{"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\/ro\/policy-for-carpal-tunnel-syndrome\/","title":{"rendered":"Politica pentru sindromul de tunel carpian"},"content":{"rendered":"<p><strong>Categoria<\/strong><\/p>\n\n\n\n<p>Criterii de prag<\/p>\n\n\n\n<p>Sindromul de tunel carpian (CTS) este o afec\u021biune frecvent\u0103 care provoac\u0103 o senza\u021bie de furnic\u0103turi, amor\u021beal\u0103 \u0219i uneori durere la nivelul m\u00e2inii \u0219i degetelor.<\/p>\n\n\n\n<p>Aceste senza\u021bii se dezvolt\u0103 de obicei treptat \u0219i \u00eencep s\u0103 fie mai rele \u00een timpul nop\u021bii. Acestea tind s\u0103 afecteze degetul mare, degetul ar\u0103t\u0103tor \u0219i degetul mijlociu.<\/p>\n\n\n\n<p>Procedura de tunel carpian trebuie efectuat\u0103 \u00eentr-un serviciu de asisten\u021b\u0103 medical\u0103 primar\u0103. Cei cu CTS recurent, diagnostic ambiguu sau care necesit\u0103 GA pentru anxietate ar trebui s\u0103 fie \u00eendruma\u021bi c\u0103tre asisten\u021b\u0103 secundar\u0103. &nbsp;<\/p>\n\n\n\n<p><strong>Pacien\u021bii trebuie \u00eendruma\u021bi de urgen\u021b\u0103 dac\u0103 exist\u0103 dovezi de deficit neurologic sau denervare a nervului median, de exemplu, tocirea senzorial\u0103, pierderea muscular\u0103 sau sl\u0103biciunea abduc\u021biei tenare.<\/strong><\/p>\n\n\n\n<p><strong>Eligibilitate<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td><strong>LLR ICB va finan\u021ba aceast\u0103 recomandare dac\u0103 sunt \u00eendeplinite urm\u0103toarele criterii<\/strong><br><strong>\u00a0<\/strong><br>\u00b7 Pacien\u021bi cu prezentare u\u015foar\u0103 p\u00e2n\u0103 la moderat\u0103 care au simptome recurente de mai mult de 6 luni \u0219i au avut terapii conservatoare, de exemplu injec\u021bie local\u0103 cu corticosteroizi \u0219i\/sau atele nocturne<br><strong>\u0218I<\/strong><br>\u00a0<br>\u00b7 Dup\u0103 6 luni simptomele persist\u0103 sau se deterioreaz\u0103<br><strong>SAU<\/strong><br>\u00a0<br>\u00b7 Pacien\u021bi cu simptome severe<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p><strong>Electromiografie (EMG)<\/strong><\/p>\n\n\n\n<p>EMG este <strong><u>nu<\/u><\/strong> necesar pentru fiecare persoan\u0103 cu CTS, deoarece diagnosticul \u00een majoritatea cazurilor poate fi confirmat printr-o anamnez\u0103 adecvat\u0103 \u0219i o evaluare clinic\u0103<\/p>\n\n\n\n<p><strong>Urm\u0103torul tabel define\u0219te severitatea prezent\u0103rii<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td><strong>Bl\u00e2nd<\/strong><\/td><td><strong>Moderat<\/strong><\/td><td><strong>Sever\u0103<\/strong><\/td><\/tr><tr><td>Parestezie intermitent\u0103 sau durere<\/td><td>Parestezia constant\u0103 care interfereaz\u0103 cu activit\u0103\u021bile vie\u021bii de zi cu zi sau provoac\u0103 tulbur\u0103ri considerabile de somn.<br>\u00a0<br>Simptomele pot fi ameliorate prin str\u00e2ngerea sau str\u00e2ngerea m\u00e2inii<\/td><td>Pacientul are amor\u021beal\u0103 sau durere constant\u0103, cu sl\u0103birea sau pierderea mu\u0219chilor degetului mare<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p><strong>\u00cendrumare<\/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 revizuirii ARP 18: 2026<\/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 v27.5 - 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\/ro\/policy-for-carpal-tunnel-syndrome\/\" \/>\n<meta property=\"og:locale\" content=\"ro_RO\" \/>\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. These sensations usually develop gradually [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/ro\/policy-for-carpal-tunnel-syndrome\/\" \/>\n<meta property=\"og:site_name\" content=\"LLR ICB\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/NHSLLR\" \/>\n<meta property=\"article:published_time\" content=\"2023-10-06T13:30:36+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-10-09T09:26:58+00:00\" \/>\n<meta name=\"author\" content=\"Tracy Jesa\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@NHS_LLR\" \/>\n<meta name=\"twitter:site\" content=\"@NHS_LLR\" \/>\n<meta name=\"twitter:label1\" content=\"Scris de\" \/>\n\t<meta name=\"twitter:data1\" content=\"Tracy