Module 3 Case Study: Clinical Indications

Patient Profile: 

• Name: Linda M. 

• Age: 46 

• Occupation: Graphic Designer 

• Chief Complaint: Right wrist pain and numbness interfering with work and daily activities 

• Medical History: Raynaud’s Disease (diagnosed at age 30), mild hypertension 

• Diagnosis: Suspected Carpal Tunnel Syndrome (CTS) – confirmed via nerve conduction study 

• Onset: Gradual onset over the past 3 months; worsened over the last 3 weeks 

• Symptoms: Tingling and numbness in the thumb, index, and middle finger; pain in the volar wrist; weakness with gripping 

• Aggravating Factors: Prolonged computer use, repetitive wrist motions 

• Alleviating Factors: Wrist splint, rest 

Clinical Findings: 

• Positive Phalen’s and Tinel’s signs 

• Swelling noted over the carpal tunnel region 

• Mild decrease in wrist ROM (flexion and extension) due to pain 

• Decreased grip strength on right hand compared to left 

• No signs of skin breakdown or open wounds