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Disability Code For Carpal Tunnel?


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#1 vaf

 
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Posted 19 February 2006 - 10:00 PM

Where in 38 CFR should I look for the four-digit code for carpal tunnel? I'm not finding it.

Thanks!

#2 Guest_Jim S._*GuestMember

 
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Posted 20 February 2006 - 01:54 AM

Vicki: I don't know if any of these are what you are looking for, but they all have something concerning the wrist. Evidently their isn't just one code to us in rating for Carpal Tunnel.

http://ecfr.gpoacces...idno=38;cc=ecfr


http://frwebgate.acc...ON=45&TYPE=TEXT

http://www.vba.va.go...ms/disexm27.htm

http://www.vba.va.go...ms/disexm34.htm

Jim S. :P

Edited by Jim S., 20 February 2006 - 02:54 AM.


#3 wallyg

 
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Posted 20 February 2006 - 05:17 AM

Vicki

This is probably what you want:

5307 Group VII. Function: Flexion of wrist and
fingers. Muscles arising from internal condyle
of humerus: Flexors of the carpus and long
flexors of fingers and thumb; pronator..........
Severe....................................... 40 30
Moderately Severe............................ 30 20
Moderate..................................... 10 10
Slight....................................... 0 0
5308 Group VIII. Function: Extension of wrist,
fingers, and thumb; abduction of thumb. Muscles
arising mainly from external condyle of humerus:
Extensors of carpus, fingers, and thumb;
supinator.......................................
Severe....................................... 30 20
Moderately Severe............................ 20 20
Moderate..................................... 10 10
Slight....................................... 0 0

#4 Guest_jstacy_*GuestMember

 
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Posted 20 February 2006 - 07:09 AM

Carpal Tunnel is caused by a nerve dysfynction.

The median nerve
8515 Paralysis of:
Complete; the hand inclined to the ulnar side, the 70 60
index and middle fingers more extended than
normally, considerable atrophy of the muscles of
the thenar eminence, the thumb in the plane of the
hand (ape hand); pronation incomplete and
defective, absence of flexion of index finger and
feeble flexion of middle finger, cannot make a
fist, index and middle fingers remain extended;
cannot flex distal phalanx of thumb, defective
opposition and abduction of the thumb, at right
angles to palm; flexion of wrist weakened; pain
with trophic disturbances..........................
Incomplete:
Severe............................................ 50 40
Moderate.......................................... 30 20
Mild.............................................. 10 10
8615 Neuritis.
8715 Neuralgia.

#5 wallyg

 
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Posted 20 February 2006 - 05:22 PM

This is extracted from Chap 61 Common Hand Disorders,of the Merck Manual, under Section 5, Musculoskeletal & Connective Tissue Disorders.

CARPAL TUNNEL SYNDROME

Compression of the median nerve as it passes through the carpal tunnel in the wrist.

Carpal tunnel syndrome is very common and most commonly occurs in women aged 30 to 50 yr. Causes include RA (sometimes the presenting manifestation), diabetes mellitus, hypothyroidism, acromegaly, amyloidosis, and pregnancy (producing edema in the carpal tunnel). Activities or jobs that require repetitive flexion and extension of the wrist (eg, keyboard use) may pose an occupational risk. Often, no underlying cause is found.
Symptoms and Diagnosis

Symptoms include pain of the hand and wrist associated with tingling and numbness, classically distributed along the median nerve (the palmar side of the thumb, the index and middle fingers, and the radial half of the ring finger) but possibly involving the entire hand. Typically, the patient wakes at night with burning or aching pain and with numbness and tingling and shakes the hand to obtain relief and restore sensation.

Diagnosis is indicated by a positive Tinel's sign, in which the tingling (paresthesia) is reproduced by tapping with a reflex hammer at the volar surface of the wrist over the site of the median nerve and carpal tunnel. Additional tests include wrist flexion maneuvers (eg, Phalen's sign). Thenar atrophy and weakness on thumb elevation may develop late. Diagnosis is confirmed by electrodiagnostic testing of median nerve conduction velocity, which provides an accurate index of motor and sensory nerve conduction.
Treatment

Treatment includes a lightweight wrist splint, especially at night; possibly pyridoxine (vitamin B6) 50 mg bid; and mild analgesics (eg, acetaminophen, NSAIDs). Some persons find relief by changing the position of computer keyboards and making other ergonomic corrections. If these measures fail to control symptoms, a corticosteroid should be locally injected into the carpal tunnel at a site just ulnar to the palmaris longus tendon and proximal to the distal crease at the wrist. If bothersome symptoms persist or recur or if hand weakness and thenar wasting progress, surgical decompression of the carpal tunnel using an open technique or endoscopy is recommended.