Jesa\" \/>\n\t<meta name=\"twitter:label2\" content=\"Timp estimat pentru citire\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/policy-for-carpal-tunnel-syndrome\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/policy-for-carpal-tunnel-syndrome\\\/\"},\"author\":{\"name\":\"Tracy Jesa\",\"@id\":\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/#\\\/schema\\\/person\\\/a721bf22e073f34efdc6c7f2dd8a5976\"},\"headline\":\"Policy for \u00a0Carpal Tunnel Syndrome\",\"datePublished\":\"2023-10-06T13:30:36+00:00\",\"dateModified\":\"2023-10-09T09:26:58+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/policy-for-carpal-tunnel-syndrome\\\/\"},\"wordCount\":266,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/#organization\"},\"keywords\":[\"orthopaedics\"],\"articleSection\":[\"Policies\",\"Uncategorized\"],\"inLanguage\":\"ro-RO\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/policy-for-carpal-tunnel-syndrome\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/policy-for-carpal-tunnel-syndrome\\\/\",\"url\":\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/policy-for-carpal-tunnel-syndrome\\\/\",\"name\":\"Policy for \u00a0Carpal Tunnel Syndrome - LLR ICB\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/#website\"},\"datePublished\":\"2023-10-06T13:30:36+00:00\",\"dateModified\":\"2023-10-09T09:26:58+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/policy-for-carpal-tunnel-syndrome\\\/#breadcrumb\"},\"inLanguage\":\"ro-RO\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/policy-for-carpal-tunnel-syndrome\\\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/policy-for-carpal-tunnel-syndrome\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Policy for \u00a0Carpal Tunnel Syndrome\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/#website\",\"url\":\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/\",\"name\":\"LLR ICB\",\"description\":\"LLR Integrated Care Board\",\"publisher\":{\"@id\":\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"ro-RO\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/#organization\",\"name\":\"LLR ICB\",\"url\":\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"ro-RO\",\"@id\":\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/i0.wp.com\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/wp-content\\\/uploads\\\/2022\\\/06\\\/New-Project-4.jpg?fit=452%2C93&ssl=1\",\"contentUrl\":\"https:\\\/\\\/i0.wp.com\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/wp-content\\\/uploads\\\/2022\\\/06\\\/New-Project-4.jpg?fit=452%2C93&ssl=1\",\"width\":452,\"height\":93,\"caption\":\"LLR ICB\"},\"image\":{\"@id\":\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/#\\\/schema\\\/logo\\\/image\\\/\"},\"sameAs\":[\"https:\\\/\\\/www.facebook.com\\\/NHSLLR\",\"https:\\\/\\\/x.com\\\/NHS_LLR\",\"https:\\\/\\\/www.instagram.com\\\/nhsllr\\\/\"]},{\"@type\":\"Person\",\"@id\":\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/#\\\/schema\\\/person\\\/a721bf22e073f34efdc6c7f2dd8a5976\",\"name\":\"Tracy Jesa\",\"url\":\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/ro\\\/author\\\/tracy-jesanhs-net\\\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Politic\u0103 pentru sindromul de tunel carpian - LLR ICB","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/ro\/policy-for-carpal-tunnel-syndrome\/","og_locale":"ro_RO","og_type":"article","og_title":"Policy for \u00a0Carpal Tunnel Syndrome - LLR ICB","og_description":"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;]","og_url":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/ro\/policy-for-carpal-tunnel-syndrome\/","og_site_name":"LLR ICB","article_publisher":"https:\/\/www.facebook.com\/NHSLLR","article_published_time":"2023-10-06T13:30:36+00:00","article_modified_time":"2023-10-09T09:26:58+00:00","author":"Tracy Jesa","twitter_card":"summary_large_image","twitter_creator":"@NHS_LLR","twitter_site":"@NHS_LLR","twitter_misc":{"Scris de":"Tracy Jesa","Timp estimat pentru citire":"2 minute"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/policy-for-carpal-tunnel-syndrome\/#article","isPartOf":{"@id":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/policy-for-carpal-tunnel-syndrome\/"},"author":{"name":"Tracy