{"id":3427,"date":"2022-10-22T15:57:55","date_gmt":"2022-10-22T15:57:55","guid":{"rendered":"https:\/\/langs.physio-pedia.com\/current-management-of-carpal-tunnel-syndrome-it\/"},"modified":"2022-10-23T09:13:49","modified_gmt":"2022-10-23T09:13:49","slug":"current-management-of-carpal-tunnel-syndrome-it","status":"publish","type":"page","link":"https:\/\/langs.physio-pedia.com\/it\/current-management-of-carpal-tunnel-syndrome-it\/","title":{"rendered":"Attuale gestione della sindrome del tunnel carpale"},"content":{"rendered":"<div class=\"mw-parser-output\">\n<div class=\"editorbox\">\n<p><b>Redattrice principale<\/b> &#8211; <a href=\"\/User:Wanda_van_Niekerk\" title=\"User:Wanda van Niekerk\">Wanda van Niekerk<\/a> sulla base del corso di <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/members.physio-pedia.com\/instructor\/loren-szmiga\/\">Loren Szmiga<\/a><\/p>\n<p><b>Contributori principali<\/b> &#8211; <a href=\"\/User:Wanda_van_Niekerk\" class=\"mw-userlink\" title=\"User:Wanda van Niekerk\"><bdi>Wanda van Niekerk<\/bdi><\/a>, <a href=\"\/User:Kim_Jackson\" class=\"mw-userlink\" title=\"User:Kim Jackson\"><bdi>Kim Jackson<\/bdi><\/a> e <a href=\"\/User:Jess_Bell\" class=\"mw-userlink\" title=\"User:Jess Bell\"><bdi>Jess Bell<\/bdi><\/a>   <\/p>\n<\/div>\n<div id=\"toc\" class=\"toc\" role=\"navigation\" aria-labelledby=\"mw-toc-heading\"><input type=\"checkbox\" role=\"button\" id=\"toctogglecheckbox\" class=\"toctogglecheckbox\" style=\"display:none\"><\/p>\n<div class=\"toctitle\" lang=\"en\" dir=\"ltr\">\n<h2 id=\"mw-toc-heading\">Contenuti<\/h2>\n<p><span class=\"toctogglespan\"><label class=\"toctogglelabel\" for=\"toctogglecheckbox\"><\/label><\/span><\/p>\n<\/div>\n<ul>\n<li class=\"toclevel-1 tocsection-1\"><a href=\"#What_is_Carpal_Tunnel_Syndrome\"><span class=\"tocnumber\">1<\/span> <span class=\"toctext\">Cos&#8217;\u00e8 la sindrome del tunnel carpale<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-2\"><a href=\"#Clinically_Relevant_Anatomy\"><span class=\"tocnumber\">2<\/span> <span class=\"toctext\">Anatomia clinicamente rilevante<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-3\"><a href=\"#Aetiology\"><span class=\"tocnumber\">3<\/span> <span class=\"toctext\">Eziologia<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-4\"><a href=\"#Pathophysiology\"><span class=\"tocnumber\">4<\/span> <span class=\"toctext\">Fisiopatologia<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-5\"><a href=\"#Clinical_Presentation\"><span class=\"tocnumber\">5<\/span> <span class=\"toctext\">Presentazione clinica<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-6\"><a href=\"#Differential_Diagnosis\"><span class=\"tocnumber\">6<\/span> <span class=\"toctext\">Diagnosi differenziale<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-7\"><a href=\"#Diagnosis_of_Carpal_Tunnel_Syndrome\"><span class=\"tocnumber\">7<\/span> <span class=\"toctext\">Diagnosi di sindrome del tunnel carpale<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-8\"><a href=\"#Physical_Examination\"><span class=\"tocnumber\">8<\/span> <span class=\"toctext\">Esame fisico<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-9\"><a href=\"#Management_of_Carpal_Tunnel_Syndrome\"><span class=\"tocnumber\">9<\/span> <span class=\"toctext\">Gestione della sindrome del tunnel carpale<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-10\"><a href=\"#Conservative_Management\"><span class=\"tocnumber\">9.1<\/span> <span class=\"toctext\">Gestione conservativa<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-11\"><a href=\"#Surgical_Management\"><span class=\"tocnumber\">9.2<\/span> <span class=\"toctext\">Gestione chirurgica<\/span><\/a>\n<ul>\n<li class=\"toclevel-3 tocsection-12\"><a href=\"#Post-Surgical_Rehabilitation\"><span class=\"tocnumber\">9.2.1<\/span> <span class=\"toctext\">Riabilitazione post-chirurgica<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-13\"><a href=\"#Final_Thoughts\"><span class=\"tocnumber\">10<\/span> <span class=\"toctext\">Conclusioni finali<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-14\"><a href=\"#References\"><span class=\"tocnumber\">11<\/span> <span class=\"toctext\">Citazioni<\/span><\/a><\/li>\n<\/ul>\n<\/div>\n<h2><span class=\"mw-headline\" id=\"What_is_Carpal_Tunnel_Syndrome\">Cos&#8217;\u00e8 la sindrome del tunnel carpale<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Current_Management_of_Carpal_Tunnel_Syndrome&amp;veaction=edit&amp;section=1\" class=\"mw-editsection-visualeditor\" title=\"Edit section: What is Carpal Tunnel Syndrome\">modifica<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Current_Management_of_Carpal_Tunnel_Syndrome&amp;action=edit&amp;section=1\" title=\"Edit section: What is Carpal Tunnel Syndrome\">fonte edit<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>La <a href=\"\/Carpal_Tunnel_Syndrome\" title=\"Carpal Tunnel Syndrome\">sindrome del tunnel carpale<\/a> (CTS) \u00e8 un intrappolamento o una compressione del <a href=\"\/Median_Nerve\" title=\"Median Nerve\">nervo mediano<\/a> a livello del polso mentre attraversa il tunnel carpale.<sup id=\"cite_ref-:3_1-0\" class=\"reference\"><a href=\"#cite_note-:3-1\">(1)<\/a><\/sup> \u00c8 la neuropatia compressiva pi\u00f9 comune ed \u00e8 pi\u00f9 frequente nelle donne.