresthesias, hand clumsiness, thenar atrophy. Tests: Phalen’s, Tinel’s, Durkan’s compression test. Investigations: Nerve conduction study (slowed conduction across wrist). Treatment: splints, NSAIDs, steroid injection, surgical release for refractory cases.