When the pain of carpal tunnel syndrome spreads, we should be thinking dorsal horn not malingering

Here is an important study.  A couple of Italian Neurologists have investigated people with carpal tunnel syndrome who report that their pain has spread beyond the boundaries of the median nerve.  Unfortunately, such reports are often misinterpreted by clinicians as evidence of malingering, or hysteria.  Well, these fellows did quantitative sensory … [Read more...]