Diagnose Carpal Tunnel Syndrome Hernando MS

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MATTIE HUFF, HOMEMAKER
(662) 781-4716
5671 DOVER DRIVE
HORN LAKE, MS
Specialties
Orthopedics
Gender
Female
Languages
ENGLISH
Education
Graduation Year: 1950

Data Provided By:
Dr.Claiborne Christian
(662) 536-0900
391 Southcrest Cir # 205
Southaven, MS
Gender
M
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
2.0, out of 5 based on 1, reviews.

Data Provided By:
Joseph Calloway Boals III, MD
(901) 396-0103
7900 Airways Blvd
Southaven, MS
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Tn, Memphis, Coll Of Med, Memphis Tn 38163
Graduation Year: 1962

Data Provided By:
William D Dooley, DDS
(662) 349-0777
7732 Airways Blvd Ste B
Southaven, MS
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Andrew H Crenshaw Jr, MD
(901) 759-3212
7545 Airways Blvd
Southaven, MS
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Tn, Memphis, Coll Of Med, Memphis Tn 38163
Graduation Year: 1982
Hospital
Hospital: Baptist Memorial Hosp-Desoto, Southaven, Ms
Group Practice: Campbell Clinic

Data Provided By:
James H Calandruccio, MD
(901) 759-3111
7545 Airways Blvd
Southaven, MS
Specialties
Orthopedics, General Surgery
Gender
Male
Education
Medical School: Univ Of Tn, Memphis, Coll Of Med, Memphis Tn 38163
Graduation Year: 1985

Data Provided By:
Claiborne A Christian, MD
(662) 536-0900
PO Box 1107
Southaven, MS
Specialties
Orthopedics
Gender
Male
Education
Medical School: Va Commonwealth Univ, Med Coll Of Va Sch Of Med, Richmond Va 23298
Graduation Year: 1986

Data Provided By:
Marc Jeffrey Mihalko, MD
(901) 759-5540
7545 Airways Blvd
Southaven, MS
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Tn, Memphis, Coll Of Med, Memphis Tn 38163
Graduation Year: 1998

Data Provided By:
Claiborne Ashby Christian
(662) 536-0900
391 Southcrest Cir
Southaven, MS
Specialty
Orthopedic Surgery, Sports Medicine

Data Provided By:
Barry Brent Phillips, MD
(901) 759-3100
7545 Airways Blvd
Southaven, MS
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Tn, Memphis, Coll Of Med, Memphis Tn 38163
Graduation Year: 1982
Hospital
Hospital: Baptist Memorial Hosp -Memphi, Memphis, Tn; Methodist Hospital-Germantown, Germantown, Tn
Group Practice: Campbell Clinic

Data Provided By:
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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...

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