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The Journal of the American Board of Family Practice 16:533-542 (2003)
© 2003 American Board of Family Practice

Clinical Review

Carpal Tunnel Syndrome As an Occupational Disease

Stephanie Y. Kao, MD, MPH

From the Department of Occupational/Environmental Medicine, Jeanes Hospital-Temple University Health System, Philadelphia, Pennsylvania

Correspondence: Address correspondence to Stephanie Y. Kao, MD, MPH, Jeanes Physicians’ Office Building, Suite 201, 7500 Central Avenue, Philadelphia, PA 19111 (e-mail: omskao{at}yahoo.com)

Background: Symptoms related to carpal tunnel syndrome (CTS) represent common patient complaints for many primary care physicians. However, there is a surprising lack of guidelines on diagnosing occupational CTS readily accessible to primary care physicians. This article aims to fill part of that void by reviewing historical aspects of occupational CTS, leading up to more current epidemiologic studies of the association of CTS with occupational ergonomic risk factors.

Methods: The English medical literature was reviewed on the relationship between CTS and occupational ergonomic risk factors. Recent legislative initiatives are discussed. Guidelines of diagnosing and managing occupational CTS are outlined.

Results: Many studies are divided regarding whether CTS is associated with highly repetitive/forceful/vibration work. However, a subset of patients presenting with symptoms related to CTS probably has occupational CTS. These patients can be objectively diagnosed and successfully treated and are able to return to work.

Conclusions: By being armed with knowledge regarding the background of CTS and by following simple diagnosis and treatment guidelines, the family practitioner should be able to manage many patients presenting with work-related CTS.






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Copyright © 2003 by the American Board of Family Medicine.