The Tinel’s at Wrist or Tinel’s Test is a wrist examination procedure that diagnoses irritated nerves. It is a specific test to identify carpal tunnel syndrome and maybe a tool for medical management. This test is also useful in identifying peripheral nerve compression to any region in the body.
The patient must be awake and cooperative when the Tinel’s at Wrist test is done.
- Patient should be seated during the test.
- The examiner uses his fingertips or a reflex hammer in tapping the carpal tunnel and the ulnar tunnel.
- The examiner checks for numbness, shooting electrical sensation or pain or any tingling of the area.
Positive Tinel’s at Wrist Test
There is positive Tinel’s Test when there is numbness, tingling or shooting pain along the area. When these signs are present along the median nerve distribution, median neuropathy may be suspected. If the signs are found along the ulnar nerve distribution, ulnar neuropathy could be present.
Tinel’s Test is described as tapping over a peripheral nerve. This test may be used to any region of the body to identify peripheral nerve compression.