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Carpal Tunnel Syndrome in an Adolescent With Obesity

Kathleen M Galloway¹, David G Greathouse

¹Belmont University School of Physical Therapy (Dr Galloway), Nashville Tennessee, and Neurology Clinic, Blanchfield Army Community Hospital, Fort Campbell, Kentucky; Clinical Electrophysiology Services (Dr Greathouse), Texas Physical Therapy Specialists, New Braunfels, and U.S. Army-Baylor University Doctoral Program in Physical Therapy, Fort Sam Houston, Texas.

Pediatric Physical Therapy : the Official Publication of the Section on Pediatrics of the American Physical Therapy Association

|March 11, 2016

Abstract

Purpose:

Carpal tunnel syndrome (CTS) is typically found in adults and may be associated with a variety of metabolic conditions including obesity. Obesity is a growing problem among today's youth, and adult diseases often associated with obesity are now being found in a younger population. This case study describes a young adolescent girl with obesity and CTS.

Summary Of Key Points:

A history and examination were completed before electrophysiologic testing, and the patient had no evidence of any contributory pathology.

Statement Of Conclusions:

There was electrophysiologic evidence of bilateral median nerve compromise at the wrist. The patient's diagnosis of CTS may be obesity related.

Recommendations For Clinical Practice:

Management of patients with obesity and CTS should also include education about weight management in addition to traditional interventions. This may be even more important for a child or adolescent with obesity and CTS.

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