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Carpal tunnel syndrome — ABFM Board MCQ

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EasyMusculoskeletal/Sports medicineCarpal tunnel syndromeABFM Board

A 43-year-old administrative assistant has nocturnal numbness and tingling in the thumb, index, and middle fingers. Symptoms improve when she shakes her hand. Tinel and Phalen tests are positive. Which of the following is the most appropriate initial treatment?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: D — Nighttime neutral wrist splinting

Initial management of mild to moderate carpal tunnel syndrome includes neutral wrist splinting, especially at night.

Reference: American Family Physician clinical reviews and AAFP guidance: https://www.aafp.org/pubs/afp.html