How is Carpal Tunnel Syndrome diagnosed?

“My right wrist was at the point where I experienced pain and loss of strength when picking up heavier objects. I used the Carpal Solution and had immediate relief. I was so worried I would have to have surgery. Now, if I experience pain, I use the Carpal Solution for two or three nights and have immediate relief of any reoccurring pain. Thank you, I would recommend this remarkable product to any CTS sufferer.”
Judie – Santa Ana, CA.

There are a couple of sure signs of Carpal Tunnel Syndrome that can help an individual self diagnose as they decide to take proactive steps to control their symptoms. However, people suffering from self-diagnosed Carpal Tunnel Syndrome should always consult their physician to confirm the diagnosis, assure that there are no other contributing factors or diseases that might complicate the treatment and identify potential causes that the user might have overlooked. The evaluation of repetitive stress induced carpal tunnel syndrome includes identifying high risk hand activities at work, home and at play.

Each person brings their own unique hand use pattern to the equation. Yet the symptoms of CTS sufferers share many common elements as discussed on the CTS Symptoms page. If you experience regular sleep interruption due to tingling numb or painful hands, or you have lost feeling in your index finger and thumb, there is a high likelihood that you are suffering from repetitive stress induced Carpal Tunnel Strain or Carpal Tunnel Syndrome. Proactive healthcare consumers can begin using the Carpal Solution to control their CTS symptoms while they consult their physician to confirm the diagnosis as described above.

At your physician’s evaluation you will be asked to explain your activities with a detailed description of all the processes involved in a typical day’s activities including those at work, at home and during recreation. An assessment is made of the frequency, intensity, duration and regularity of each task performed. An assessment of other potential contributing factors such as Auto Immune Disorders, Arthritis, Diabetes, Gout, Hypothyroidism, Menopause, Wrist Fractures, Hand Fractures, Torn Ligaments, Dislocations, Pregnancy, etc.

Diagnosis of carpal tunnel syndrome can be confirmed by performing certain tests to detect impairment of the median nerve. Some of the tests are quite subjective and require feedback from the patient to help with the diagnosis, others are purely scientific in nature, but more invasive and time consuming. Your physician will guide you based on your specific conditions as to what is the most appropriate for you. Below is a list of what you may see during your visit to your Doctor:

Tinel’s test – The physician taps the median nerve at the wrist. A tingling response in one or more fingers indicates damage to the median nerve.

Phalen’s test – The patient puts the backs of the hands together and bends the wrists for one minute. Tingling of the fingers indicates damage to the median nerve.

Electromyography – Electrodes are placed on the forearm and electrical current is directed at target areas. Measurements on how fast and how well the median nerve transmits messages to muscles indicate if there is damage to this nerve.

Nerve Conductivity Testing – Nerve conduction studies are the “gold standard” diagnostic tool for the assessment of neuropathies, such as Carpal Tunnel Syndrome and Diabetic Peripheral Neuropathy. Neurodiagnostic testing is also useful in the evaluation of back pain or sciatica, helping to determine the presence of nerve root involvement in cases of lumbosacral radiculopathy and lumbar spinal stenosis.

Nerve Conductivity Testing compares the response of the Ulnar Nerve to the responsiveness of the Median Nerve. The Ulnar Nerve connects to the smallest finger of the hand and provides feeling sensation to the nerve center in the brain. The Ulnar Nerve passes through the wrist, but around the outside of the Carpal Tunnel, while the Median Nerve passes directly through the Carpal Tunnel.

A significant difference in the responsiveness of the two nerves is thought to be a clear confirmation of CTS. The established medical community considers this test to be the gold standard of Carpal Tunnel Syndrome testing. Nerve Conductivity testing is required by most medical insurance providers and surgeons before surgery will be considered for reimbursement. There are also new electrophysiological technologies being developed, that offer rapid less invasive nerve diagnostic information. Results are generated within minutes to help confirm the clinical assessment and expedite quick preventative action.