9 things to know about carpal tunnel syndrome

New guidelines for the management of carpal tunnel syndrome (CTS) have been released by the American Academy of Orthopaedic Surgeons.

They recommend a multi-faceted approach to diagnosis and warn against over-reliance on any one test or manoeuvre to diagnose the condition. Here are eight key recommendations:

  • Thenar atrophy is strongly associated with CTS, but its absence is not enough to rule out the condition;
  • A single result from one of the common tests ( Phalen test, Tinel Sign, Flick Sign, upper limb neurodynamic/nerve tension test) is not enough to definitely diagnose CTS;
  • MRI

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