Symptom Survey

Carpal Tunnel Syndrome

Patient Symptoms Survey

Has pain in your wrist woken you up at night?*
- Yes
- No
Has tingling and numbness in your hand woken you during the night?*
- Yes
- No
Has tingling and numbness in your hand been more pronounced first thing in the morning?*
- Yes
- No
Do you have any trick movements to make the tingling or numbness go from your hands?*
- Yes
- No
Do you have tingling and numbness in your little finger at any time?*
- Yes
- No
Has tingling and numbness in your hand presented when you were reading a newspaper, steering a car, using your computer or phone, or knitting?*
- Yes
- No
Do you have any neck pain?*
- Yes
- No
If applicable, has the tingling and numbness in your hand been severe during pregnancy?*
- Yes
- No
Has wearing a splint on your wrist helped the tingling and numbness?*
- Yes
- No

Email*

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Zip code*
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- I would like to receive additional information on carpal tunnel release using ultrasound guidance.
Phone
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950 Blue Gentian Rd, Suite 200
Eagan, MN 55121

1 (888) 518-8780

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