The Phalen Test for Carpal Tunnel Syndrome

10 November 2020

Nowadays, a plethora of information on any topic is available on the internet. So, there’s a tendency to occupy the driver seat concerning one’s health. This initiative is largely positive. However, there is a catch 22 . Inevitably, the downside is self – diagnoses of sorts.

Recently, a client came for therapy. They had pain and discomfort at their hands and forearm. Then, they query if Carpal Tunnel Syndrome might be the cause. That stirred me up with amusing thoughts. How wonderful, everybody is winning the “Walking Encyclopedias” award!

Nevertheless, ascertaining the cause is vital. Its paramount for treatment. Off my cuffs there are a number of orthopaedic tests and assessments which helps.

Testings and Assessments

  • Phalen Test
  • Compression Test
  • Tinsel’s Test
  • Finkelstein Test
  • Grip Test
  • Reviewing symptoms
  • Visual Assessment of the Thenar and hypothenar muscles
  • Nerve Compression Velocity Test

What is Carpal Tunnel Syndrome?

When the median nerve is compressed as it passes through a narrow tunnel at the wrist.

Symptoms

  • Altered Sensations in the hands and fingers
  • Stiffness at wrists and fingers in the morning
  • Pain in the hands travelling down to the wrist, forearm and shoulders
  • Prickly
  • Pins and Needles
  • Numbness
  • Burning
  • Weak grip and clumsiness with handling objects

Management

  • Conservative, with steroid injections
  • Medication for pain
  • Splintting
  • Avoid aggravating repetitive and heavy hand/wrist movements
  • Massaage therapy and Stretching helps in the early stages

The client tested negative to Carpal Tunnel Syndrome in this case.

# Carpal Tunnel Syndrome # Massage Therapy and CTS

For further reading at your leisure:

https://www.southerncross.co.nz/group/medical-library/carpal-tunnel-syndrome-symptoms-causes-surgery

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