Prior to referral consider / screen to exclude:
Key Clinical Observations of concern
Patients with any of the following suspected should be sent to A&E
Urgent appointments can be made in elective Hand Clinics for patients with:
Who is most affected:
34% patients with idiopathic carpal tunnel syndrome have spontaneous improvement after 6 months.
If GP is unable to provide the options above this can be carried out within physiotherapy (PT) or occupational therapy (OT) including splinting.
Nerve conduction studies rarely required as often clinical diagnosis can be made without. However may be useful for unconfirmed symptoms.
For clinically unconfirmed Carpal Tunnel Syndrome, refer for Nerve Conduction Studies.
Carpal tunnel surgery is listed on Gloucestershire CCG's Effective Clinical Commissioning Policy. Please click on the attached link for details of access criteria and funding arrangements.