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Doctor insights on: Nerve Conduction Study Carpal Tunnel

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Could I have carpal tunnel, ulnar nerve compression, or unknown neuropathy?

Could I have carpal tunnel, ulnar nerve compression, or unknown neuropathy?

Nerve entrapment: Each of these has particular symptoms and causes which may help to sort them out http://www.neurocuro.com/peripheral-nerve-entrapment/ ...Read more

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Nerve (Definition)

The brain and spinal cord communicates with what is occurring in the internal organs and limbs by nerve fibers where are like electrical wires with insulation (myelin) and the "copper" (axon). Within brain and spinal cord these nerves connect to other nerves via synapses on both axons and dendrites. A nerve can carry information regarding sensations, and ...Read more


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I'm having nerve conduction tests for carpal tunnel. Couldl the same test show guyons tunnel syndrome?

I'm having nerve conduction tests for carpal tunnel. Couldl the same test show guyons tunnel syndrome?

Possibly: Depends on how detailed the neurologist or other physician is in performing the emg/ncv's. If your referring physician explains the need for testing the ulnar nerve in guyon's canal it can be done... In my experience most ' routine' EMG 's of the upper extremity will note conduction 'slowing' @ the elbow( cubital tunnel) but not @ the wrist... Best of luck! ...Read more

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Is an ulnar nerve transposition effective for cubital tunnel syndrome?

Is an ulnar nerve transposition effective for cubital tunnel syndrome?

Yes: Ulnar nerve transposition is equivalent to an ulnar nerve decompression operation for entrapment at the elbow. ...Read more

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Difference between nerve conduction study and emg?

Difference between nerve conduction study and emg?

See below: The EMG portion uses a small needle to directly examine muscle function, and the nerve conduction part uses electrical shocks to measure nerve function. Together the study gives a good idea of the nature of the pathology and location, but can also assess the prognosis and character, and gives often guidance towards an eventual diagnosis. ...Read more

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Show diagram of carpal tunnel surgery?

Show diagram of carpal  tunnel surgery?

Video carpal tunnel: Ill do one better here is a link to page with diagrams and a video <a href="http://www.handctr.Com/carpal-tunnel-syndrome-q-a.html" rel="nofollow" target="_blank">http://www.handctr.Com/carpal-tunnel-syndrome-q-a.html</a>. ...Read more

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Help can cubital tunnel syndrome/ulnar nerve damage cause twitching muscles?

Yes to your question: Damage to any nerve that supplies a muscle may cause twitching. When the ulnar nerve is damaged, twitching may occur along the medial forearm, and many muscles that move the fingers - such as the muscles that move the fingers apart and together and the muscles that help the fingers curl and grip. http://www.neurocuro.com/peripheral-nerve-entrapment/ ...Read more

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Can an orthopedic dr diagnose carpal tunnel. Who does the conduction study.

Can an orthopedic dr diagnose carpal tunnel. Who does the conduction study.

Yes, neurologist: An orthopaedic surgeon can diagnose carpal tunnel syndrome(cts). Those patients with numbness/tingling in the thumb, index, long and 1/2 of the ring fingers and night pain don't usually need a conduction study. However, if there is any question about the diagnosis, an emg/ncv study can be performed by a neurologist of physiatrist. A board certified orthopaedic hand surgeon can provide treatment. ...Read more

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Why does a compressed ulnar nerve (ulnar canal syndrome) not cause radial deviation?

Why does a compressed ulnar nerve (ulnar canal syndrome) not cause radial deviation?

Ulnar Nerve: supplies motor innervation to the adductor pollicis muscle in the thumb, the muscles of the hypothenar eminence and the intrinsic muscles of the palm (interossei and lumbricals) The branches to the forearm muscles (extensor and flexor carpi ulnaris when compressed produce only minor weakness (vs what occurs when the nerve is cut) One might develop a claw hand but not radial deviation ...Read more

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Treatment of carpal tunnel syndrome?

Treatment of carpal tunnel syndrome?

Depends: Injections, splint, rest, surgery if no improvement. Make sure there are no compression of cervical spine. ...Read more

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Contemplating surgery. I have type II diabetes, depression, carpal tunnel syndrome, peripheral neuropathy. Abnormal nerve conduction Multileveled bilateral acute on chronic cervical radiculopathy.Correlate EMG findings with cervical spine MRI. Severe sens

Contemplating surgery. I have type II diabetes, depression, carpal tunnel syndrome, peripheral neuropathy. Abnormal nerve conduction Multileveled bilateral acute on chronic cervical radiculopathy.Correlate EMG findings with cervical spine MRI. Severe sens

Double Crush: Sounds like you may have what's known as "double crush" phenomenon. Both cervical spine and entrapment of the ulnar/median nerve causing symptoms. Certainly, carpal tunnel and/or cubital tunnel release is easier and less risky than neck surgery and usually considered before neck surgery. Unfortunately, diabetes puts you at high risk for recurrence of carpal/cubital tunnel syndrome. ...Read more

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What's the difference symptom wise, of carpel tunnel syndrome and median nerve injury ? Can cervical rf procedure cause median nerve injury?

