Abstract
Introduction
A carpal tunnel syndrome (CTS) education class was developed to enhance both patient care and the treatment pathway. In order to determine the efficiency and efficacy of the management of patients with CTS within a class setting, the results were assessed and reviewed over a one-year period.
Methods
Patients referred to Guys and St Thomas' Hand Therapy Department over a one-year period with CTS were provided with an appointment for the CTS class. All attendees completed an initial assessment form and a 1:1 assessment by a physiotherapist. A computer-based presentation was delivered within the class and patients were provided with prefabricated wrist splints in a neutral position and an education leaflet. Eighty-nine patients were followed up by a telephone call at six weeks and completed a telephone outcome form. A discharge letter was completed and sent to the referrer advising of the patients' outcome with further treatment recommendations if appropriate.
Results
At six-week telephone follow-up, 42 (47%) patients required no further treatment, 37 (42%) patients were recommended for further investigation, and 10 (11%) patients either had or planned to have carpal tunnel decompression.
Discussion
The new CTS class provides an efficient and effective treatment pathway for patients with CTS. It enables a comprehensive assessment and treatment application within the same session and aids early identification of other pathologies that may require intervention or appropriate onward referral.
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