Talk to Orthopedic Surgeon on Chronic CTS No Relief

? Complete Medical Case Report

? Patient Information

- Name: Safia - Age: 22–24 years - Gender: Female

? Main Diagnosed Conditions

- Severe Left Carpal Tunnel Syndrome (CTS) - Bilateral Upper Limb Pain with Numbness - Lumbar Radiculopathy (Suspected) - Left Kidney Stone (5.1 mm Renal Calculus)

? Case 1 (Orthopedic Evaluation)

Date: 05-Feb-2026

? Symptoms:

- Pain in both upper limbs - Numbness in hands (worse at night) - Lower back pain

? Clinical Findings:

- Range of motion: Normal - Tinel’s test: Positive - Phalen’s test: Positive

? Medications:

1. Alizol 100 mg — 1 tablet twice daily 2. Nuberol Forte — 1 tablet twice daily 3. M Gabalin 50 mg — 1 tablet twice daily 4. Bosral-D — once daily 5. Methylcobal Sachet — once daily

? Case 2 (Neurology Prescription)

Date: 25-Feb-2026

? Medications:

- Pain management medicines (names unclear from prescription) - Supportive therapy medicines

? Case 3 (Follow-up Prescription)

Date: 26-Feb-2026

? Medications:

1. Ruling 4 mg — o