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Doctor insights on: What Is The Difference Between Tunneling And Undermining

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Dr. Alex Meyers Dr. Meyers
Surgery - Hand Surgery
21 years in practice
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What is the difference between carpel tunnel syndrome and tenosynivitis?

What is the difference between carpel tunnel syndrome and tenosynivitis?

Carpal tunnel synd: Carpal tunnel syndrome can be the result of tenosynovitis. Carpal tunnel syndrome is when the median nerve is compressed by pressure builds up in the carpal canal at the wrist. The median nerve is surrounded by nine flexor tendons to the fingers. The flexor tendons and the sheath that surrounds them (tenosynovium) can become inflamed leading to a tenosynovitis. This builds pressure within the carpal canal.

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Dr. Tracy Berg Dr. Berg
Surgery
28 years in practice
University of Maryland School of Medicine
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What is the difference between a wound sinus track and a wound tunnel?

What is the difference between a wound sinus track and a wound tunnel?

Same: Okay to ask your doc using these terms for clarification. They are basically the same, a long thin component to the wound. Sinus/tunnel can be difficult to treat. Okay to ask for referral to wound clinic or wound specialist. Be well.

Dr. David Levens Dr. Levens
Surgery - Plastics
35 years in practice
Columbia University College of Physicians and Surgeons
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What is the difference between undermining and tunneling in regards to stage 4 pressure ulcers?

What is the difference between undermining and tunneling in regards to stage 4 pressure ulcers?

They are the same: A stage 4 ulcer is the deepest type of pressure ulcer that forms over a pressure point due to diminished sensation and/or inability to move and relieve pressure. Examples are spinal cord injury patients or older stroke and debilitated bed-bound patients. Most vulnerable is the deepest (muscle) tissue, then the fat then the skin. This leads to the undermining seen at the base of the ulcer.

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Dr. Thomman Kuruvilla Dr. Kuruvilla
Podiatry
18 years in practice
New York Institute of Technology New York College of Osteopathic Medicine
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What is the difference between posterier tibial tendon dysfunction and tarsal tunnel syndrome?

What is the difference between posterier tibial tendon dysfunction and tarsal tunnel syndrome?

Flat feet: Here is the simple answer....Posterior tibial tendon dysfunction or pttd is a flat foot deformity. It could be rigid or flexible and present with pain at the arch or heel area. Tarsal tunnel syndrome or tts is a compression syndrome (such as carpal tunnel syndrome in the hand) of the posterior tibial nerve. Pttd can cause tts. Therapy can vary significantly. Treatments include orthotics to surg.

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Dr. Frank Holmes Dr. Holmes
Sports Medicine
19 years in practice
University of Mississippi School of Medicine
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What is the difference between tennis elbow and cubital tunnel syndrome?

What is the difference between tennis elbow and cubital tunnel syndrome?

Tendon vs. Nerve: Tennis elbow is a tendon problem on the outside of the elbow. Cubital tunnel is inflammation, compression and/or injury to the ulnar nerve at/near the elbow in an area called the cubital tunnel. Tennis elbow causes pain on the outside of the elbow, esp. With gripping and grabbing. Cubital tunnel gives you pain, burning and numbness involving the medial elbow, down the to ring and pinkie fingers.

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Dr. Glenn Aufseeser Dr. Aufseeser
Podiatry
5 years in practice
Temple University School of Podiatric Medicine
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What is the difference between posterior tibial tendon and tarsal tunnel?

What is the difference between posterior tibial tendon and tarsal tunnel?

Different things: A tendon is the end of a muscle that connects the muscle to bone. The posterior tibial tendon attaches the tibialis posterior muscle to certain bones of the foot. The tarsal tunnel is an area by your heel where the posterior tibial tendon along with 2 other tendons, a major artery, vein and nerve, pass. Its a tight area bordered by bone and thick soft tissue.

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Dr. Olav Jaren Dr. Jaren
Neurology
15 years in practice
The University of Iowa Roy J. and Lucille A. Carver College of Medicine
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What is the difference between carpal tunnel and peripheral neuropathy?

