{"id":8583,"date":"2021-11-15T18:05:31","date_gmt":"2021-11-15T17:05:31","guid":{"rendered":"https:\/\/www.physiotutors.com\/?post_type=wiki&p=8583"},"modified":"2021-11-15T18:05:31","modified_gmt":"2021-11-15T17:05:31","slug":"tinel-sign","status":"publish","type":"wiki","link":"https:\/\/www.physiotutors.com\/wiki\/tinel-sign\/","title":{"rendered":"Tinel Sign"},"featured_media":8584,"template":"","class_list":["post-8583","wiki","type-wiki","status-publish","has-post-thumbnail","hentry"],"acf":{"sections":[{"acf_fc_layout":"page-header-detail-page","background":{"background_image":8584,"background_image_alt_text":"Tinel Sign"},"heading":"Tinel Sign of the Wrist | Carpal Tunnel Syndrome Assessment","subheading":"Wrist & Hand Assessment","content_editor":"","button_type":"internal_link","button_label":"Check our shop","button_style":"button-five","button_internal_link":4646,"button_anchor":"","button_url":"","button_file":"","label":""},{"acf_fc_layout":"submenu","links":[{"button_type":"anchor","button_label":"Learn","button_internal_link":null,"button_anchor":"section-number-3","button_url":"","button_file":null},{"button_type":"anchor","button_label":"Assessment E-Book","button_internal_link":null,"button_anchor":"section-number-4","button_url":"","button_file":null},{"button_type":"anchor","button_label":"Reviews","button_internal_link":null,"button_anchor":"section-number-5","button_url":"","button_file":null}],"dropdown_label":"Go to","button_right":{"button_type":"internal_link","button_label":"Become a member","button_style":"button-three","button_internal_link":16662,"button_anchor":"","button_url":"","button_file":""},"button_description":"Find this wiki on the Physiotutors platform"},{"acf_fc_layout":"content-content","section_options":{"vertical_alignment":"top","column_right_box":false,"column_left_width":"col-12 col-lg-4 offset"},"column_left":{"content_editor":"

Learn<\/h4>"},"column_right":{"content_editor":"

Tinel Sign of the Wrist for Carpal Tunnel Syndrome (CTS)<\/h2>\nThe Tinel sign is described for various body regions with the aim to evoke symptoms that are characteristic of peripheral nerve entrapment by tapping along the distribution of the affected nerve. Valdes et al. (2013)<\/a> and Montgomery\u00a0 (2020)<\/a> evaluated the Tinel Sign among other tests for Carpal Tunnel Syndrome on its diagnostic accuracy. The results: Positive likelihood ratios from 0.82 to 2.95 and negative likelihood ratios between 0.57 and 0.77 which translates to only a weak clinical value and you are better off using a validated cluster for CTS.\n
\n\n[embed]https:\/\/www.youtube.com\/watch?v=SOHdFU3hllE[\/embed]\n\n<\/div>\nTo conduct the test the patient is in sitting position with the forearm and hand placed comfortably on the treatment bench. The examiner then uses two fingers to tap on the median nerve at the wrist.\n\nSome authors recommend tapping along the entire distribution of the median nerve from the index finger to the medial forearm.\n\nThe test is considered positive in case tingling in the thumb, index finger, middle finger, and\/or medial half of the ring finger are reproduced.\n\n[cta]\n\nOther orthopedic\/neurological tests to assess for carpal tunnel syndrome are:\n