Table 1.
Views from clinical faceoff experts on carpal tunnel syndrome and the value of electrodiagnostic tests
Dr. Graham | Dr. Hammert | |
---|---|---|
Is the surgeon’s job to treat bothersome symptoms or prevent nerve damage? | Symptoms | Neuropathy |
Does untreated median neuropathy at the carpal tunnel always progress to nerve damage? | No | Yes |
Is atrophy and constant numbness from severe median neuropathy permanent and unresponsive to surgery? | No | Yes |
Which is worse: Surgery for symptoms without pathophysiology or surgery for pathophysiology without symptoms? | Surgery for pathophysiology without symptoms is worse | Surgery for symptoms without pathophysiology is worse |
Can the average surgeon manage the normal human tendency to misperception, biases, and stress contagion and account for it? | Yes | No |
Can the average patient understand the normal human tendency to misperception and bias and account for it? | Yes | No |
If surgeons cannot agree on the best role for electrodiagnostic testing, should the patient help decide? | No | Yes |