What is the difference between carpal tunnel and peripheral neuropathy?

Regions of numbness: Peripheral neuropathy and carpal tunnel syndrome symptoms are often different, primarily in where the symptoms occur. Carpal tunnel syndrome often affects the thumb, forefinger, and middle finger. Peripheral neuropathy ususally affects the hands, and when the area increases, the lower legs and sometimes the hands. The symptoms of these two may be the same, just not the affected areas.

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Dr. David Rosenfeld Dr. Rosenfeld
Pain Management
23 years in practice
University of Wisconsin School of Medicine and Public Health
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Is there a difference between rsi and carpal tunnel syndrome?

Is there a difference between rsi and carpal tunnel syndrome?

See below: Rsis are "injuries of the musculoskeletal and nervous systems that may be caused by repetitive tasks, forceful exertions, vibrations, mechanical compression (pressing against hard surfaces), or sustained or awkward positions. Carpal tunnel syndrome is a condition in which there is pressure on the median nerve -- the nerve in the wrist that supplies feeling and movement to parts of the hand.

Dr. Joel McClurg Dr. McClurg
Orthopedic Surgery
years in practice
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What is the main difference between tendonitis and carpal tunnel?

What is the main difference between tendonitis and carpal tunnel?

Big difference: Tendonitis refers to inflammation of a tendon or tendons, carpal tunnel is compression of the median nerve. Both can cause pain, and some of the treatments are similar (rest, immobilization, injections). Sometimes it is easy to distinguish between them sometimes not.

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Dr. Todd Guyette Dr. Guyette
Surgery - Hand Surgery
years in practice
Harvard Medical School
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How to tell the difference between tendonitis and carpal tunnel syndrome?

How to tell the difference between tendonitis and carpal tunnel syndrome?

No: Carpal tunnel is when the median nerve gets pinched at the level of the wrist. The median nerve gives sensation to the thumb, index, middle, and half of the ring finger and these are the digits that develop the pain/numbness/tingling seen with class carpal tunnel. Tendinitis is inflammation in a tendon is associated with pain, but not of the neurologic symptoms seen with ct.

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Dr. Creighton Wright Dr. Wright
Surgery
52 years in practice
Duke University School of Medicine
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Difference between carpal tunnel syndrome and thoracic outlet syndrome?

Difference between carpal tunnel syndrome and thoracic outlet syndrome?

Different areas: Wrist carpal tunnel- median nerve pinched. Thoracic outlet: first rib, clavicle and muscles tight on vein, artery and nerves both cause neuropathic symptoms:numbness, pain, weakness etc carpal does not usually have any blood vessel symptoms/ clots.

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Dr. Pierre Moeser Dr. Moeser
Internal Medicine - Rheumatology
years in practice
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How could you the difference between nerve damage, tendinitis, and carpal tunnel?

How could you the difference between nerve damage, tendinitis, and carpal tunnel?

NCS: Both carpal tunnel syndrome and other forms of nerve compression or damage can be detected by doing a nerve conduction study (ncs). Tendinitis is often diagnosed by history and physical examination alone.

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Dr. Bennett Machanic Dr. Machanic
Neurology
48 years in practice
Johns Hopkins University School of Medicine
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How can you tell the difference between repetitive strain injury or carpal tunnel?

How can you tell the difference between repetitive strain injury or carpal tunnel?

Different areas: Cts is a median nerve compression at the wrist associated with repetitive flexion/extension of the wrist. However, trigger fingers can be due to wear and tear, and de quervain's tenosynovitis can afflict the dorsum of the thumb into the wrist. All can be cumulative trauma disorders.

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Dr. Olav Jaren Dr. Jaren
Neurology
15 years in practice
The University of Iowa Roy J. and Lucille A. Carver College of Medicine
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How can you the difference between nerve damage, tendonitis, and carpal tunnel syndrome?

How can you the difference between nerve damage, tendonitis, and carpal tunnel syndrome?

