Bilateral Carpal Hyperextension

Medical Examination

Based on the symptoms described, it seems that the patient may be experiencing some degree of musculoskeletal pain and discomfort, particularly after engaging in extended periods of physical activity such as long distance walking. The patient’s tendency to turn around and go home when experiencing these symptoms suggests that they may be impacting their quality of life and limiting their ability to engage in activities they enjoy.

There are several potential causes of these symptoms, including overuse or strain of muscles and joints, under- lying medical conditions such as arthritis or fibromyalgia, or poor posture or body mechanics during physical activity. To determine the underlying cause of the patient’s symptoms, a thorough medical evaluation by a healthcare provider may be necessary, including a physical examination, medical history, and possibly imaging or laboratory tests.

Depending on the underlying cause, treatment options may include rest and physical therapy to improve muscle strength and flexibility, pain management medications, lifestyle modifications such as weight loss or changes to physical activity levels, or in some cases, surgical intervention.