Diagnosing Carpal Tunnel Syndrome - Physiotherapy Hand Therapy Singapore

The standard diagnosing system for CTS is electromyographical (EMG) testing, on top of the manual testing using a Phalen's and Tinel's test, for added clarity. A presence of pain is likely to rule out CTS, as CTS is primarily marked by numbness, tingling, decreased power and dexterity of the fingers.

The Phalen's Test is performed by flexing the wrist as much as possible but gently, and holding this position for 60 seconds to see if the symptoms manifests. If symptoms manifests, the phalen's test is marked as positive. The quicker the manifestation, the more advanced/severe the stage is.

The Tinel's Test is to tap on the distribution points of the median nerve (thumb to the half of the ring finger) and if there is a presence of tingling, the tinel sign is noted as positive.

Durkan's Test, is a test where we compress the carpal area, compressing the carpal tunnel at the palm over the nerve for about 30 seconds until symptoms are elicited.

Prevalence

CTS can affect virtually anyone and everyone, though more often than not, women are more affected with a ratio of 3 women to 1 man affected. Most of the sufferer are between 45-60 years of age.

Prevention of CTS

1. avoiding repetitive motions and stresses


2. utilizing ergonomic equipment such as wrist rest, mouse pad


3. keyboard solutions(digital pen, voice recognition and dictation software


4. taking adequate breaks


5. early treatment like taking turmeric (anti-inflammatory), omega-3 fatty acids, and B vitamins



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