Diagnose Carpal Tunnel Syndrome Vernon Rockville CT

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

Jesse Grant Eisler, MD
(860) 872-6229
281 Hartford Tpke
Vernon Rockville, CT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Mt Sinai Sch Of Med Of The City Univ Of Ny, New York Ny 10029
Graduation Year: 1996
Hospital
Hospital: Deaconess Hosp Of Cincinnati, Cincinnati, Oh
Group Practice: Wellington Orthopaedic & Sports Medicine

Data Provided By:
Richard Dennis Fischer, MD
(860) 872-3717
428 Hartford Tpke Ste 210
Vernon, CT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Umdnj-New Jersey Med Sch, Newark Nj 07103
Graduation Year: 1983

Data Provided By:
James Thomas Mazzara, MD
(860) 646-0188
36 Haynes St
Manchester, CT
Specialties
Orthopedics, General Surgery
Gender
Male
Education
Medical School: New York Med Coll, Valhalla Ny 10595
Graduation Year: 1984

Data Provided By:
Dr.VIPUL NANAVATI
(860) 648-4480
2800 Tamarack Rd # 104
South Windsor, CT
Gender
M
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
5.0, out of 5 based on 1, reviews.

Data Provided By:
Dr.Michael Passaretti
(860) 646-0188
36 Haynes Street
Manchester, CT
Gender
M
Education
Medical School: Tufts Univ Sch Of Med
Year of Graduation: 1968
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
5.0, out of 5 based on 1, reviews.

Data Provided By:
Kenneth Rupert Alleyne, MD
(860) 875-3676
PO Box 3255
Vernon, CT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Bowman Gray Sch Of Med Of Wake Forest Univ, Winston-Salem Nc 27157
Graduation Year: 1994

Data Provided By:
Jesse Eisler
(860) 872-6229
460 Hartford Tpke
Vernon, CT
Specialty
Orthopedic Surgery

Data Provided By:
Wells C Jacobson
(860) 646-0188
36 Haynes St
Manchester, CT
Specialty
Orthopedic Surgery

Data Provided By:
Dr.Wells Jacobson
(860) 646-0188
36 Haynes Street
Manchester, CT
Gender
M
Education
Medical School: Hahnemann Univ Sch Of Med
Year of Graduation: 1975
Speciality
Orthopedic Surgeon
General Information
Hospital: Manchester Mem Hosp, Manchester, Ct
Accepting New Patients: Yes
RateMD Rating
2.9, out of 5 based on 4, reviews.

Data Provided By:
James T Mazzara
(860) 649-2267
29 Haynes St
Manchester, CT
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