Diagnose Carpal Tunnel Syndrome Petersburg VA

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

John Kniska, DDS
(804) 732-0155
3277 S Crater Rd
Petersburg, VA
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
A Wright Pond, DDS
(804) 526-1241
PO Box 697
Colonial Hgts, VA
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Karanvir Prakash, MD
(804) 526-5888
131 Jennick Dr
Colonial Heights, VA
Specialties
Orthopedics, Physical Medicine And Rehabilitation
Gender
Male
Languages
Hindi
Education
Medical School: All India Inst Of Med Sci, Ansari Nagar, New Delhi, Delhi, India
Graduation Year: 1982
Hospital
Hospital: John Randolph Hospital, Hopewell, Va; Southside Reg Med Ctr, Petersburg, Va
Group Practice: Hopewell Orthopedic Ctr

Data Provided By:
Praveer Srivastava, MD
(804) 526-5888
2801 Boulevard Ste F
Colonial Heights, VA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Maulana Azad Med Coll, Univ Of Delhi, New Delhi, Delhi, India
Graduation Year: 1985

Data Provided By:
Sharadkumar Saraiya, MD
(804) 541-9279
131 Jennick Dr
Colonial Heights, VA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Med Coll, Baroda Univ, Baroda, Gujarat, India
Graduation Year: 1975
Hospital
Hospital: John Randolph Hospital, Hopewell, Va
Group Practice: Hopewell Orthopedic Ctr Inc

Data Provided By:
Karanvir Prakash
(804) 526-5888
131 Jennick Dr
Colonial Heights, VA
Specialty
Foot & Ankle Surgery

Data Provided By:
Manjit S Dhillon, MD
(804) 526-5888
131 Jennick Dr
Colonial Heights, VA
Specialties
Orthopedics, Hand Surgery
Gender
Male
Education
Medical School: Maulana Azad Med Coll, Univ Of Delhi, New Delhi, Delhi, India
Graduation Year: 1986

Data Provided By:
Vivek Sharma
(804) 526-5888
131 Jennick Dr
Colonial Heights, VA
Specialty
Family Practice, Orthopedic Surgery, Sports Medicine

Data Provided By:
Gurpal S Bhuller, MD
(804) 526-5888
131 Jennick Dr
Colonial Heights, VA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Christian Med Coll, Punjab Univ, Ludhiana, Punjab, India
Graduation Year: 1974
Hospital
Hospital: John Randolph Hospital, Hopewell, Va; Southside Reg Med Ctr, Petersburg, Va
Group Practice: Hopewell Orthopedic Ctr

Data Provided By:
Rene Argoldg Thornton, DDS
Prince George, VA
Specialties
Orthodontics/Dentofacial Orthopedics

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