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12) Occupational Therapist Referral, Ms Betty Weston

The letter refers Betty Weston for occupational therapy due to carpal tunnel syndrome causing pain in her right hand. Weston was initially diagnosed with carpal tunnel syndrome after presenting with numbness, tingling, and pain in her right thumb, index, and middle fingers. She was advised to continue pain medication and physical therapy, and use a wrist splint. The referring doctor requests an assessment including a custom wrist splint and ergonomic assessment from the occupational therapist.

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Gursharan Singh
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1K views1 page

12) Occupational Therapist Referral, Ms Betty Weston

The letter refers Betty Weston for occupational therapy due to carpal tunnel syndrome causing pain in her right hand. Weston was initially diagnosed with carpal tunnel syndrome after presenting with numbness, tingling, and pain in her right thumb, index, and middle fingers. She was advised to continue pain medication and physical therapy, and use a wrist splint. The referring doctor requests an assessment including a custom wrist splint and ergonomic assessment from the occupational therapist.

Uploaded by

Gursharan Singh
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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Ms Alison Goody

Occupational Therapist
Northwood Community Health Centre
Northwood

17 June 2018

Dear Ms Goody,
Re: Ms Betty Weston, DOB: 12 February 1964

I am writing to refer Ms Betty Weston, who has been experiencing pain in her right hand. She
now requires your further management.

Ms Weston initially presented to the outpatient clinic on 10 June with numbness and tingling
sensation as well as pain in her right thumb, index and middle finger. She reported that the
pain had been lasting for 3 weeks, exacerbating by gripping objects and causing sleep
disturbances. In addition, she denied any trauma. On examination, Phalen’s manoeuvre and
Tinel’s sign were both positive, which confirmed the diagnosis of carpal tunnel syndrome.

Today, Ms Weston re-visited the clinic. At that time, she was advised to continue her OTC
pain reliever, paracetamol as required. Additionally, she was referred to physical therapy and
further neurological tests. Subsequent night-time wrist splinting as conservative management
for more than 3 weeks was recommended.

In terms of her background, she is a supermarket manager, which requires being on her feet
all day. Please note, her BMI is 32 kg/m2, which aggravates her symptoms.

It would be appreciated if you could provide Ms Weston with a custom-made wrist splint in
the neutral position and ergonomics assessment.

Should you require further information, please do not hesitate to contact me.

Yours sincerely,
Doctor

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