<sup id=\"cite_ref-2\" class=\"reference\"><a href=\"#cite_note-2\">(2)<\/a><\/sup> I sintomi si manifestano nel pollice, nell&#8217;indice, nel medio e nella met\u00e0 radiale dell&#8217;anulare. I primi sintomi includono:<\/p>\n<ul>\n<li>Dolore<\/li>\n<li>Intorpidimento e formicolio<\/li>\n<li>Paraestesia<\/li>\n<li>Pu\u00f2 anche provocare sintomi di bruciore<\/li>\n<\/ul>\n<h2><span class=\"mw-headline\" id=\"Clinically_Relevant_Anatomy\">Anatomia clinicamente rilevante<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Current_Management_of_Carpal_Tunnel_Syndrome&amp;veaction=edit&amp;section=2\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Clinically Relevant Anatomy\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Current_Management_of_Carpal_Tunnel_Syndrome&amp;action=edit&amp;section=2\" title=\"Edit section: Clinically Relevant Anatomy\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width:402px;\"><a href=\"\/File:Carpal_Tunnel_Syndrome_shutterstock_1956398119_resized.jpg\" class=\"image\"><img loading=\"lazy\" alt=\"\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/e\/e7\/Carpal_Tunnel_Syndrome_shutterstock_1956398119_resized.jpg\/400px-Carpal_Tunnel_Syndrome_shutterstock_1956398119_resized.jpg\" decoding=\"async\" width=\"400\" height=\"241\" class=\"thumbimage\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/e\/e7\/Carpal_Tunnel_Syndrome_shutterstock_1956398119_resized.jpg\/600px-Carpal_Tunnel_Syndrome_shutterstock_1956398119_resized.jpg 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/e\/e7\/Carpal_Tunnel_Syndrome_shutterstock_1956398119_resized.jpg\/800px-Carpal_Tunnel_Syndrome_shutterstock_1956398119_resized.jpg 2x\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><a href=\"\/File:Carpal_Tunnel_Syndrome_shutterstock_1956398119_resized.jpg\" class=\"internal\" title=\"Enlarge\"><\/a><\/div>\n<p>Anatomia del tunnel carpale<\/p>\n<\/div>\n<\/div>\n<\/div>\n<p>Alcune strutture anatomiche clinicamente rilevanti sono<sup id=\"cite_ref-:0_3-0\" class=\"reference\"><a href=\"#cite_note-:0-3\">(3)<\/a><\/sup>:<\/p>\n<ul>\n<li>Il tunnel carpale \u00e8 un canale osteofibroso a forma di &#8220;U&#8221;<\/li>\n<li>Il pavimento del tunnel \u00e8 formato dalle ossa carpali e il tetto dal retinacolo dei flessori<\/li>\n<li>Il tunnel si trova in profondit\u00e0 rispetto al <a href=\"\/Flexor_retinaculum\" title=\"Flexor retinaculum\">retinacolo dei flessori<\/a> \/ legamento carpale trasversale, tra i tubercoli dello <a href=\"\/Scaphoid\" title=\"Scaphoid\">scafoide<\/a> e del <a href=\"\/Trapezoid\" title=\"Trapezoid\">trapezio<\/a> sul lato laterale e il <a href=\"\/Pisiform\" title=\"Pisiform\">pisiforme<\/a> e l&#8217;uncino dell&#8217;<a href=\"\/Hamate\" title=\"Hamate\">uncinato<\/a> sul lato mediale<\/li>\n<li>Le quattro strutture principali che attraversano il tunnel sono:\n<ul>\n<li>Quattro tendini del <a href=\"\/Flexor_Digitorum_Superficialis\" title=\"Flexor Digitorum Superficialis\">flessore superficiale delle dita<\/a><\/li>\n<li>Quattro tendini del <a href=\"\/Flexor_Digitorum_Profundus\" title=\"Flexor Digitorum Profundus\">flessore profondo delle dita<\/a><\/li>\n<li>Un tendine del <a href=\"\/Flexor_Pollicis_Longus\" title=\"Flexor Pollicis Longus\">flessore lungo del pollice<\/a><\/li>\n<li>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width:302px;\"><a href=\"\/File:Brachial_Plexus_shutterstock_445800688_RESIZED.jpg\" class=\"image\"><img loading=\"lazy\" alt=\"\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/9\/9e\/Brachial_Plexus_shutterstock_445800688_RESIZED.jpg\/300px-Brachial_Plexus_shutterstock_445800688_RESIZED.jpg\" decoding=\"async\" width=\"300\" height=\"838\" class=\"thumbimage\" srcset=\"https:\/\/www.physio-pedia.com\/images\/9\/9e\/Brachial_Plexus_shutterstock_445800688_RESIZED.jpg 1.5x\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><a href=\"\/File:Brachial_Plexus_shutterstock_445800688_RESIZED.jpg\" class=\"internal\" title=\"Enlarge\"><\/a><\/div>\n<p>Percorso del nervo mediano<\/p>\n<\/div>\n<\/div>\n<\/div>\n<p><a href=\"\/Median_Nerve\" title=\"Median Nerve\">Nervo mediano<\/a><\/p>\n<ul>\n<li>Percorso del nervo mediano:\n<ul>\n<li>Inizia nella regione ascellare con la radice dei nervi mediani situata nei rami anteriori di C5-T1<\/li>\n<li>Il nervo mediano \u00e8 formato dai fascicoli dei cordoni mediale e laterale del <a href=\"\/Brachial_plexus\" title=\"Brachial plexus\">plesso brachiale<\/a><\/li>\n<li>Corre distalmente nel braccio accanto all&#8217;arteria brachiale fino alla met\u00e0 del braccio e scende nella fossa cubitale (parte anteriore del gomito)<\/li>\n<li>Rifornimento nervoso principale del compartimento anteriore dell&#8217;avambraccio<\/li>\n<li>Il ramo muscolare dell&#8217;avambraccio rifornisce tutti gli strati superficiali e intermedi dei flessori dell&#8217;avambraccio, ad eccezione del <a href=\"\/Flexor_Carpi_Ulnaris_Muscle\" title=\"Flexor Carpi Ulnaris Muscle\">flessore ulnare del carpo<\/a>. Questi muscoli sono:\n<ul>\n<li><a href=\"\/Pronator_Teres\" title=\"Pronator Teres\">Pronatore rotondo<\/a><\/li>\n<li><a href=\"\/Palmaris_Longus\" title=\"Palmaris Longus\">Palmare lungo<\/a><\/li>\n<li><a href=\"\/Flexor_Digitorum_Superficialis\" title=\"Flexor Digitorum Superficialis\">Flessore superficiale delle dita<\/a><\/li>\n<li><a href=\"\/Flexor_Carpi_Radialis\" title=\"Flexor Carpi Radialis\">Flessore radiale del carpo<\/a><\/li>\n<\/ul>\n<\/li>\n<li>Il ramo terminale del nervo mediano entra nella mano attraverso il tunnel carpale, insieme ai tendini del flessore profondo delle dita, del flessore superficiale delle dita e del flessore lungo del pollice<\/li>\n<li>Distalmente al tunnel carpale, il nervo alimenta cinque muscoli intrinseci nella parte dell&#8217;eminenza tenar<\/li>\n<li>Il nervo mediano fornisce sensibilit\u00e0 alla pelle a:\n<ul>\n<li>L&#8217;intera superficie palmare<\/li>\n<li>I lati delle prime tre dita<\/li>\n<li>La met\u00e0 laterale del quarto dito e<\/li>\n<li>Gli aspetti dorsali delle met\u00e0 distali di queste dita<\/li>\n<\/ul>\n<\/li>\n<li>L&#8217;innervazione dell&#8217;<a href=\"\/Thenar_and_Hypothenar_Muscles_Of_The_Hand\" title=\"Thenar and Hypothenar Muscles Of The Hand\">eminenza tenar<\/a> comprende il flessore breve del pollice, l&#8217;opponente del pollice e l&#8217;abduttore breve del pollice<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h2><span class=\"mw-headline\" id=\"Aetiology\">Eziologia<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a href=\"\/index.php?title=Current_Management_of_Carpal_Tunnel_Syndrome&amp;veaction=edit&amp;section=3\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Aetiology\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Current_Management_of_Carpal_Tunnel_Syndrome&amp;action=edit&amp;section=3\" title=\"Edit section: