How To Diagnose Carpal Tunnel Syndrome: 12 Steps

Carpal tunnel syndrome occurs when the median nerve is pinched or compressed between your palm and forearm. This can cause inflammation, pain, numbness, tingling, or tightness in the fingers, wrist, and arm. There are several causes for this condition, be it an unknown health complication, excessive stress on the wrist, an injury to the area, or the anatomy of the hand itself. However, with proper diagnosis and treatment, carpal tunnel syndrome symptoms can be alleviated.[1] X Trusted Mayo Clinic Source Go to source

Carpal tunnel syndrome home diagnosis

Jak diagnostikovat syndrom karpálního tunelu: 12 Kroků (s obrázky)

Assess your prerequisites for the development of carpal tunnel syndrome. By assessing your own risk factors, you can better understand the symptoms, identify the right wrist condition, and treat it properly. Assess whether any of the following risk factors are appropriate for you:

Gender and age: Women are more prone to carpal tunnel syndrome than men, with diagnosis usually occurring between the ages of 30 and 60.

Occupation: If you put too much pressure on your hands at work (such as working on an assembly line in a factory), you are at increased risk of developing carpal tunnel syndrome.

Other Health Problems: Metabolic disorders, rheumatoid arthritis, menopause, obesity, thyroid disease, kidney failure, diabetes are all conditions that can cause this syndrome.

Lifestyle: Smoking, excessive salt consumption, lack of exercise and further increase the risk of carpal tunnel syndrome.

Jak diagnostikovat syndrom karpálního tunelu: 12 Kroků (s obrázky)

Recognize the symptoms. If you notice any of the following five symptoms in your wrist, hand, or arm, you may be developing or already have carpal tunnel syndrome:

Arm, finger or wrist armor.

Anesthesia of the hand, finger or wrist.

wrist swelling.

Pain in your hand, finger, or wrist.

hand weakness.

Jak diagnostikovat syndrom karpálního tunelu: 12 Kroků (s obrázky)

Record your symptoms. Documenting carpal tunnel symptoms gives you a better starting point for follow-up treatment. Also, with such an inventory, a doctor would be better able to make an accurate diagnosis

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Symptoms usually appear gradually.

Symptoms often appear at night, and over time you start to feel them during the day.

Symptoms that don’t go away over time (for example, a temporary injury) begin to get worse.

Jak diagnostikovat syndrom karpálního tunelu: 12 Kroků (s obrázky)

Try the Phalen test. This is a simple test that can be used to diagnose carpal tunnel syndrome. There are several ways you can take the test. Try the following:

Sit at the table and rest your elbows on it.

Now lower your wrist to maximum extension to increase the pressure on the carpal tunnel.

Hold this position for at least one minute.

Another option is to bring the backs of both hands together in front of each other with the fingers pointing at the floor (like an inverted prayer).

Any tingling in the hands, fingers and/or wrists or numbness in the fingers, especially at the level of the thumb, index finger and part of the middle finger, indicates a positive result.

Jak diagnostikovat syndrom karpálního tunelu: 12 Kroků (s obrázky)

Try additional tests to detect carpal tunnel syndrome. A number of such tests have been described, but some of them are highly controversial. However, you can give it a try:

The Tinel test is performed by tapping the wrist and carpal tunnel with your finger or a special hammer. Tingling in the fingers is then considered a sign of a positive result.

The revolving door test is based on temporarily increasing pressure in the carpal tunnel by clamping a cuff around the wrist or arm to measure blood pressure. Inflate the cuff between systole and diastole to prevent blood circulation and increase hand pressure. If any of the symptoms appear, the test is positive. Only do this test if you are sure you can handle the cuff properly.

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The height test is performed by raising both hands above the head and holding them in this position for two minutes. If symptoms appear, the test is positive.

The Durkan compression test is performed by applying pressure to the carpal tunnel. Push your thumb up the carpal tunnel, or ask someone else to do it. If any of the symptoms appear, the test is positive.

Jak diagnostikovat syndrom karpálního tunelu: 12 Kroků (s obrázky)

Ask yourself if you should see a doctor. If you are unable to relieve the symptoms or if they gradually worsen, the pain is unbearable or restricts you in your daily activities, you should consult your doctor. Doctors make a diagnosis and initiate appropriate treatment. In addition, more serious complications are eliminated.

Carpal tunnel syndrome medical diagnosis

Jak diagnostikovat syndrom karpálního tunelu: 12 Kroků (s obrázky)

Tell your doctor about your symptoms. When you consult your condition, you should give him all the information about your symptoms and how they have progressed over time.

Keep in mind that if you provide the most detailed record of ongoing symptoms, the diagnosis will be easier to determine.

Based on the consultation, the doctor may send you to a specialist – a neurologist, surgeon, orthopedist or rheumatologist – for examination and clarification of the diagnosis or treatment.

Jak diagnostikovat syndrom karpálního tunelu: 12 Kroků (s obrázky)

Get a physical exam. Your doctor will assess the condition of your hand and wrist during the examination. He or she will likely press on certain points and look for a painful reaction or numbness in that area. It will also check for swelling, weakness, or other symptoms. If the pain is too severe, additional testing is needed to rule out other health complications.

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A preliminary examination of the affected area is necessary to determine which direction of treatment and examination should be directed.

The doctor may also perform the Phalen test and other tests in the office.

Jak diagnostikovat syndrom karpálního tunelu: 12 Kroků (s obrázky)

do blood tests You may want blood tests to rule out other health problems such as rheumatoid arthritis, thyroid disease, and other serious problems. Once the issue is resolved, the diagnosis will be more accurate.

After the tests rule out other health problems, additional imaging tests are needed.

Jak diagnostikovat syndrom karpálního tunelu: 12 Kroků (s obrázky)

Request an imaging study. You can request an X-ray or ultrasound yourself, but your doctor will most likely recommend it anyway. After performing this scan, it will be easier to determine the correct diagnosis and targeted treatment of the symptom.

X-rays are usually used to confirm or deny a diagnosis or to reveal other causes of pain (fractures, arthritis, etc.).

An ultrasound may be needed to visualize the structure of the median nerve in your hand.

Jak diagnostikovat syndrom karpálního tunelu: 12 Kroků (s obrázky)

Get an electromyography. This is a test in which a thin needle that measures electrical biosignals is attached to your muscle. This test can determine if a muscle is damaged and reveal other health complications.

Mild analgesics may be given before the exam to relieve pain.

Jak diagnostikovat syndrom karpálního tunelu: 12 Kroků (s obrázky)

Request a median nerve conduction study. This medical conduction test is used to determine the function of the nervous system and can detect carpal tunnel syndrome.

During the examination, two electrodes are placed on the hand and wrist, which provide weak electrical stimulation to the median nerve. It is observed whether the electrical impulses in the carpal tunnel slow down.

The test results indicate the degree of nerve damage.

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