#6 david walker

 
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Posted 22 February 2006 - 07:19 AM

Does anyon know if there is a code for pain from the shoulder to elbow to wrist. The doc said I have nerve & muscle damage. But he didn't do a nerve conduction test???

#7 wallyg

 
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Posted 22 February 2006 - 08:28 AM

David,

There is no code for pain alone, it is supposed to be factored in to range of motion ratings, or other ratings that can include pain, as a significant problem.

Check out the 5200 series, and 8510.

#8 yelloownumber5

 
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Posted 27 February 2007 - 05:23 AM

That is funny........because I had the "positive Tinel's" test, positive EMG for bi latterial CTS and was awarded S.C. but ZERO Percent! with it being told it affects my work and home life but next time I will bring my digital recorder with me for the Exam.





This is extracted from Chap 61 Common Hand Disorders,of the Merck Manual, under Section 5, Musculoskeletal & Connective Tissue Disorders.

CARPAL TUNNEL SYNDROME

Compression of the median nerve as it passes through the carpal tunnel in the wrist.

Carpal tunnel syndrome is very common and most commonly occurs in women aged 30 to 50 yr. Causes include RA (sometimes the presenting manifestation), diabetes mellitus, hypothyroidism, acromegaly, amyloidosis, and pregnancy (producing edema in the carpal tunnel). Activities or jobs that require repetitive flexion and extension of the wrist (eg, keyboard use) may pose an occupational risk. Often, no underlying cause is found.
Symptoms and Diagnosis

Symptoms include pain of the hand and wrist associated with tingling and numbness, classically distributed along the median nerve (the palmar side of the thumb, the index and middle fingers, and the radial half of the ring finger) but possibly involving the entire hand. Typically, the patient wakes at night with burning or aching pain and with numbness and tingling and shakes the hand to obtain relief and restore sensation.

Diagnosis is indicated by a positive Tinel's sign, in which the tingling (paresthesia) is reproduced by tapping with a reflex hammer at the volar surface of the wrist over the site of the median nerve and carpal tunnel. Additional tests include wrist flexion maneuvers (eg, Phalen's sign). Thenar atrophy and weakness on thumb elevation may develop late. Diagnosis is confirmed by electrodiagnostic testing of median nerve conduction velocity, which provides an accurate index of motor and sensory nerve conduction.
Treatment

Treatment includes a lightweight wrist splint, especially at night; possibly pyridoxine (vitamin B6) 50 mg bid; and mild analgesics (eg, acetaminophen, NSAIDs). Some persons find relief by changing the position of computer keyboards and making other ergonomic corrections. If these measures fail to control symptoms, a corticosteroid should be locally injected into the carpal tunnel at a site just ulnar to the palmaris longus tendon and proximal to the distal crease at the wrist. If bothersome symptoms persist or recur or if hand weakness and thenar wasting progress, surgical decompression of the carpal tunnel using an open technique or endoscopy is recommended.



#9 vet12

 
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Posted 27 February 2007 - 07:12 AM

I have Carpal Tunnel of both wrist. I have a claim in for Agent Orange (which I am waiting for results). I am also service connected for eyes and lungs. Can Carpal Tunnel be connected in any way to these? I had no problems while I was in the military.

#10 Berta

 
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Posted 27 February 2007 - 08:37 AM

If you are incountry Vietnam vet or certain Army vets in Korea (list under search here)
and have an AO presumptive disease-
that is a very valid and probative claim-

I see no connection of the carpal tunnel to the other conditions but I am no doctor-
this will take a strong medical opinion with a complete medical rationale that your service by MOS etc, or your SC conditions, have a relationship as to causing the carpel tunnel syndrome.

#11 vet12

 
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Posted 27 February 2007 - 07:13 PM

Thanks. I will see if my AO connection is approved and then act according to the results..

#12 jbasser

 
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Posted 27 February 2007 - 09:41 PM

Does anyon know if there is a code for pain from the shoulder to elbow to wrist. The doc said I have nerve & muscle damage. But he didn't do a nerve conduction test???

David, People who have had surgury at c5/c6 can also have CTS. It can be diagnosed higher in the Nerve at the C spine. Mine is from my neck. Unfortunatly there is no treatment except meds for this area of CTS. I believe it is called nerve root inpingement instead of Cts but its effects are the same. The nerves that inervate the shoulder muscles are located below C5. It depends on the muscle that is effected.

John

#13 jbasser

 
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Posted 27 February 2007 - 09:44 PM

That is funny........because I had the "positive Tinel's" test, positive EMG for bi latterial CTS and was awarded S.C. but ZERO Percent! with it being told it affects my work and home life but next time I will bring my digital recorder with me for the Exam.

You have to show them pain and weakness iand loss of motion in the nerve distribution.