Carpal tunnel syndrome | Tinel’s sign and Phalen’s sign | Clinical Examination

Lesson on clinical examination of carpal tunnel syndrome including Phalen sign and Tinel Sign. Carpal tunnel syndrome is a condition involving the median nerve of the hand becoming compressed and causing characteristic signs and symptoms. Compression of the median nerve can be due to a variety of causes including injury, overuse, or arthritic changes. Tinel’s sign and Phalen’s sign are two clinical tests that can be performed to assess whether an individual has carpal tunnel syndrome or not. In this lesson you will learn how to perform a clinical examination of Carpal Tunnel Syndrome using Tinel's sign and Phalen's sign.

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DISCLAIMER: This video is for educational purposes only and information in this lesson SHOULD NOT be used for medical purposes alone. Although I try my best to present accurate information, there may be mistakes in this video. If you do see any mistakes with information in this lesson, please comment and let me know.

[gang]

The hands are sensory reflexive areas that connect to vital organs and other areas across the body, so to everyone dont just focus on your hands, look at the whole picture. Look up a hand & feet reflexology chart

[zepvibe]

today i learned i may have carpal tunnel

[leelee]

Great video. Appreciate how you explained this is a simple to understand way for us lay people.

[allcoastoutpatienttherapy]

Good clear explanation of performing those tests .

[thenamelessdrummer]

What If I have pain in the middle of my wrist on the top and not on the bottom??

[juliaendy]

My right hand hurts sometimes with shooting pains and sometimes my fingers get num or tingly. What does that mean? And I'm 13 btw

[deathbloom]

I did this yesterday after watching a short, obviously my hand/s went numb, had some pain in my right wrist, but i mentioned how i wear a splint to bed and it's completely stopped me from waking up in the middle of the night with my arm in severe pain. Except after doing that test, it happened for the first time in 6 months last night. Now my hand and wrist feel like I'm back to square one 😭 at least i know it's probably carpal tunnel.

[Rizaru]

My pinky and the two fingers closest to it get a numbing burning sensation when I am typing a lot.

[Muffmiester]

Correction thumb, index finger and lateral half of middle finger are supplied by the median nerve (not the ring finger). Also, this video demonstrates the 'reverse Phalen's test and not the Phalen's test which is done with the palms together as in prayer position. If either of these 3 tests reproduces symptoms of radiculopathy (numbness, tingling, pain) along the above mentioned 3 fingers then this could be carpal tunnel.

[oglow]

Im a dental student and i am.getting positive resutls. I dont want to do any surgery for this. Is there any way i can still work but also not make this problem worse?

[chefdownunder]

Great. Carpel tunnel and chronic pain in the one hand 😅

[Miguelification]

Does a heat/burning sensation happen with carpel tunnel? Only happens on my index finger on my left hand.

[Aprilla_sya]

Is it the patient must do extension position while doing the tinel's sign ?

[haleyvargas]

My arms and hands have been going numb a lot lately and it happens with small movements. I could be grabbing a napkin and it’ll go numb, I have a lot of pain when I sleep, it affects my sleep bc of the pain, it hurts a lot and I always have to wait it off so I can fall back asleep. I don’t put pressure on it and it goes limp and I’ll drop stuff. I. Concerned I have it but I’m only 16 so idk what to expect. My mom has it but she didn’t get it till she was 30 . I rlly hope it’s not the case

[anassuyyagh]

I need some help you guys: so test 1 gave no result, but the pain I'm having in my wrist is so bad I can't even do the second test and can't fold my 2 hands anywhere near this far. I've been having this problem for over 4 years now and it comes and goes. Now it's at its worst, and it's starting to cause occasional numbness in my elbows. Please help if you know anything. Thanks :)

[crayationstation]

I can’t bend my wrists like you do, to do the test 😢

[Stanky_Foot]

I did these two tests but both came out negative.

Im 21 but my grip strength is incredibly weak, and there are some moments where I could not even open a bag of chips or twist a bottle cap open.
Another thing i notice in my hands is that when i try to clench my fists, i can feel a tickly(not tingling) sensation in the center of the back of my palm, also I cannot forcefully clench a fist because of the tickly sensation.

What could i be having?

[OwoutOwout]

what if i only feel tingly in my thumb? Nothing else

[scottreed]

What if wrist and forearm are numb only, with little pain? I did test one and got the tingling sensation in the thumb. Nothing with test two.

[poonzy]

I didn’t have reaction but sometimes my fingers get tingly and I have pain on my wrist idk what it could be…