{"id":13032,"date":"2023-10-06T13:30:36","date_gmt":"2023-10-06T13:30:36","guid":{"rendered":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/?p=13032"},"modified":"2023-10-09T09:26:58","modified_gmt":"2023-10-09T09:26:58","slug":"policy-for-carpal-tunnel-syndrome","status":"publish","type":"post","link":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/pl\/policy-for-carpal-tunnel-syndrome\/","title":{"rendered":"Zasady dotycz\u0105ce zespo\u0142u cie\u015bni nadgarstka"},"content":{"rendered":"<p><strong>Kategoria<\/strong><\/p>\n\n\n\n<p>Kryteria progowe<\/p>\n\n\n\n<p>Zesp\u00f3\u0142 cie\u015bni nadgarstka (CTS) jest cz\u0119stym schorzeniem, kt\u00f3re powoduje uczucie mrowienia, dr\u0119twienia, a czasami b\u00f3l d\u0142oni i palc\u00f3w.<\/p>\n\n\n\n<p>Te odczucia zwykle rozwijaj\u0105 si\u0119 stopniowo i zaczynaj\u0105 si\u0119 nasila\u0107 w nocy. Maj\u0105 tendencj\u0119 do wp\u0142ywania na kciuk, palec wskazuj\u0105cy i \u015brodkowy.<\/p>\n\n\n\n<p>Zabieg cie\u015bni nadgarstka powinien by\u0107 wykonywany w plac\u00f3wce podstawowej opieki zdrowotnej. Osoby z nawracaj\u0105cym CTS, niejednoznaczn\u0105 diagnoz\u0105 lub wymagaj\u0105ce GA z powodu l\u0119ku powinny by\u0107 kierowane do opieki specjalistycznej. &nbsp;<\/p>\n\n\n\n<p><strong>Pacjent\u00f3w nale\u017cy natychmiast skierowa\u0107 do specjalisty, je\u015bli wyst\u0119puj\u0105 objawy deficytu neurologicznego lub odnerwienia nerwu po\u015brodkowego, np. st\u0119pienie czucia, zanik mi\u0119\u015bni lub os\u0142abienie odwiedzenia k\u0142\u0119bu.<\/strong><\/p>\n\n\n\n<p><strong>Uprawnienia<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td><strong>LLR ICB sfinansuje to skierowanie, je\u015bli zostan\u0105 spe\u0142nione nast\u0119puj\u0105ce kryteria<\/strong><br><strong>\u00a0<\/strong><br>\u00b7 Pacjenci z objawami \u0142agodnymi do umiarkowanych, z nawracaj\u0105cymi objawami trwaj\u0105cymi d\u0142u\u017cej ni\u017c 6 miesi\u0119cy i poddani leczeniu zachowawczemu, tj. miejscowym wstrzykni\u0119ciom kortykosteroid\u00f3w i\/lub zak\u0142adaniu szyn na noc<br><strong>I<\/strong><br>\u00a0<br>\u00b7 Po 6 miesi\u0105cach objawy utrzymuj\u0105 si\u0119 lub ulegaj\u0105 pogorszeniu<br><strong>LUB<\/strong><br>\u00a0<br>\u00b7 Pacjenci z ci\u0119\u017ckimi objawami<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p><strong>Elektromiografia (EMG)<\/strong><\/p>\n\n\n\n<p>EMG jest <strong><u>nie<\/u><\/strong> wymagane u ka\u017cdej osoby z ZKN, gdy\u017c w wi\u0119kszo\u015bci przypadk\u00f3w rozpoznanie mo\u017cna potwierdzi\u0107 na podstawie odpowiedniego wywiadu i oceny klinicznej<\/p>\n\n\n\n<p><strong>Poni\u017csza tabela okre\u015bla wag\u0119 prezentacji<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td><strong>\u0141agodny<\/strong><\/td><td><strong>Umiarkowany<\/strong><\/td><td><strong>Ci\u0119\u017cki : silny<\/strong><\/td><\/tr><tr><td>Przerywane parestezje lub b\u00f3l<\/td><td>Sta\u0142e parestezje zak\u0142\u00f3caj\u0105ce codzienne czynno\u015bci lub powoduj\u0105ce znaczne zaburzenia snu.<br>\u00a0<br>Objawy mo\u017cna z\u0142agodzi\u0107 poprzez zaci\u015bni\u0119cie lub potrz\u0105\u015bni\u0119cie r\u0119k\u0105<\/td><td>Pacjent ma ci\u0105g\u0142e dr\u0119twienie lub b\u00f3l, z os\u0142abieniem lub zanikiem mi\u0119\u015bni kciuka<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p><strong>Przewodnictwo<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td>\u00a0<br><a href=\"http:\/\/www.bssh.ac.uk\/education\/guidelines\/carpal_tunnel_syndrome.pdf\">http:\/\/www.bssh.ac.uk\/education\/guidelines\/carpal_tunnel_syndrome.pdf<\/a><br>\u00a0<br><a href=\"http:\/\/www.coventryrugbygpgateway.nhs.uk\/pages\/carpal-tunnel-syndrome\/\">http:\/\/www.coventryrugbygpgateway.nhs.uk\/pages\/carpal-tunnel-syndrome\/<\/a><br>\u00a0<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td>Data przegl\u0105du ARP 18: 2026 r<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p><\/p>","protected":false},"excerpt":{"rendered":"<p>Category Threshold Criteria Carpal tunnel syndrome (CTS) is a common condition that causes a tingling sensation, numbness, and sometimes pain in the hand and fingers. These sensations usually develop gradually [&hellip;]<\/p>\n","protected":false},"author":542,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_eb_attr":"","_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[57,1],"tags":[69],"class_list":["post-13032","post","type-post","status-publish","format-standard","hentry","category-policies","category-uncategorized","tag-orthopaedics"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Policy for \u00a0Carpal Tunnel Syndrome - LLR ICB<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/pl\/policy-for-carpal-tunnel-syndrome\/\" \/>\n<meta property=\"og:locale\" content=\"pl_PL\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Policy for \u00a0Carpal Tunnel Syndrome - LLR ICB\" \/>\n<meta property=\"og:description\" content=\"Category Threshold Criteria Carpal tunnel syndrome (CTS) is a common condition that causes a tingling sensation, numbness, and sometimes pain in the hand and fingers. 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