Aetiology\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>L&#8217;aumento della pressione nel tunnel carpale e la compressione del nervo mediano sono la causa principale della sindrome del tunnel carpale. L&#8217;eziologia della sindrome del tunnel carpale pu\u00f2 essere correlata a<sup id=\"cite_ref-:1_4-0\" class=\"reference\"><a href=\"#cite_note-:1-4\">(4)<\/a><\/sup>:<\/p>\n<ul>\n<li>Lavoro<\/li>\n<li>Stile di vita<\/li>\n<li>Lesione<\/li>\n<li>Predisposizione genetica<\/li>\n<li>Storia di movimenti ripetitivi del polso o di esposizione a vibrazioni o a movimenti angolari forti, come la digitazione (battitura), il gioco d&#8217;azzardo, il lavoro alle macchine<\/li>\n<li>Alcune condizioni specifiche potrebbero essere associate a un rischio maggiore di sviluppare la sindrome del tunnel carpale (CTS). Queste possono includere:\n<ul>\n<li><a href=\"\/Diabetes\" title=\"Diabete\">Diabete<\/a><\/li>\n<li>Gravidanza<\/li>\n<li>Obesit\u00e0<\/li>\n<li><a href=\"\/Rheumatoid_Arthritis\" title=\"Rheumatoid Arthritis\">Artrite reumatoide<\/a><\/li>\n<li>Caduta su una mano iperestesa (FOOSH): questo pu\u00f2 spostare l&#8217;osso <a href=\"\/Lunate\" title=\"Lunate\">semilunare<\/a>, il che pu\u00f2 causare una pressione nel tunnel carpale<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>La STC \u00e8 pi\u00f9 comunemente riscontrata nelle donne e si presenta di solito tra i 36 e i 60 anni<\/li>\n<\/ul>\n<h2><span class=\"mw-headline\" id=\"Pathophysiology\">Fisiopatologia<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a href=\"\/index.php?title=Current_Management_of_Carpal_Tunnel_Syndrome&amp;veaction=edit&amp;section=4\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Pathophysiology\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Current_Management_of_Carpal_Tunnel_Syndrome&amp;action=edit&amp;section=4\" title=\"Edit section: Pathophysiology\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Aumento della pressione interstiziale nel tunnel carpale dovuto a varie cause, quali:<\/p>\n<ul>\n<li>Overuse (sovraccarico) meccanico<\/li>\n<li>Osteoartrosi<\/li>\n<li>Traumi<\/li>\n<li><a href=\"\/Acromegaly\" title=\"Acromegaly\">Acromegalia<\/a><\/li>\n<\/ul>\n<p>Tutte queste cose esercitano una pressione sul nervo mediano.<\/p>\n<p>Si ipotizza che la compressione del nervo mediano porti allo sviluppo di un&#8217;ischemia locale, che potrebbe causare la demielinizzazione del nervo con conseguente comparsa dei sintomi clinici. La pressione normale nel tunnel carpale varia da 2 a 10 mmHg. Il movimento ripetitivo del polso provoca fluttuazioni nella pressione del tunnel carpale. L&#8217;estensione del polso pu\u00f2 provocare un aumento della pressione di 10 volte, mentre la flessione del polso pu\u00f2 provocare un aumento della pressione di 8 volte.<sup id=\"cite_ref-:1_4-1\" class=\"reference\"><a href=\"#cite_note-:1-4\">(4)<\/a><\/sup> <\/p>\n<h2><span class=\"mw-headline\" id=\"Clinical_Presentation\">Presentazione clinica<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Current_Management_of_Carpal_Tunnel_Syndrome&amp;veaction=edit&amp;section=5\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Clinical Presentation\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Current_Management_of_Carpal_Tunnel_Syndrome&amp;action=edit&amp;section=5\" title=\"Edit section: Clinical Presentation\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<ul>\n<li>I sintomi possono svilupparsi gradualmente nel corso di mesi, anni o decenni<sup id=\"cite_ref-:2_5-0\" class=\"reference\"><a href=\"#cite_note-:2-5\">(5)<\/a><\/sup><\/li>\n<li>I sintomi potrebbero insorgere spontaneamente, ma non comunemente<sup id=\"cite_ref-:2_5-1\" class=\"reference\"><a href=\"#cite_note-:2-5\">(5)<\/a><\/sup><\/li>\n<li>Intorpidimento<\/li>\n<li>Formicolio o sensazione di spilli e aghi nella distribuzione del nervo mediano della mano (pollice, indice, medio e met\u00e0 radiale dell&#8217;anulare)<\/li>\n<li>I sintomi sono peggiori di notte o al mattino presto (lamentele di dolore bruciante notturno) e sono alleviati dallo scuotimento della mano<sup id=\"cite_ref-:2_5-2\" class=\"reference\"><a href=\"#cite_note-:2-5\">(5)<\/a><\/sup><\/li>\n<li>Con l&#8217;aggravarsi dei sintomi, il dolore e l&#8217;intorpidimento intermittente potrebbero essere avvertiti durante le attivit\u00e0 diurne, come guidare, sollevare, lavorare al computer<\/li>\n<li>Aumento dei sintomi con la presa statica di oggetti come il telefono o il volante<\/li>\n<li>Con il progredire dei sintomi, potrebbero essere riportati un aumento del formicolio e dell&#8217;intorpidimento e un dolore bruciante alla mano<sup id=\"cite_ref-:0_3-1\" class=\"reference\"><a href=\"#cite_note-:0-3\">(3)<\/a><\/sup><\/li>\n<li>Se i sintomi non vengono trattati, i pazienti possono lamentare dolore costante, gonfiore della mano, difficolt\u00e0 nel controllo motorio, debolezza e atrofia visibile dell&#8217;eminenza tenar<sup id=\"cite_ref-:0_3-2\" class=\"reference\"><a href=\"#cite_note-:0-3\">(3)<\/a><\/sup><\/li>\n<li>Potrebbe essere presente anche una deprivazione sensoriale, con conseguente goffaggine, debolezza, perdita della forza di presa e di stretta<sup id=\"cite_ref-:2_5-3\" class=\"reference\"><a href=\"#cite_note-:2-5\">(5)<\/a><\/sup><\/li>\n<\/ul>\n<h2><span class=\"mw-headline\" id=\"Differential_Diagnosis\">Diagnosi differenziale<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Current_Management_of_Carpal_Tunnel_Syndrome&amp;veaction=edit&amp;section=6\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Differential Diagnosis\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Current_Management_of_Carpal_Tunnel_Syndrome&amp;action=edit&amp;section=6\" title=\"Edit section: Differential Diagnosis\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Il processo di diagnosi differenziale dovrebbe considerare tutte le condizioni che potrebbero potenzialmente causare disfunzioni del nervo mediano, del plesso brachiale, dei sistemi di radici nervose da C5 a C8 e del sistema nervoso centrale.