A good indicator of CTS is pain at night that radiates to the tops of your thumb, index, middle and ring finger. Another indicator of CTS is increased pain during the day when carrying out manual activities with the affected hand. The little finger usually remains unaffected, unless there is a case of additional sulcus nervi ulnaris syndrome. This syndrome involves the narrowing of the ulnar hand nerve. Issues in the cervical spine region (the neck) can also mimic the symptoms of CTS. For this reason, a clinical assessment can offer further indications of whether you are suffering from CTS. Two common clinical signs are:
Objective diagnostics through measurements
To determine the right treatment, a nerve conduction velocity measurement must always be carried out. This allows any subjective issues to be objectively differentiated from other causes. In some cases, a high-resolution ultrasound can also provide valuable information, especially when the CTS is recurring.
For ethical reasons, we don’t carry out these assessments ourselves, as we do not want to confirm our own diagnoses and surgical indications. Instead, we organise timely appointments for our patients, also on insurance, at independent sites. The referral can also be done online. We believe this is an indispensable quality factor!