Dynamic Chiropractic

Dynamic Chiropractic Facebook Twitter Get the Latest News FASTER - View Digital Editions Now!
Dynamic Chiropractic
Advanced Search
Wellness Blog
Dynamic Chiropractic PracticeINSIGHTS
Current Graphic

Chiropractic Research Review

Diagnosing Carpal Tunnel Syndrome

Carpal tunnel syndrome, presenting as pain, nocturnal parasthesia, muscle weakness, decreased manual dexterity, and muscular atrophy, has been characterized as the most common compressive neuropathy of the upper extremities.

The National Institute on Occupational Safety and Health estimates that nearly 23,000 new cases of carpal tunnel syndrome (CTS) present annually among workers, making diagnosis and management of this condition a clinical priority.

This paper evaluates various diagnostic procedures for carpal tunnel syndrome. A literature search of MEDLINE was used to gather data on a number of diagnostic tests, including:

* Phalen's test and Tinel's sign;
* reverse Phalen's test;
* carpal compression test;
* Gilliat's test (a.k.a. the tourniquet test);
* two-point discrimination and palpa- tion;
* electrodiagnostic tests;
* vibrometry; and
* imaging (MRI, sonography).

Conclusion: Deciding on the most appropriate and effective care for patients with carpal tunnel syndrome begins with accurate clinical assessment. Diagnostic tests can help distinguish CTS from other conditions with similar presentations, including nerve compression caused by cervical disc herniation, thoracic outlet syndrome, and median nerve compression in the forearm and elbow.

Take Note: This paper is not inclusive of all standard CTS tests. For example, the monofilament test, considered by some to be the gold standard for determining hand sensitivity in CTS patients, is not discussed.

Tuck NR, Simper D, Schliesser J, et al. Evaluation of diagnostic procedures for carpal tunnel syndrome. Journal of the Neuromusculoskeletal System, Spring 2000:8(1), pp1-9.

Chiropractic Research Review

Dynamic Chiropractic
How often do you reach out to patients who haven't visited your practice in six months or more?
Every few months
Every 3-4 months
Every six months or so
Once a year
Less frequently

Sign Up for Our Webinars
Receive Advanced Notice of Future Webinars