Carpal Tunnel Syndrome vs Pronator Teres Syndrome. What's the Difference?

What's the Difference? Carpal Tunnel Syndrome vs Pronator Teres Syndrome.
Carpal Tunnel Syndrome: Compression and traction of the median nerve in the carpal tunnel. Mainly due to repetitive wrist and hand movements.
Most common entrapment neuropathy.
Most common in wheelchair athletes, cyclists, wrestlers, football players, mountain bikers and weight lifters.
Symptoms:
Numbness, tingling, paresthesia and weakness along median nerve distribution (Thumb, index finger, middle finger and side of ring finger near middle finger.)
Initially present with intermittent symptoms that may be worse at night or with repetitive upper-extremity activity.
Night time symptoms (nocturnal symptoms) may improve with re-positioning, vigorous hand shaking and splinting.
Pronator Teres Syndrome (PTS) AKA Pronator Syndrome (PS)
Compression of median nerve as it passes between ulnar and humeral heads of pronator teres muscle or under proximal edge of flexor digitorum superficialis (FDS) arch.
Athletes: Archers (repetitive flexion of bow), baseball pitchers, throwing athletes, racquet sports, weightlifters and bodybuilders.
Symptoms:
Insidious Onset. Aching pain in proximal, anterior forearm. Paresthesia in fingers innervated by median nerve (Thumb, index, middle and lateral half of ring finger). Aggravated by repetitive pronation and supination.
Pronator Syndrome (PS) Vs. Carpal Tunnel Syndrome (CTS)
PS - Loss of sensation over thenar eminence. (Palmar cutaneous branch arises proximal to transverse carpal ligament).
PS- No nocturnal symptoms.
PS - Pain on resisted pronation from a neutral position, especially with elbow extension.
PS - Direct pressure on pronator teres with forearm supinated may elicit paresthesia in median nerve distribution within one minute.
Carpal Tunnel Syndrome • Carpal Tunnel Syndrome...
Pronator Teres Syndrome • Pronator Teres Syndrom...
Two Minutes of Anatomy: Pronator Teres • Two Minutes Of Anatomy...
***Disclaimer: Viewing this video does not take the place of seeing a medical professional, working with a nutritional professional, working with a fitness professional and receiving proper training in the medical profession. Please visit a medical professional for evaluation, diagnosis and treatment. Please work with a nutritional profession to develop individualized nutrition strategies. Please work with a fitness professional to learn proper exercise technique and to develop a proper training program. Never perform an exercise that elicits or intensifies symptoms. If an exercise elicits or intensifies symptoms, stop immediately and use a viable substitute. Always perform all exercises through a symptom free range of motion. Begin your training at your current health, fitness and strength levels. Increase intensity in small gradual calculated increments. Please use nutritional strategies that are designed to work for your individual needs.
Dr Donald A Ozello DC of Championship Chiropractic in Las Vegas, NV
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