Carpal tunnel syndrome (CTS) is a common disorder among individuals with spinal cord injury (SCI). Although carpal tunnel release is highly effective, the procedure may be under-utilized in this population.
Carpal tunnel syndrome is an entrapment of the median nerve at the wrist that is most commonly associated with repetitive motion. However, carpal tunnel syndrome may be idiopathic or caused by such diseases as diabetes, hypothyroidism, autoimmune diseases, or tumors. Carpal tunnel syndrome, whatever the etiology, is considered to be a type of mononeuropathy called a pressure neuropathy that results in neurologic signs and symptoms that, if untreated, or treated too late, may lead to permanent weakness and sensory loss in the hand. As such, it is clearly an organic disease of the nervous system, since peripheral nerves are part of the nervous system, and there is objective evidence of nerve damage. Therefore, carpal tunnel syndrome is considered a presumptive condition under § 3.309(a) subject to the rebuttable presumption provisions of § 3.307(d).
Please note: Entitlement should be granted for a chronic condition only. For VAC purposes, "chronic" means that the condition has existed for at least 6 months. Signs and symptoms are generally expected to persist despite medical attention, although they may wax and wane over the 6 month period and thereafter.