How To Check for Carpal Tunnel Syndrome - Dr Gill

How to Examine Carpal Tunnel Syndrome - Clinical Skills Deep Dive - Dr Gill When a patient complains of numbness, pins and needles, or weakness in one or both hands carpal tunnel syndrome should be considered. In this video, we will do a step-by-step explanation of how to examine for median nerve compression, which is the cause of carpal tunnel syndrome Important to make sure that you are confident in performing these three special tests, which may give you further insight into the underlying pathology in order to make your diagnosis - those tests are Tinel's test, Phalen's Test and Durkan's Test. We will go through and explain each of the carpal tunnel special tests in this video Please note that there is no ABSOLUTE way to perform a clinical examination. Different institutions and even clinicians will have differing degrees of variations - the aim is the effectively identify medically relevant signs. However during OSCE assessments. Different medical schools, nursing colleges, and other health professional courses will have their own preferred approach to a clinical assessment - you should concentrate on THEIR marks schemes for your assessments. The examination demonstrated here is derived from Macleod's Clinical Examination - a recognized standard textbook for clinical skills. Some patience watching this video may experience an ASMR phenomenon #CarpalTunnel #ASMR #DrGill You can now consult via video or in person with Dr Gill at Dr Finlay’s Private Practice - https://www.drfinlays.co.uk/services/... 00:00 - Introduction 00:47 - Patient Verification 01:00 - Identifying Symptoms and Affected Fingers 01:29 - Assess Dominant Hand 01:54 - Physical Examination: Observing the Hands 02:48 - Checking for Muscle Wasting and Symmetry 04:39 - Testing Thumb Movements and Strength 05:13 - Testing Thumb Opposition and Strength 06:45 - Sensation Testing: Median Nerve Distribution 07:48 - Using a Neurotip for Sensory Assessment 09:28 - Special Tests for Carpal Tunnel: Tinel's, Phalen's, and Durkan's Tests 11:39 - Performing Phalen's Test 12:29 - Conducting Durkan's Test 15:08 - Testing Hand Functionality 15:52 - Discussion on Management and Referral for Neurophysiology Testing 16:24 - Advice on Ergonomics and Preventive Measures 17:01 - Closing Thoughts