<sup id=\"cite_ref-:4_6-0\" class=\"reference\"><a href=\"#cite_note-:4-6\">(6)<\/a><\/sup> Le condizioni da considerare possono includere<sup id=\"cite_ref-:4_6-1\" class=\"reference\"><a href=\"#cite_note-:4-6\">(6)<\/a><\/sup>:<\/p>\n<ul>\n<li>Sindrome del pronatore rotondo<\/li>\n<li><a href=\"\/Anterior_Interosseous_Nerve_Syndrome\" title=\"Anterior Interosseous Nerve Syndrome\">Sindrome del nervo interosseo anteriore<\/a><\/li>\n<li>Sindromi cervico-brachiali<\/li>\n<li>Lesione dei nervi digitali del palmo della mano<\/li>\n<li>Artrite carpometacarpale del pollice<\/li>\n<li>Radicolopatia cervicale<\/li>\n<li><a href=\"\/De_Quervain%27s_Tenosynovitis\" title=\"De Quervain's Tenosynovitis\">Tenosinovite di De Quervain<\/a><\/li>\n<li>Neuropatia periferica<\/li>\n<li><a href=\"\/Raynaud%27s_Phenomenon\" title=\"Raynaud's Phenomenon\">Sindrome di Raynaud<\/a><\/li>\n<li>Neuropatia compressiva ulnare<sup id=\"cite_ref-7\" class=\"reference\"><a href=\"#cite_note-7\">(7)<\/a><\/sup><\/li>\n<\/ul>\n<h2><span class=\"mw-headline\" id=\"Diagnosis_of_Carpal_Tunnel_Syndrome\">Diagnosi di sindrome del tunnel carpale<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Current_Management_of_Carpal_Tunnel_Syndrome&amp;veaction=edit&amp;section=7\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Diagnosis of Carpal Tunnel Syndrome\">modifica<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Current_Management_of_Carpal_Tunnel_Syndrome&amp;action=edit&amp;section=7\" title=\"Edit section: Diagnosis of Carpal Tunnel Syndrome\">fonte edit<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>La valutazione elettrofisica (ossia gli studi di conduzione nervosa) pu\u00f2 misurare ed esaminare la disfunzione del nervo mediano. \u00c8 utile nella diagnosi della sindrome del tunnel carpale per valutare la funzione del nervo e quantificare il danno al nervo.<sup id=\"cite_ref-:3_1-1\" class=\"reference\"><a href=\"#cite_note-:3-1\">(1)<\/a><\/sup><\/p>\n<p>Nella letteratura recente c&#8217;\u00e8 un dibattito: i tradizionalisti sostengono che gli studi di conduzione nervosa siano il gold standard per la conferma della diagnosi di sindrome del tunnel carpale, mentre i contemporanei sostengono che la diagnosi sia possibile sulla base dei sintomi clinici. Inoltre, anche tra i tradizionalisti favorevoli ai test di conduzione nervosa, non sembra esserci consenso sulla singola tecnica migliore da utilizzare.<sup id=\"cite_ref-:0_3-3\" class=\"reference\"><a href=\"#cite_note-:0-3\">(3)<\/a><\/sup><\/p>\n<p>L&#8217;ecografia neuromuscolare \u00e8 uno strumento prezioso per indagare la sindrome del tunnel carpale, in quanto fornisce informazioni sulla morfologia del nervo mediano e sulle strutture circostanti.<sup id=\"cite_ref-8\" class=\"reference\"><a href=\"#cite_note-8\">(8)<\/a><\/sup> Recenti ricerche evidenziano che (sulla base del consenso degli esperti) la combinazione di elettrodiagnosi ed ecografia \u00e8 pi\u00f9 efficace rispetto all&#8217;utilizzo di una sola delle due modalit\u00e0. Nei casi in cui gli studi elettrodiagnostici siano normali o non siano in grado di localizzare la sospetta sindrome del tunnel carpale, l&#8217;ecografia pu\u00f2 aggiungere valore.<sup id=\"cite_ref-9\" class=\"reference\"><a href=\"#cite_note-9\">(9)<\/a><\/sup><\/p>\n<p>La risonanza magnetica (RM) sta diventando sempre pi\u00f9 popolare come strumento diagnostico per la sindrome del tunnel carpale. Pu\u00f2 definire i limiti pi\u00f9 profondi e laterali del tunnel carpale in modo pi\u00f9 dettagliato rispetto all&#8217;ecografia. \u00c8 stato inoltre dimostrato che fornisce informazioni oggettive e accurate sull&#8217;anatomia e sulle patologie del tunnel carpale.<sup id=\"cite_ref-10\" class=\"reference\"><a href=\"#cite_note-10\">(10)<\/a><\/sup><\/p>\n<p>Si raccomanda una radiografia per escludere altre cause di dolore al polso o patologie ossee.<sup id=\"cite_ref-11\" class=\"reference\"><a href=\"#cite_note-11\">(11)<\/a><\/sup> <\/p>\n<h2><span class=\"mw-headline\" id=\"Physical_Examination\">Esame obiettivo<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Current_Management_of_Carpal_Tunnel_Syndrome&amp;veaction=edit&amp;section=8\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Physical Examination\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Current_Management_of_Carpal_Tunnel_Syndrome&amp;action=edit&amp;section=8\" title=\"Edit section: Physical Examination\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>La localizzazione dei sintomi \u00e8 fondamentale per la diagnosi.<sup id=\"cite_ref-:5_12-0\" class=\"reference\"><a href=\"#cite_note-:5-12\">(12)<\/a><\/sup><\/p>\n<ul>\n<li>Test di compressione carpale\n<ul>\n<li>Applicare una pressione decisa direttamente sul tunnel carpale per 30 secondi<\/li>\n<li>Il test \u00e8 positivo quando vengono riprodotti parestesia, dolore o altri sintomi<\/li>\n<li>Ulteriori informazioni sono disponibili qui: <a href=\"\/Carpal_Compression_Test\" title=\"Carpal Compression Test\">Test di compressione carpale<\/a><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<div class=\"cr-embed-video thumb embedvideo autoResize\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\"><iframe loading=\"lazy\" src=\"\/\/player.vimeo.com\/video\/84104006\" width=\"640\" height=\"493\" frameborder=\"0\" allowfullscreen=\"true\" class=\"embed-responsive-item\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<div class=\"pp-cr-caption\">\n<p>Video del test di compressione carpale fornito da <a href=\"http:\/\/clinicallyrelevant.com\/\" target=\"_blank\" rel=\"noopener\">Clinically Relevant<\/a><\/p>\n<\/div>\n<ul>\n<li>Test di Phalen\n<ul>\n<li>Chiedere al paziente di flettere completamente i polsi unendo le superfici dorsali di entrambe le mani per 30-60 secondi<\/li>\n<li>Il test \u00e8 positivo quando vengono riprodotti i sintomi (intorpidimento, formicolio, dolore)<\/li>\n<li>Ulteriori informazioni sono disponibili qui: <a href=\"\/Phalen%E2%80%99s_Test\" title=\"Phalen\u2019s Test\">Test di Phalen<\/a><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Test di Phalen inverso\n<ul>\n<li>Chiedere al paziente di estendere completamente i polsi unendo i palmi di entrambe le mani per 30-60 secondi<\/li>\n<li>Il test \u00e8 positivo quando quando vengono riprodotti i sintomi<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<div class=\"row\">\n<div class=\"col-md-6\">\n<div class=\"thumb embedvideo autoResize\" style=\"width: 258px;\">\n<div class=\"embedvideo autoResize\" style=\"\">\n<div class=\"embedvideowrap\" style=\"width: 250px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/EdC5QQV6A8w?