R. Gowri, S. Sharmila, N. Vimal, M. Priya, M. Kavitha


Background: Health problems due to occupational disease spawn by exposure to a work place hazard. Carpal tunnel syndrome is known to be effectuated by the compression of median nerve and the various process associated with it, on its progress through the carpal tunnel meagre space.Carpal tunnel syndrome (CTS) is the most common peripheral nerve entrapment syndrome worldwide and it is the commonest cause of nocturnal hand paraesthesias. It is the direct cost of humans subjecting their hands to repetitive motion lasting for hours of duration. Case study: This case study is of a subject with 34 years, male, a lab technician diagnosed with CTS. The subject was on long term intake of Ibuprofen for pain relief and after 3 months duration it resulted in initial stage of liver injury. Symptoms such as flapping tremor, muscle weakness resulted with elevated liver enzyme values on laboratorial examination. Conclusion: Hence the patient was counseled and advised on stopping the intake of Ibuprofen as an Off-label product. Abstention of the task could be of great relief in management of CTS when compared to medical treatments in controlling of symptoms. In addition corticosteroids were added upon for relief of symptoms. The patient was found to respond positively with the therapy followed.


Carpal tunnel syndrome, Median nerve, Nerve entrapment disorder, Nocturnal hand paraesthesias

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