We report our experience with a carpal tunnel clinic run by a Hand Therapist, including the reasons why it was set up, the process by which it is run and the effect on our practice. 780 patients were allocated, on the basis of the general practitioner referral letter, to see a hand therapist rather than a consultant. This allowed time for detailed assessment and relieved 643 consultant clinic slots for other patients.
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References
1.
AndersenKS (1987) Ortopaedisk Kirugi. In EbskovB (Ed) Elective ambulant kirugi.Copenhagen.Munksgaard, pp. 111–113.
2.
BurkeFD (2000) Carpal tunnel syndrome: reconciling demand management with clinical need. Journal of Hand Surgery25B: 121–127.
3.
deStefanoF, NordstrumDL, VierkantRA (1997). Long-term symptom outcomes of carpal tunnel syndrome and its treatment. Journal of Hand Surgery22A: 200–210.
4.
LevineDW, SimmonsBP, KorisMJ (1993). A self-administered questionnaire for the assessment of symptoms and functional status in carpal tunnel syndrome. Journal of Bone and Joint Surgery75A: 1585–1592.
5.
NordstrumDL, deStefanoF, VierkantRA, LaydePM (1998). Incidence of diagnosed carpal tunnel syndrome in a general population. Epidemiology9: 342–345.
6.
PeckF, KennedyS, McKirdyL (2001). The introduction of practitioner-led hand clinics in South Manchester. British Journal of Hand Therapy6: 41–44.
7.
SmithNJ (2002). Nerve conduction studies for carpal tunnel syndrome: essential prelude to surgery or unnecessary luxury?Journal of Hand Surgery27B: 83–85.
