Carpal Tunnel Syndrome: Patient Emergency Action Plan

Guidelines for Managing Acute Carpal Tunnel Symptoms

Orthopedics

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Last updated: Mar 24, 2025

When to Seek Immediate Care

Emergency Warning Signs

  • Sudden, severe pain in the wrist or hand
  • Complete loss of feeling in fingers or thumb
  • Inability to move thumb or fingers
  • Visible injury or trauma to the wrist area
  • Signs of infection (redness, warmth, swelling, fever)

Immediate Actions

Step 1: Stop Activity

  • Immediately cease any activity causing pain
  • Remove any restrictive jewelry
  • Elevate the affected hand above heart level

Step 2: Apply Ice

  • Use ice pack for 15-20 minutes
  • Wrap ice in thin towel (never apply directly to skin)
  • Repeat every 2-3 hours if needed

Step 3: Immobilize

  • If you have a wrist brace, apply it
  • Keep wrist in neutral position
  • Avoid extreme flexion or extension

Emergency Contact Information

During Office Hours

  • Call clinic: [Insert clinic phone]
  • Ask for urgent evaluation

After Hours

  • Visit nearest emergency department if severe symptoms present
  • Contact on-call physician: [Insert number]

Prevention of Future Episodes

Daily Management

  • Take prescribed medications as directed
  • Maintain proper ergonomics
  • Perform recommended exercises
  • Use splints as prescribed

Follow-up Care

  • Schedule follow-up appointment within 24-48 hours of acute episode
  • Bring symptom diary to appointment
  • Document any new or changed symptoms

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