What's the difference symptom wise, of carpel tunnel syndrome and median nerve injury ? Can cervical rf procedure cause median nerve injury?

No: Median nerve doesn't exist until your arm pit. It doesn't start in the neck. It is formed by the combination of two nerves about six inches away from neck where rf would be performed. Carpal tunnel syndrome speaks to injury of the nerve at the wrist. ...Read more

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What leads to carpal tunnel syndrome?

What leads to carpal tunnel syndrome?

Nerve compression: Carpal tunnel syndrome is median nerve compression in the carpal tunnel at the base of the palm. Increased pressure in the confined space of the carpal tunnel causes compression of the nerve resulting in numbness of the thumb, index, long, and half the ring finger.Common causes are underlying tendonitis, overuse and repetitive use, pregnancy, and diabetes or hypothyroidism are predisposing factors. ...Read more

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Post carpal tunnel surgery, can a follow-up nerve conduction study (ncs) have adverse effects or make the hand worse. Can ncs lead to complex regional pain syndrome?

Post carpal tunnel surgery, can a follow-up nerve conduction study (ncs) have adverse effects or make the hand worse. Can ncs lead to complex regional pain syndrome?

Not really ; Ditto: Although I am not sure why a follow-up nerve conduction study would be necessary there is little chance that could cause any type of harm or worsening of symptoms. I am unaware of any literature that supports the notion of complex regional pain syndrome as a result of a nerve conduction study. ...Read more

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Might carpal tunnel syndrome ever require surgery?

Might carpal tunnel syndrome ever require surgery?

Yes: Many patients can adequately treat symptoms of cts with simple, non-operative treatment. This might include night splints, nsaids, cortisone injection into carpal canal. If symptoms continue or progress, with incrasinain, weakness, or worsening numbness and tingling, surgery may be required. ...Read more

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I have bilateral carpal tunnel syndrome, also c5-6 pinched nerve, will carpal tunnel surgery lessen the pain and numbness and tingling?

I have bilateral carpal tunnel syndrome, also c5-6 pinched nerve, will carpal tunnel surgery lessen the pain and numbness and tingling?

EMG/NCV: I suggest you get a emg/ncv study (if you have had symptoms more than 3 months) to determine if you have carpal tunnel syndrome and/or c5/6 radiculopathy. This is the best way of determining your actual diagnosis and not a steroid injection. Good luck. ...Read more

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Carpal tunel : can nerve damage repair itself?

Carpal tunel : can nerve damage repair itself?

Yes: 98% of patients will get improvement in sensation and most complete recovery. It could take up to 3-4 months, so be patient. It also depends on how much damage you have going into the surgery (based on emg/ncv test). Permanent and irreversible nerve damage can also occur for many reasons without decompression of the nerve. ...Read more

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How serious is ulnar nerve entrapment surgery?

Open surgery: Any surgery around the nerves has risks and potential complications. Ulnar nerve surgery is a relatively common surgery done by neurosurgeons and nerve specialists. It involves identifying the nerve at the region of the elbow and freeing it up of any scar and adhesions. Sometimes, it is necessary to transpose it or move it slightly so that it is not as easily injured. ...Read more

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Can shoulder injury cause carpal tunnel syndrome?

Rarely: You could get carpal tunnel syndrome if your shoulder injury caused bad enough swelling. The swelling travels down the arm to the hand and that's what causes carpal tunnel. ...Read more

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Can carpal tunnel be present if nerve conduction study is negative? Thank you

Yes. : Yes. The diagnosis of carpal tunnel syndrome (cts) has classically been made on clinical grounds, i.e. The symptoms and physical findings that the patient exhibits. Nerve conduction studies and electromyography (EMG) can be helpful in determining the severity of median nerve compression, but in patients with classical symptoms and signs, I do not believe they are necessary to make the diagnosis. ...Read more

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Dr. Jeffrey Wint
986 doctors shared insights

Carpal Tunnel Syndrome (Definition)

When the medial nerve that travels through a small space in your wrist (called the carpal tunne) is injured, resulting in pain, numbness, and tingling in the thumb, index finger, middle finger, and the thumb side ...Read more