\" width=\"250\" height=\"141\" frameborder=\"0\" allowfullscreen=\"true\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<div class=\"text-right\"><sup id=\"cite_ref-13\" class=\"reference\"><a href=\"#cite_note-13\">(13)<\/a><\/sup><\/div>\n<\/div>\n<div class=\"col-md-6\">\n<div class=\"thumb embedvideo autoResize\" style=\"width: 258px;\">\n<div class=\"embedvideo autoResize\" style=\"\">\n<div class=\"embedvideowrap\" style=\"width: 250px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/5Fc8oDOPOmY?\" width=\"250\" height=\"141\" frameborder=\"0\" allowfullscreen=\"true\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<div class=\"text-right\"><sup id=\"cite_ref-14\" class=\"reference\"><a href=\"#cite_note-14\">(14)<\/a><\/sup><\/div>\n<\/div>\n<\/div>\n<ul>\n<li>Segno di Tinel\n<ul>\n<li>Il test viene eseguito picchiettando delicatamente sul nervo mediano per 30 secondi per riprodurre i sintomi<\/li>\n<li>Ulteriori informazioni sono disponibili qui: <a href=\"\/Tinel%E2%80%99s_Test\" title=\"Tinel\u2019s Test\">Segno di Tinel<\/a><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<div class=\"thumb embedvideo autoResize\" style=\"width: 308px;\">\n<div class=\"embedvideo autoResize\" style=\"\">\n<div class=\"embedvideowrap\" style=\"width: 300px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/UgV71aUIgLo?\" width=\"300\" height=\"169\" frameborder=\"0\" allowfullscreen=\"true\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<p><sup id=\"cite_ref-15\" class=\"reference\"><a href=\"#cite_note-15\">(15)<\/a><\/sup><\/p>\n<ul>\n<li>Per saperne di pi\u00f9 su altri test per l&#8217;esame obiettivo, leggete qui: <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.physio-pedia.com\/Carpal_Tunnel_Syndrome?utm_source=physiopedia&amp;utm_medium=search&amp;utm_campaign=ongoing_internal#Physical_Examination\">Esame obiettivo della sindrome del tunnel carpale<\/a><\/li>\n<\/ul>\n<div class=\"thumb embedvideo autoResize\" style=\"width: 308px;\">\n<div class=\"embedvideo autoResize\" style=\"\">\n<div class=\"embedvideowrap\" style=\"width: 300px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/3JPJcnFaPhU?\" width=\"300\" height=\"169\" frameborder=\"0\" allowfullscreen=\"true\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<p><sup id=\"cite_ref-16\" class=\"reference\"><a href=\"#cite_note-16\">(16)<\/a><\/sup><\/p>\n<h2><span class=\"mw-headline\" id=\"Management_of_Carpal_Tunnel_Syndrome\">Gestione della sindrome del tunnel carpale<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Current_Management_of_Carpal_Tunnel_Syndrome&amp;veaction=edit&amp;section=9\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Management of Carpal Tunnel Syndrome\">modifica<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Current_Management_of_Carpal_Tunnel_Syndrome&amp;action=edit&amp;section=9\" title=\"Edit section: Management of Carpal Tunnel Syndrome\">modifica fonte<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<h3><span class=\"mw-headline\" id=\"Conservative_Management\">Gestione conservativa<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Current_Management_of_Carpal_Tunnel_Syndrome&amp;veaction=edit&amp;section=10\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Conservative Management\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Current_Management_of_Carpal_Tunnel_Syndrome&amp;action=edit&amp;section=10\" title=\"Edit section: Conservative Management\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<ul>\n<li>Ortesi per il controllo del polso &#8211; blocca il movimento di estensione e flessione del polso, riducendo la compressione del tunnel carpale<sup id=\"cite_ref-:6_17-0\" class=\"reference\"><a href=\"#cite_note-:6-17\">(17)<\/a><\/sup>\n<ul>\n<li>I pazienti indossano questa ortesi soprattutto di notte<sup id=\"cite_ref-:6_17-1\" class=\"reference\"><a href=\"#cite_note-:6-17\">(17)<\/a><\/sup><\/li>\n<\/ul>\n<\/li>\n<li>Modifica delle attivit\u00e0 &#8211; educare i pazienti su come modificare le attivit\u00e0 quotidiane ed evitare le posizioni che causano una maggiore compressione del nervo<sup id=\"cite_ref-:5_12-1\" class=\"reference\"><a href=\"#cite_note-:5-12\">(12)<\/a><\/sup><\/li>\n<li>Educazione sull&#8217;ergonomia<sup id=\"cite_ref-18\" class=\"reference\"><a href=\"#cite_note-18\">(18)<\/a><\/sup><\/li>\n<li>Altezza della scrivania e della tastiera\n<ul>\n<li>Allineamento di gomito, polso e dita<\/li>\n<\/ul>\n<\/li>\n<li>Farmaci\n<ul>\n<li>Farmaci antinfiammatori non steroidei<\/li>\n<li>Steroidi orali<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Iniezioni di corticosteroidi<sup id=\"cite_ref-:6_17-2\" class=\"reference\"><a href=\"#cite_note-:6-17\">(17)<\/a><\/sup>\n<ul>\n<li>A discrezione del medico curante<\/li>\n<\/ul>\n<\/li>\n<li>Tecniche neurodinamiche\n<ul>\n<li>Possono migliorare il dolore a breve termine e lo stato funzionale nei soggetti affetti da sindrome del tunnel carpale<sup id=\"cite_ref-:7_19-0\" class=\"reference\"><a href=\"#cite_note-:7-19\">(19)<\/a><\/sup><\/li>\n<li>Le tecniche neurodinamiche sono pi\u00f9 efficaci degli interventi di elettroterapia per migliorare la funzione e pi\u00f9 efficaci della chirurgia per migliorare il dolore<sup id=\"cite_ref-:7_19-1\" class=\"reference\"><a href=\"#cite_note-:7-19\">(19)<\/a><\/sup><\/li>\n<li>Leggete qui la revisione sistematica: <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.researchgate.net\/publication\/356275601_Short-term_Effects_of_Neurodynamic_Techniques_for_Treating_Carpal_Tunnel_Syndrome_A_Systematic_Review_With_Meta-analysis\/link\/61af1e7fc11c103836979c9b\/download\">Effetti a breve termine delle tecniche neurodinamiche per il trattamento della sindrome del tunnel carpale: una revisione sistematica con meta-analisi.