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Carpal Tunnel - Medical Animation
MEDICAL ANIMATION TRANSCRIPT: The carpal tunnel is a narrow passage in the wrist. It is formed by wrist bones on the bottom and sides, and a tough band of connective tissue called the transverse carpal ligament on top. Muscle tendons and the median nerve pass through the carpal tunnel. The median nerve controls muscles in the palm and base of the thumb, allowing them to move. It also provides feeling to the thumb and nearby 2 and 1/2 fingers. Carpal tunnel syndrome is a condition where tissue swelling causes pressure to build up within the carpal tunnel. This puts pressure on the median nerve. Over time, median nerve pressure results in symptoms in the areas of hand it supplies. Common symptoms in these areas are pain, numbness, tingling, and weakness. Risk factors for carpal tunnel syndrome include a smaller carpal tunnel from being female or from genes passed down from parents, wrist injuries, other medical conditions that cause inflammation, fluid buildup, or nerve damage such as diabetes, pregnancy, rheumatoid arthritis, obesity, and hypothyroidism, and repetitive hand or wrist motions. A common treatment for mild to moderate carpal tunnel syndrome is keeping the wrist in a neutral position by wearing a brace or splint. In addition, non-steroidal anti-inflammatory drugs or NSAIDs may help relieve pain. A doctor may also recommend a corticosteroid injection to reduce inflammation and swelling. For moderate to severe symptoms, a doctor may recommend a surgical procedure called carpal tunnel release. This procedure may be done as an open procedure through an incision in the palm and wrist. Or it may be done as an endoscopic procedure through a small keyhole incision. The surgeon will perform this procedure with an endoscope, which is a device containing a tiny camera and surgical instruments. In both procedures, the transverse carpal ligament will be cut to relieve pressure on the median nerve. At the end of either procedure, the incision will be closed with sutures.
"I just wanted to let you know that after several days on trial, I settled
[my client's] construction accident case for $4.5 million. Immediately after
the jury was discharged, I spoke with several jurors who told me that they
really appreciated the medical illustrations for their clarity in dealing
with [my client's] devastating injuries. They also expressed their gratitude
in being able to read from a distance all of the notations without
difficulty. Obviously, the boards were visually persuasive. I am certain
that this contributed to our successful result."
Michael Gunzburg, Esq.
Attorney at Law.
New York, NY
"This past year, your company prepared three medical illustrations for our cases; two in which we received six figure awards; one in which we received a substantial seven figure award. I believe in large part, the amounts obtained were due to the vivid illustrations of my clients' injuries and the impact on the finder of fact."
Donald W. Marcari Marcari Russotto & Spencer, P.C. Chesapeake, VA
"Whether it's demonstrating a rotator cuff tear, neck movement a few
milliseconds after rear impact, or a proposed lumbar fusion, the Doe Report
represents an instant on-line database of medical illustration for
health-care and legal professionals.
Illustrations can be purchased 'as is' or modified within hours and sent
either electronically or mounted on posterboard. An illustration is worth a
thousand words, as juries perk up and look intently to capture concepts
that are otherwise too abstract. Start with good illustrations, a clear and
direct voice, a view of the jury as 12 medical students on day one of
training, and your expert testimony becomes a pleasure, even on cross
examination. An experienced trial lawyer should also emphasize these
illustrations at the end of trial, as a means of visually reinforcing key
concepts covered.
As a treating physician, I also use these accurate illustrations to educate
my own patients about their medical conditions. The Doe Report is an
invaluable resource, and its authors at MLA have always been a pleasure to
work with."
Richard E. Seroussi M.D., M.Sc.
Diplomate, American Boards of Electrodiagnostic Medicine and PM&R
Seattle Spine & Rehabilitation Medicine
www.seattlespine.info
"The illustrations have consistently been well documented, accurate and
timely. Most important though is that the illustrations demonstrate to
juries and claims people the persuasive power of visual communication. Our
firm has achieved multiple eight figure settlements and verdicts over the
past ten years... Medical Legal Art has been there with us on every case."
Thomas C. Jones
Davis, Bethune & Jones, L.L.C.
Kansas City, MO www.dbjlaw.net
Medical Legal Art creates medical demonstrative evidence (medical
illustrations, drawings, pictures, graphics, charts, medical animations,
anatomical models, and interactive presentations) for use during legal
proceedings, including research, demand letters, client conferences,
depositions, arbitrations, mediations, settlement conferences, mock jury
trials and for use in the courtroom. We do not provide legal or medical
advice. If you have legal questions, you should find a lawyer with whom you
can discuss your case issues. If you have medical questions, you should seek the advice of a healthcare provider.