HISTORY: , The patient is a 52-year-old right-handed female with longstanding bilateral arm pain, which is predominantly in the medial aspect of her arms and hands as well as left hand numbness, worse at night and after doing repetitive work with her left hand. 
HISTORY : , The patient is a 52 - year - old right - handed female with longstanding bilateral arm pain , which is predominantly in the medial aspect of her arms and hands as well as left hand numbness , worse at night and after doing repetitive work with her left hand .