<\/a><sup id=\"cite_ref-:7_19-2\" class=\"reference\"><a href=\"#cite_note-:7-19\">(19)<\/a><\/sup><\/li>\n<li>Per saperne di pi\u00f9 sulle tecniche di neurodinamica del nervo mediano, leggete qui: <a href=\"\/Neurodynamic_Treatment\" title=\"Neurodynamic Treatment\">Trattamento neurodinamico<\/a><\/li>\n<\/ul>\n<\/li>\n<li>Terapia con esercizio fisico e tecniche di mobilizzazione\n<ul>\n<li>I ricercatori sostengono che gli esercizi di scorrimento (gliding) potrebbero migliorare i sintomi.<sup id=\"cite_ref-:8_20-0\" class=\"reference\"><a href=\"#cite_note-:8-20\">(20)<\/a><\/sup> La teoria a sostegno \u00e8 che gli esercizi di scorrimento potrebbero prevenire o allungare le aderenze intorno ai tendini e al nervo mediano, riducendo cos\u00ec l&#8217;edema e aumentando il ritorno venoso. Ci\u00f2 potrebbe comportare una riduzione della pressione nel tunnel carpale.<sup id=\"cite_ref-:8_20-1\" class=\"reference\"><a href=\"#cite_note-:8-20\">(20)<\/a><\/sup><\/li>\n<li>Esempi di esercizi di scorrimento dei tendini sono illustrati di seguito nella sezione sulla gestione chirurgica<\/li>\n<li>Esistono prove contrastanti sull&#8217;efficacia degli esercizi di scorrimento dei tendini come gestione conservativa. Le ragioni di questo potrebbero essere la qualit\u00e0 metodologica degli studi e il fatto che l&#8217;intervento di terapia basata sull&#8217;esercizio fisico \u00e8 spesso applicato e valutato in associazione ad altri approcci gestionali.<sup id=\"cite_ref-21\" class=\"reference\"><a href=\"#cite_note-21\">(21)<\/a><\/sup> Una revisione di Cochrane (2012)<sup id=\"cite_ref-:9_22-0\" class=\"reference\"><a href=\"#cite_note-:9-22\">(22)<\/a><\/sup>ha riportato evidenze limitate per giustificare l&#8217;uso di tecniche di esercizio e mobilizzazione come intervento conservativo per la sindrome del tunnel carpale, ma gli autori hanno suggerito che il processo decisionale e la considerazione per l&#8217;uso di tecniche di esercizio e mobilizzazione come intervento dovrebbero essere basati sull&#8217;esperienza del medico e sulle preferenze del paziente.<sup id=\"cite_ref-:9_22-1\" class=\"reference\"><a href=\"#cite_note-:9-22\">(22)<\/a><\/sup><\/li>\n<\/ul>\n<\/li>\n<li>Per saperne di pi\u00f9: <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.scielo.br\/j\/anp\/a\/LtyNnDmxCGYQGzk5fzQ6byB\/?lang=en\">Gestione terapeutica conservativa della sindrome del tunnel carpale<\/a><sup id=\"cite_ref-:8_20-2\" class=\"reference\"><a href=\"#cite_note-:8-20\">(20)<\/a><\/sup><\/li>\n<\/ul>\n<h3><span class=\"mw-headline\" id=\"Surgical_Management\">Gestione chirurgica<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Current_Management_of_Carpal_Tunnel_Syndrome&amp;veaction=edit&amp;section=11\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Surgical Management\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Current_Management_of_Carpal_Tunnel_Syndrome&amp;action=edit&amp;section=11\" title=\"Edit section: Surgical Management\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>Intervento chirurgico a cielo aperto o endoscopico in cui il legamento trasverso viene tagliato e crea spazio nel tunnel carpale, riducendo la pressione sul nervo mediano.<sup id=\"cite_ref-23\" class=\"reference\"><a href=\"#cite_note-23\">(23)<\/a><\/sup><\/p>\n<h4><span class=\"mw-headline\" id=\"Post-Surgical_Rehabilitation\">Riabilitazione post-chirurgica<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Current_Management_of_Carpal_Tunnel_Syndrome&amp;veaction=edit&amp;section=12\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Post-Surgical Rehabilitation\">modifica<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Current_Management_of_Carpal_Tunnel_Syndrome&amp;action=edit&amp;section=12\" title=\"Edit section: Post-Surgical Rehabilitation\">fonte edit<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<ul>\n<li>Gli esercizi sono finalizzati a ridurre la rigidit\u00e0<\/li>\n<li>La terapia \u00e8 di breve durata, poich\u00e9 i tempi di recupero sono rapidi dopo l&#8217;intervento<sup id=\"cite_ref-:5_12-2\" class=\"reference\"><a href=\"#cite_note-:5-12\">(12)<\/a><\/sup><\/li>\n<li>Abduzione e adduzione delle dita\n<ul>\n<li>Fa lavorare i muscoli intrinseci<\/li>\n<\/ul>\n<\/li>\n<li>Scorrimenti (glides) del tendine<sup id=\"cite_ref-24\" class=\"reference\"><a href=\"#cite_note-24\">(24)<\/a><\/sup>\n<ul>\n<li>Favoriscono l&#8217;escursione del flessore profondo delle dita e del flessore superficiale delle dita<sup id=\"cite_ref-:5_12-3\" class=\"reference\"><a href=\"#cite_note-:5-12\">(12)<\/a><\/sup><\/li>\n<li>Mano dritta<\/li>\n<li>Pugno a uncino<\/li>\n<li>Pugno pieno<\/li>\n<li>Pugno dritto con le dita che toccano il palmo della mano<\/li>\n<li>Posizione a tavolo<\/li>\n<li>Ritorno alla mano dritta<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<div class=\"center\">\n<div class=\"thumb tnone\">\n<div class=\"thumbinner\" style=\"width:452px;\"><a href=\"\/File:Finger_Tendon_glides.png\" class=\"image\"><img loading=\"lazy\" alt=\"\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/a\/a9\/Finger_Tendon_glides.png\/450px-Finger_Tendon_glides.png\" decoding=\"async\" width=\"450\" height=\"163\" class=\"thumbimage\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/a\/a9\/Finger_Tendon_glides.png\/675px-Finger_Tendon_glides.png 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/a\/a9\/Finger_Tendon_glides.png\/900px-Finger_Tendon_glides.png 2x\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><a href=\"\/File:Finger_Tendon_glides.png\" class=\"internal\" title=\"Enlarge\"><\/a><\/div>\n<p>Esercizi di scorrimento (glide) del tendine per le dita. ((A) dritto; (B) uncino; (C) pugno; (D) pugno dritto; (E) tavolo).