Making the Diagnosis: The symptoms of these conditions are normally different. They may feel differently, and they may affect different parts of the body. Often nerve conduction testing can separate these three diagnoses. It is the test used most often to diagnose carpal tunnel syndrome and neuropathy. It is not capable of finding tendonitis. This is normally a clinical diagnosis.

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Dr. Hill Hastings Dr. Hastings
Orthopedic Surgery
43 years in practice
Keck School of Medicine of University of Southern California
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How can you the difference between nerve damage, bible cyst, tendonitis, and carpal tunnel?

How can you the difference between nerve damage, bible cyst, tendonitis, and carpal tunnel?

All are different: "bible cysts" refer to a mass or swelling on the top of the wrist which is a ganglion. It is usually round and non-tender. Tendinitis in the back of the hand or wrist is more diffuse and at times painful. Carpal tunnel syndrome occurs with pressure on the median nerve on the palm side of the wrist with numbness, pain, and tingling.

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Dr. Steven Brown Dr. Brown
Surgery - Hand Surgery
35 years in practice
University of Pittsburgh School of Medicine
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What's the difference between a ganglion cyst in the wrist and carpal tunnel effecting the wrist?

What's the difference between a ganglion cyst in the wrist and carpal tunnel effecting the wrist?

Symptoms: Carpal tunnel is a compression of the median nerve within a narrow canal at the base of the palm, causing numbness in the thumb, index, long, and half the ring finger, a ganglion is a synovial cyst arising from the wrist joint causing pain at the site of the ganglion. A ganglion can rarely occur within the carpal tunnel causing nerve compression and carpal tunnel syndrome.

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Dr. Randy Stevens Dr. Stevens
Surgery
20 years in practice
Ross University School of Medicine
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What's difference between a ganglion and carpul tunnel? Have painful lump inside rt wrist. Thumb side of wrist weak, no injury.

What's difference between a ganglion and carpul tunnel? Have painful lump inside rt wrist. Thumb side of wrist weak, no injury.

No lump for carpel: A ganglion cyst will have a lump. The carpel tunnel syndrome will have pain with repetitive movement such as typing. See your doctor and they will evaluate

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Dr. Dean Giannone Dr. Giannone
Internal Medicine
21 years in practice
State University of New York Downstate Medical Center College of Medicine
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How to tell difference between carpal and cubital tunnel syndrome? I got elbow pain, tingling in thumb, middle, index and ring, sometimes pinkie

How to tell difference between carpal and cubital tunnel syndrome? I got elbow pain, tingling in thumb, middle, index and ring, sometimes pinkie

NCV/EMG: Truth be told, there's a lot of symptom overlap amongst the compressive neuropathies of the arm. For example, carpal tunnel syndrome can radiate symptoms up to the shoulder. Your best bet would be getting a nerve conduction velocity with EMG. Technically you could have both issues, and this test can elucidate that as well.

Dr. Jeffrey Clemens Dr. Clemens
Surgery
33 years in practice
Johns Hopkins University School of Medicine
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What is the difference in tunneling and undermining in a wound

What is the difference in tunneling and undermining in a wound

Extent: Tunneling means that a small cavity is present, think that a Q tip could be pushed into the body, into a void like a cave in the tissues. Undermining is similar in that there is a void but much bigger. Undermining surrounds an opening at the skin level, there is no tissue present beneath a significant area of skin to support it.

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Dr. Ihab Ibrahim Dr. Ibrahim
Pain Management
25 years in practice
Ain Shams University Faculty of Medicine
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What's the difference symptom wise, of carpel tunnel syndrome and median nerve injury? Can cervical rf procedure cause median nerve injury?

What's the difference symptom wise, of carpel tunnel syndrome and median nerve injury? Can cervical rf procedure cause median nerve injury?

No: Median nerve doesn't exist until your arm pit. It doesn't start in the neck. It is formed by the combination of two nerves about six inches away from neck where rf would be performed. Carpal tunnel syndrome speaks to injury of the nerve at the wrist.

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