In the case of numbness, pain or tingling into the wrist and hand we will conduct a physical examination of the hands, arms, shoulders, and neck to help determine if the patient's complaints are related to daily activities or to an underlying disorder. As carpal tunnel syndrome can be idential to other symptoms, a good examination can rule out other painful conditions that may mimic carpal tunnel syndrome. The wrist is examined for tenderness, swelling, warmth, and discoloration. Each finger is tested for sensation, and the muscles at the base of the hand are examined for strength and signs of atrophy. Your specialist or GP may undertake routine laboratory tests and X-rays that can rule out reveal diabetes, arthritis, and fractures.We use specific tests in order to reproduce the symptoms. The most common tests we use are the Tinel test and the Phalen test. In the Tinel test, we tap on or presses on the median nerve in the patient's wrist. The test is positive when tingling in the fingers or a resultant electric shock-like sensation occurs. The Phalen, or wrist-flexion, test involves having the patient hold his or her forearms upright by pointing the fingers down and pressing the backs of the hands together. The presence of carpal tunnel syndrome is suggested if one or more symptoms, such as tingling or increasing numbness, is felt in the fingers within 1 minute. Sometimes you may notice some specific movements or actions that cause the symptoms. It is important to tell and show us of those movements. If we are unsure that it's a true carpal tunnel syndrome we will confirm the diagnosis by use of electrodiagnostic tests. In a nerve conduction study, electrodes are placed on the hand and wrist. Small electric shocks are applied and the speed with which nerves transmit impulses is measured. Sometimes you may also be referred for ultrasound imaging which can show impaired movement of the median nerve.
Report this post
You must be a HealthShare member to report this post.
to your account or
now (it's free).