Diagnose Carpal Tunnel Syndrome Brattleboro VT

Looking for information on Diagnose Carpal Tunnel Syndrome in Brattleboro? We have compiled a list of businesses and services around Brattleboro that should help you with your search. We hope this page helps you find information on Diagnose Carpal Tunnel Syndrome in Brattleboro.

Donald Leslie Kinley, MD
(802) 254-9441
PO Box 656
Brattleboro, VT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Mc Gill Univ, Fac Of Med, Montreal, Que, Canada
Graduation Year: 1964

Data Provided By:
Elizabeth Ann McLarney, MD
(802) 254-7787
17 Belmont Ave
Brattleboro, VT
Specialties
Orthopedics, Sports Medicine-Family Practice
Gender
Female
Education
Medical School: Albany Med Coll, Albany Ny 12208
Graduation Year: 1992
Hospital
Hospital: Brattleboro Mem Hosp, Brattleboro, Vt

Data Provided By:
Elizabeth Ann McLarney
(802) 254-7787
17 Belmont Avenue
Brattleboro, VT
Specialty
Orthopedic Surgery, Adult Reconstructive Orthopaedic Surgery

Data Provided By:
Jonathan Charles Thatcher
(802) 254-3500
17 Belmont Ave
Brattleboro, VT
Specialty
Orthopedic Surgery

Data Provided By:
Cherie Ann Holmes, MD
(603) 756-3489
230 County Rd
Walpole, NH
Specialties
Orthopedics
Gender
Female
Education
Medical School: Georgetown Univ Sch Of Med, Washington Dc 20007
Graduation Year: 1983

Data Provided By:
Jonathan Charles Thatcher, MD
17 Belmont Ave
Brattleboro, VT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Boston Univ Sch Of Med, Boston Ma 02118
Graduation Year: 1982

Data Provided By:
Dr.Elizabeth McLarney
(802) 254-7787
17 Belmont Ave # 1051
Brattleboro, VT
Gender
F
Education
Medical School: Albany Med Coll
Year of Graduation: 1992
Speciality
Orthopedic Surgeon
General Information
Hospital: Brattleboro Mem Hosp, Brattleboro, Vt
Accepting New Patients: Yes
RateMD Rating
4.5, out of 5 based on 3, reviews.

Data Provided By:
William Vranos
(802) 254-6211
17 Belmont Ave
Brattleboro, VT
Specialty
Orthopedic Surgery

Data Provided By:
Harold Roger Hansen, MD
(603) 354-5400
Spofford, NH
Specialties
Orthopedics
Gender
Male
Education
Medical School: Jefferson Med Coll-Thos Jefferson Univ, Philadelphia Pa 19107
Graduation Year: 1969

Data Provided By:
Wade Hampton Penny
(603) 354-5454
590 Court St
Keene, NH
Specialty
Orthopedic Surgery

Data Provided By:
Data Provided By:

Best Way to Diagnose Carpal Tunnel Syndrome

Dr. Brent Graham at the Toronto Western Hospital (Canada) has been working on finding the best way to diagnose carpal tunnel syndrome (CTS). Currently, there isn't a clear consensus on the best clinical tests to use in making this diagnosis.

Carpal tunnel syndrome is a common problem affecting the hand and wrist. Symptoms begin when the median nerve gets squeezed inside the carpal tunnel of the wrist. Carpal tunnel syndrome is also known as nerve entrapment or compressive neuropathy. Any condition that decreases the size of the carpal tunnel or enlarges the tissues inside the tunnel can produce the symptoms of carpal tunnel syndrome.

In the past, Dr. Graham tested and validated a new clinical tool called the CTS-6. This instrument is a diagnostic scale for carpal tunnel syndrome. It includes six tests from the history and physical exam to estimate the likelihood that carpal tunnel syndrome is present. The CTS-6 has been tested and validated as a reliable instrument.

Now, in this study, Dr. Graham compared the results of the CTS-6 with electrodiagnostic testing. Electrodiagnostic testing consisted of sensory nerve conduction velocity (NCV). A segment of the median nerve was tested from the wrist to the middle finger.

There were several steps in this study. First, a hand therapist tested all new patients referred to the center for possible upper extremity peripheral nerve problem. The CTS-6 test was used to determine the pre-test chances the patient had carpal tunnel syndrome. Then these same patients were tested using a standard nerve conduction velocity test.

With the CTS-6 scale, each of the six items is given a point value. The six items include 1) numbness in the hand and fingers supplied by the median nerve, 2) muscle atrophy and/or weakness, 3) a positive Phalen test (standard clinical test used to diagnose carpal tunnel syndrome), 4) loss of two-point discrimination (feeling two separate points touched on the skin), 5) numbness at night that wakes the patient up, and 6) a positive Tinel sign (another standard clinical test used to diagnose carpal tunnel syndrome).

A total score of 12 or more suggests a strong probability (80 per cent chance) that the patient has carpal tunnel syndrome. A total score less than five indicates a very small chance (25 per cent) that the patient has carpal tunnel syndrome.

Comparing the results of the CTS-6 test with the results of the nerve conduction velocity test, the authors report the added information from the electrodiagnostic test was not enough to change the diagnosis or warrant the expense. A low probability of carpal tunnel syndrome (judged by the CTS-6) in a patient whose nerve conduction velocity was negative only lowered the chances of the diagnosis being carpal tunnel syndrome. There wasn't much value added by the electrodiagnostic test -- not enough to support the cost and discomfort to the patient.

With the availability of the CTS-6, there is much less...

Click here to read the rest of this article from eOrthopod.com