Do you ever experience tingling or numbness in your fingers, in hand. It could be that you’re suffering from carpal tunnel syndrome in which the median nerve is affected. Weakness in your hand is an additional symptom of carpal tunnel syndrome but there are many other similar conditions concerning the hand and the fingers. So, There are two very simple clinical tests that we can do for carpal tunnel syndrome. First of all, We have to understand the history of the patient and patients with carpal tunnel syndrome usually report that they have tingling in their hands, but, some patients also report burning sensation. It can happen that these symptoms become more pronounced with sleep. Isn’t that weird? After sleeping and taking a nap the symptoms actually get worse. So, Where is this median nerve that is affected in carpal tunnel syndrome. Well, The median nerve can be found over here and it passes underneath the transverse carpal ligament to supply the fingers with innervation. So, This is where the problems start, if the median nerve in this canal becomes compressed. The symptoms such as tingling might appear but why would it become compressed? The median nerve passes with many tendons through the carpal tunnel and some of these structures can be swollen and increase in size. So, The median nerve can become compressed because of the swelling of the tissue around the tendons. For example but also the canal itself can shrink in size. Many nerves can become irritated or damaged and therefore cause tingling sensation but carpal tunnel syndrome is a compact area that is full of all of these structures passing through it and because of that the carpal tunnel syndrome is quite common. Luckily, There are two very simple clinical tests. We can perform to check for carpal tunnel syndrome but even before we perform these clinical tests, There is one thing we can do to truly help those suffering from carpal tunnel syndrome. We can like this video And subscribe to this Channel and that will make YouTube algorithms promote this video to people suffering from these symptoms. That’s just how YouTube algorithms and algorithms of other online platforms work. If we don’t get likes of subscribers then people suffering from these symptoms will never see this video. The two clinical tests, I wanted to talk about are the Phalen maneuver and tenel sign. the phalan maneuver basically consists of fully flexing the wrist like this and then simply waiting until symptoms appear. If the patient reports tingling, that is paresthesia then the test is positive. Now to properly understand to new sign. We have to look at the transverse carpal ligament over here. The ligament we already explained underneath that ligament is the median nerve passing through and supplying innervation to the fingers by lightly tapping a little bit more proximally to the transverse carpal ligament. We might be able to affect the median nerve and if the patient suffers from carpal tunnel syndrome, He might experience paresthesia but those are just two most important tests for carpal tunnel syndrome. There are additional tests we can perform for this syndrome and there are other conditions that can cause similar symptoms a skilled and a competent doctor should be able to diagnose these conditions. But both of you doctors and patients, We can all benefit from videos like these. If you’re a doctor and you want to make a video like this one then go to anatomsky.com but if you have more questions about carpal tunnel syndrome and wrist symptoms such as tingling and pain then go to this link symptomskey.com/help/wrist
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