Jesa","@id":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/#\/schema\/person\/a721bf22e073f34efdc6c7f2dd8a5976"},"headline":"Policy for \u00a0Carpal Tunnel Syndrome","datePublished":"2023-10-06T13:30:36+00:00","dateModified":"2023-10-09T09:26:58+00:00","mainEntityOfPage":{"@id":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/policy-for-carpal-tunnel-syndrome\/"},"wordCount":266,"commentCount":0,"publisher":{"@id":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/#organization"},"keywords":["orthopaedics"],"articleSection":["Policies","Uncategorized"],"inLanguage":"ro-RO","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/policy-for-carpal-tunnel-syndrome\/#respond"]}]},{"@type":"WebPage","@id":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/policy-for-carpal-tunnel-syndrome\/","url":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/policy-for-carpal-tunnel-syndrome\/","name":"Politic\u0103 pentru sindromul de tunel carpian - LLR ICB","isPartOf":{"@id":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/#website"},"datePublished":"2023-10-06T13:30:36+00:00","dateModified":"2023-10-09T09:26:58+00:00","breadcrumb":{"@id":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/policy-for-carpal-tunnel-syndrome\/#breadcrumb"},"inLanguage":"ro-RO","potentialAction":[{"@type":"ReadAction","target":["https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/policy-for-carpal-tunnel-syndrome\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/policy-for-carpal-tunnel-syndrome\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/"},{"@type":"ListItem","position":2,"name":"Policy for \u00a0Carpal Tunnel Syndrome"}]},{"@type":"WebSite","@id":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/#website","url":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/","name":"LLR ICB","description":"LLR Integrated Care Board","publisher":{"@id":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"ro-RO"},{"@type":"Organization","@id":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/#organization","name":"LLR ICB","url":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/","logo":{"@type":"ImageObject","inLanguage":"ro-RO","@id":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/#\/schema\/logo\/image\/","url":"https:\/\/i0.wp.com\/leicesterleicestershireandrutland.icb.nhs.uk\/wp-content\/uploads\/2022\/06\/New-Project-4.jpg?fit=452%2C93&ssl=1","contentUrl":"https:\/\/i0.wp.com\/leicesterleicestershireandrutland.icb.nhs.uk\/wp-content\/uploads\/2022\/06\/New-Project-4.jpg?fit=452%2C93&ssl=1","width":452,"height":93,"caption":"LLR ICB"},"image":{"@id":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/NHSLLR","https:\/\/x.com\/NHS_LLR","https:\/\/www.instagram.com\/nhsllr\/"]},{"@type":"Person","@id":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/#\/schema\/person\/a721bf22e073f34efdc6c7f2dd8a5976","name":"Tracy Jesa","url":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/ro\/author\/tracy-jesanhs-net\/"}]}},"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/ro\/wp-json\/wp\/v2\/posts\/13032","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/ro\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/ro\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/ro\/wp-json\/wp\/v2\/users\/542"}],"replies":[{"embeddable":true,"href":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/ro\/wp-json\/wp\/v2\/comments?post=13032"}],"version-history":[{"count":1,"href":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/ro\/wp-json\/wp\/v2\/posts\/13032\/revisions"}],"predecessor-version":[{"id":13033,"href":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/ro\/wp-json\/wp\/v2\/posts\/13032\/revisions\/13033"}],"wp:attachment":[{"href":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/ro\/wp-json\/wp\/v2\/media?parent=13032"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/ro\/wp-json\/wp\/v2\/categories?post=13032"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/ro\/wp-json\/wp\/v2\/tags?post=13032"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}