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#339 Hand and Wrist Pain with Dr. Ted Parks

The Curbsiders Internal Medicine Podcast

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Carpal Tunnel Syndrome

The nerve malfunction that happens with the periperal nerve a compression, is really a vascular phenomenon. The nerves are running these a t p driven membrane pumps to maintain the membrane potential you need for an action potential. You have to run a lot of energy through those pumps 24 seven. And if you do anything to duce ascemia, then it doesn't take long for those pumps to slowly motor down to nothing. Then you lose the action potential because you lose your membrane potential. There's not an action potential or conduction a the way we expect it. So you start losing sensation. Ah, which is the numbness that she’s experiencing? She says her thumb bl

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