Paresthesia and peripheral neuropathy

1. The author suggested that clarifying clearly the patients' symptoms is the first step.

2. To my surprise, the  medications commonly caused include amiodarone, STATINS (didn't know that), antiretrovirals, tacrolimus or levodopa.

3. Nutritional/Dietary history is important as well such B6, B12 and Thiamine.

4. Carpal tunnel and ulnar neuropathy can be usually managed at gp practice without referral to neurologist

5. The median nerve supplies only four muscles in then hand, represented by the mneumoni LOAF:

• lateral two lumbricals
• opponens pollicis
• abductor pollicis brevis 
• flexor pollicis brevis 

6. The ulnar nerve supplies the following muscles 

• abductor digiti minimi
• medial humeral epicondyle 

7. Treatment is very general and as it is a short article so the author essential can't list out all the possible treatments.  But for carpal tunnel, use night splints. Ulnar nerve compression use medial elbow padding. 

Reference:

1. http://www.racgp.org.au/afp/2015/march/paraesthesia-and-peripheral-neuropathy/