Diagnose Carpal Tunnel Syndrome Mcalester OK

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

Patrick Russell Gannon
(918) 426-0240
1401 E Van Buren Ave
Mcalester, OK
Specialty
Orthopedic Surgery

Data Provided By:
Patrick Russel Gannon, MD
(918) 421-8760
1401 E Van Buren Ave
McAlester, OK
Specialties
Orthopedics
Gender
Male
Education
Medical School: Washington Univ Sch Of Med, St Louis Mo 63110
Graduation Year: 1993
Hospital
Hospital: Mc Alester Regional Health Cen, McAlester, Ok
Group Practice: Warren Clinic McAlester Division

Data Provided By:
Chad Crawley
(918) 426-0240
1401 E Van Buren Ave
Mcalester, OK
Specialty
Orthopedic Surgery

Data Provided By:
John Patrick Evans, MD
(405) 232-0341
1110 N Lee Ave
Oklahoma City, OK
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduation Year: 1963
Hospital
Hospital: St Anthony Hospital, Oklahoma City, Ok; Bone & Joint Hosp, Oklahoma City, Ok
Group Practice: Oklahoma Orthopedics Inc

Data Provided By:
Andrew B Ebert
(405) 271-4426
920 Stanton L Young Blvd
Oklahoma City, OK
Specialty
Orthopedic Surgery

Data Provided By:
Richard Wade Corley, DDS
(918) 423-2628
215 E Choctaw Ave Ste 108
Mcalester, OK
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Ronald C Schatzman Jr, MD
(918) 420-1181
PO Box 908 1401 E Van Buren
McAlester, OK
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Cincinnati Coll Of Med, Cincinnati Oh 45267
Graduation Year: 1963

Data Provided By:
Harvey C Jenkins Jr., MD
(405) 686-1700
8603 S Western Ave
Oklahoma City, OK
Business
Aria Orthopedics
Specialties
Orthopedics

Data Provided By:
Raymond Paul Krob, DDS
(405) 631-8822
8301 S Walker Ave Ste 103
Oklahoma City, OK
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
E Alexander L'Heureux, MD
(405) 844-5222
1405 NW 150th Steet
Edmond, OK
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Tx Med Branch Galveston, Galveston Tx 77550
Graduation Year: 1991
Hospital
Hospital: Oklahoma Spine Hospital, Oklahoma City, Ok
Group Practice: Edmond Spine Ctr

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