1st April 2022

A man presents to his GP after a month of disturbed sleep

A man presents to his GP after a month of disturbed sleep. Every night he is woken up by pain in his right hand, particularly his thumb, index and middle fingers, and sometimes his ring finger. He finds that shaking his hand relieves the pain, and ibuprofen is somewhat effective. His examination is unremarkable.

What treatment should be recommended at this stage?

Select the SINGLE most appropriate option from the list below. Select ONE option only.