<sup id=\"cite_ref-25\" class=\"reference\"><a href=\"#cite_note-25\">(25)<\/a><\/sup><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"thumb embedvideo autoResize\" style=\"width: 308px;\">\n<div class=\"embedvideo autoResize\" style=\"\">\n<div class=\"embedvideowrap\" style=\"width: 300px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/_myr1Pl0l4o?\" width=\"300\" height=\"169\" frameborder=\"0\" allowfullscreen=\"true\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<p><sup id=\"cite_ref-26\" class=\"reference\"><a href=\"#cite_note-26\">(26)<\/a><\/sup><\/p>\n<ul>\n<li>Dosaggio degli esercizi di scorrimento (glide) del tendine<sup id=\"cite_ref-:5_12-4\" class=\"reference\"><a href=\"#cite_note-:5-12\">(12)<\/a><\/sup>\n<ul>\n<li>Il paziente ripete gli scorrimenti del tendine da 3 a 5 volte<\/li>\n<li>La rigidit\u00e0 determina il numero di volte al giorno in cui i pazienti dovrebbero eseguire gli scorrimenti del tendine\n<ul>\n<li>Molta rigidit\u00e0 dopo l&#8217;intervento: eseguire gli scorrimenti del tendine da 6 a 8 volte al giorno<\/li>\n<li>Rigidit\u00e0 minima: eseguire gli scorrimenti del tendine da 1 a 3 volte al giorno<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Blocco delle dita\n<ul>\n<li>Se il paziente presenta rigidit\u00e0 dopo l&#8217;intervento, il blocco delle dita potrebbe contribuire ad aumentare il movimento<sup id=\"cite_ref-:5_12-5\" class=\"reference\"><a href=\"#cite_note-:5-12\">(12)<\/a><\/sup><\/li>\n<li>Ad esempio, se il paziente presenta una rigidit\u00e0 nelle articolazioni interfalangee prossimali (PIP) o interfalangee distali (DIP)\n<ul>\n<li>Il paziente blocca l&#8217;articolazione sottostante con l&#8217;altra mano ed esegue il movimento<\/li>\n<li>Questo costringe il movimento a passare attraverso l&#8217;articolazione rigida<\/li>\n<li>Il paziente ripete questa operazione per 5 volte, tenendo per 5 secondi<\/li>\n<li>Questo esercizio pu\u00f2 essere eseguito con un dito alla volta o con tutte le dita insieme, a seconda delle articolazioni che hanno un movimento ridotto<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<div class=\"row\">\n<div class=\"col-md-6\">\n<div class=\"thumb embedvideo autoResize\" style=\"width: 258px;\">\n<div class=\"embedvideo autoResize\" style=\"\">\n<div class=\"embedvideowrap\" style=\"width: 250px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/hvrD9FSzlik?\" width=\"250\" height=\"141\" frameborder=\"0\" allowfullscreen=\"true\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<div class=\"text-right\"><sup id=\"cite_ref-27\" class=\"reference\"><a href=\"#cite_note-27\">(27)<\/a><\/sup><\/div>\n<\/div>\n<div class=\"col-md-6\">\n<div class=\"thumb embedvideo autoResize\" style=\"width: 258px;\">\n<div class=\"embedvideo autoResize\" style=\"\">\n<div class=\"embedvideowrap\" style=\"width: 250px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/5qRb3ht3zsA?\" width=\"250\" height=\"141\" frameborder=\"0\" allowfullscreen=\"true\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<div class=\"text-right\"><sup id=\"cite_ref-28\" class=\"reference\"><a href=\"#cite_note-28\">(28)<\/a><\/sup><\/div>\n<\/div>\n<\/div>\n<ul>\n<li>Opposizione del pollice\n<ul>\n<li>Consente il movimento del flessore lungo del pollice<\/li>\n<li>Il paziente tocca il pollice con il quinto dito &#8211; opposizione del pollice<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<div class=\"thumb embedvideo autoResize\" style=\"width: 308px;\">\n<div class=\"embedvideo autoResize\" style=\"\">\n<div class=\"embedvideowrap\" style=\"width: 300px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/BSyip8aUsqI?\" width=\"300\" height=\"169\" frameborder=\"0\" allowfullscreen=\"true\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<p><sup id=\"cite_ref-29\" class=\"reference\"><a href=\"#cite_note-29\">(29)<\/a><\/sup><\/p>\n<h2><span class=\"mw-headline\" id=\"Final_Thoughts\">Considerazioni finali<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Current_Management_of_Carpal_Tunnel_Syndrome&amp;veaction=edit&amp;section=13\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Final Thoughts\">modifica<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Current_Management_of_Carpal_Tunnel_Syndrome&amp;action=edit&amp;section=13\" title=\"Edit section: Final Thoughts\">modifica fonte<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<ul>\n<li>La durata prolungata dei sintomi senza trattamento porta a cambiamenti irreversibili e all&#8217;atrofia del muscolo thenar<\/li>\n<\/ul>\n<ul>\n<li>Un trattamento rapido e corretto \u00e8 quindi fondamentale<\/li>\n<li>Date un&#8217;occhiata a questo articolo: <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.jospt.org\/doi\/epdf\/10.2519\/jospt.2019.0501\">Sindrome del tunnel carpale: una sintesi delle raccomandazioni dalle linee guida per la pratica clinica &#8211; Utilizzare le evidenze per orientare la pratica del fisioterapista<\/a><sup id=\"cite_ref-30\" class=\"reference\"><a href=\"#cite_note-30\">(30)<\/a><\/sup><\/li>\n<\/ul>\n<h2><span class=\"mw-headline\" id=\"References\">Citazioni<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a href=\"\/index.php?title=Current_Management_of_Carpal_Tunnel_Syndrome&amp;veaction=edit&amp;section=14\" class=\"mw-editsection-visualeditor\" title=\"Edit section: References\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Current_Management_of_Carpal_Tunnel_Syndrome&amp;action=edit&amp;section=14\" title=\"Edit section: References\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<div class=\"mw-references-wrap mw-references-columns\">\n<ol class=\"references\">\n<li id=\"cite_note-:3-1\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:3_1-0\">1.0<\/a><\/sup> <sup><a href=\"#cite_ref-:3_1-1\">1.1<\/a><\/sup><\/span> <span class=\"reference-text\">Padua L, Coraci D, Erra C, Pazzaglia C, Paolasso I, Loreti C, Caliandro P, Hobson-Webb LD. Carpal tunnel syndrome: clinical features, diagnosis, and management. The Lancet Neurology. 2016 Nov 1;15(12):1273-84.<\/span><\/li>\n<li id=\"cite_note-2\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-2\">\u2191<\/a><\/span> <span class=\"reference-text\">Ostergaard PJ, Meyer MA, Earp BE. