Carpal Tunnel

Specialized Physical Exam

Tinel's Tapping
This test is positive for nerve irritation if tapping sends shock waves or "zingers" down into the hand
Phalen's Compression
This test is positive if compression of the nerve produces numbness and pain into the fingers

Diagnostic Testing

EMG Nerve Tests
Using a special machine in the office, we can determine if there is any significant nerve damage.
Grading the CTS
There are three grades depending on EMG results; Mild, Moderate and Severe. These grades help us decide on the most appropriate treatment

Therapeutic Intervention

Carpal Tunnel Injections
The goal of this injection is to decrease the swelling around the median nerve in the wrist and help resolve the symptoms
Physical Therapy
This helps resolve any residual pain and promotes the natural healing process
We strive to have the therapy done close your house and also make sure that it is a location that is covered by your insurance

Recovery Phase

Home Exercise Program
These are postural, stretching, and exercises that you learn as part of your therapy so that you can continue to do therapy on your own
Return to Active Lifestyle
The goal is to get you back to the activities that you enjoyed before the symptoms started