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC7174467\/pdf\/12178_2020_Article_9616.pdf\">Non-operative treatment of carpal tunnel syndrome.<\/a> Current reviews in musculoskeletal medicine. 2020 Apr;13(2):141-7.<\/span><\/li>\n<li id=\"cite_note-:0-3\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:0_3-0\">3.0<\/a><\/sup> <sup><a href=\"#cite_ref-:0_3-1\">3.1<\/a><\/sup> <sup><a href=\"#cite_ref-:0_3-2\">3.2<\/a><\/sup> <sup><a href=\"#cite_ref-:0_3-3\">3.3<\/a><\/sup><\/span> <span class=\"reference-text\">Urits I, Gress K, Charipova K, Orhurhu V, Kaye AD, Viswanath O. Recent advances in the understanding and management of carpal tunnel syndrome: a comprehensive review. Current pain and headache reports. 2019 Oct;23(10):1-8.<\/span><\/li>\n<li id=\"cite_note-:1-4\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:1_4-0\">4.0<\/a><\/sup> <sup><a href=\"#cite_ref-:1_4-1\">4.1<\/a><\/sup><\/span> <span class=\"reference-text\">Osiak K, Elnazir P, Walocha JA, Pasternak A. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/journals.viamedica.pl\/folia_morphologica\/article\/view\/FM.a2021.0121\/64749\">Carpal tunnel syndrome: state-of-the-art review.<\/a> Folia Morphologica. 2021 Nov 9.<\/span><\/li>\n<li id=\"cite_note-:2-5\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:2_5-0\">5.0<\/a><\/sup> <sup><a href=\"#cite_ref-:2_5-1\">5.1<\/a><\/sup> <sup><a href=\"#cite_ref-:2_5-2\">5.2<\/a><\/sup> <sup><a href=\"#cite_ref-:2_5-3\">5.3<\/a><\/sup><\/span> <span class=\"reference-text\">Wang L. 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Clinical Neurophysiology. 2022 Jan 6.<\/span><\/li>\n<li id=\"cite_note-10\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-10\">\u2191<\/a><\/span> <span class=\"reference-text\">Vo NQ, Nguyen DD, Hoang NT, Ngo DH, Nguyen TH, Trong BL, Le NT, Thanh TN. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.researchgate.net\/profile\/Thao-Nguyen-Thanh\/publication\/360041860_Magnetic_resonance_imaging_as_a_first-choice_imaging_modality_in_carpal_tunnel_syndrome_new_evidence\/links\/625fbbff9be52845a911d504\/Magnetic-resonance-imaging-as-a-first-choice-imaging-modality-in-carpal-tunnel-syndrome-new-evidence.pdf\">Magnetic resonance imaging as a first-choice imaging modality in carpal tunnel syndrome: new evidence<\/a>. Acta Radiologica. 2022 Apr 18:02841851221094227.<\/span><\/li>\n<li id=\"cite_note-11\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-11\">\u2191<\/a><\/span> <span class=\"reference-text\">Chammas M, Boretto J, Burmann LM, Ramos RM, Neto FCS, Silva JB. Carpal tunnel syndrome \u2013 part 1 (anatomy, physiology, etiology and diagnosis). Revista brasileira de Ortopedia (English edition) 2014 September-October; 49 (5):429-436.<\/span><\/li>\n<li id=\"cite_note-:5-12\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:5_12-0\">12.0<\/a><\/sup> <sup><a href=\"#cite_ref-:5_12-1\">12.1<\/a><\/sup> <sup><a href=\"#cite_ref-:5_12-2\">12.2<\/a><\/sup> <sup><a href=\"#cite_ref-:5_12-3\">12.3<\/a><\/sup> <sup><a href=\"#cite_ref-:5_12-4\">12.4<\/a><\/sup> <sup><a href=\"#cite_ref-:5_12-5\">12.5<\/a><\/sup><\/span> <span class=\"reference-text\">Szmiga, L. Carpal Tunnel Syndrome. Course. 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Available from: <a rel=\"nofollow\" class=\"external free\" href=\"https:\/\/www.youtube.com\/watch?v=5Fc8oDOPOmY\">https:\/\/www.youtube.com\/watch?v=5Fc8oDOPOmY<\/a> (last accessed 20\/6\/2022)<\/span><\/li>\n<li id=\"cite_note-15\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-15\">\u2191<\/a><\/span> <span class=\"reference-text\">Tim Fraticelli. PT Progress. Tinel&#8217;s Sign for Carpal Tunnel Syndrome. Available from: <a rel=\"nofollow\" class=\"external free\" href=\"https:\/\/www.youtube.com\/watch?v=UgV71aUIgLo\">https:\/\/www.youtube.com\/watch?v=UgV71aUIgLo<\/a> (last accessed 20\/06\/2022)<\/span><\/li>\n<li id=\"cite_note-16\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-16\">\u2191<\/a><\/span> <span class=\"reference-text\">BMJ Learning. Tests for carpal tunnel syndrome. 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Strategies for the prevention of carpal tunnel syndrome in the workplace: A systematic review. 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The Journal of orthopaedic and sports physical therapy.;49(5):359-60.<\/span><\/li>\n<\/ol>\n<\/div>\n<p><!-- NewPP limit report Cached time: 20221018143529 Cache expiry: 0 Dynamic content: true Complications: () CPU time usage: 0.151 seconds Real time usage: 0.166 seconds Preprocessor visited node count: 560\/1000000 Post\u2010expand include size: 286\/2097152 bytes Template argument size: 0\/2097152 bytes Highest expansion depth: 3\/40 Expensive parser function count: 0\/100 Unstrip recursion depth: 0\/20 Unstrip post\u2010expand size: 21212\/5000000 bytes --><br \/>\n<!-- Transclusion expansion time report (%,ms,calls,template) 100.00% 15.341 1 Special:Contributors\/Current_Management_of_Carpal_Tunnel_Syndrome 100.00% 15.341 1 -total --><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Redattrice principale &#8211; Wanda van Niekerk sulla base del corso di Loren Szmiga Contributori principali &#8211; Wanda van Niekerk, Kim Jackson e Jess Bell Contenuti 1 Cos&#8217;\u00e8 la sindrome del tunnel carpale 2 Anatomia clinicamente rilevante 3 Eziologia 4 Fisiopatologia 5 Presentazione clinica 6 Diagnosi differenziale 7 Diagnosi di sindrome del tunnel carpale 8 Esame [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-3427","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/pages\/3427","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/comments?post=3427"}],"version-history":[{"count":1,"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/pages\/3427\/revisions"}],"predecessor-version":[{"id":3433,"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/pages\/3427\/revisions\/3433"}],"wp:attachment":[{"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/media?parent=3427"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}