Hand Numb: Carpal Tunnel Syndrome? 3 Self Tests

Is it Carpal Tunnel Syndrome?

Carpal tunnel syndrome, or CTS, is a buzz word today among many people, especially office workers. CTS - carpal tunnel syndromeThere is an assumption that most hand pain or numbness is carpal tunnel. The fact is, not all hand pain is CTS.

CTS typically causes a numbness or tingling in the thumb and first two fingers. This is the area that the median nerve provides sensation to. True carpal tunnel is a compression of this nerve in the underside of the wrist. It is commonly aggravated if the wrist is kept in a flexed (bent forward position) for long periods of time, like sleeping at night.

In many cases, what individuals attribute to CTS are other problem areas. These include nerve root irritation in the neck, shoulder or elbow. In some cases, there is compression at the wrist as well as the neck: this is known as a “double crush syndrome.”

Home Tests

The following are three home test that can be performed to give an idea if your symptoms are caused by CTS. These are standard orthopedic/neurological tests and results, positive or negative, should be verified by a chiropractic physician.

Tinel Test

In the Tinel test,  tap on the median nerve in the patient’s wrist. The test is positive when tingling in the fingers or a resultant shock-like sensation occurs.



 Phalen Test

The Phalen, or wrist-flexion, test involves having the patient hold his or her forearms upright by pointing the fingers down and pressing the backs of the hands together.


Carpal Compression Test

In this test,  apply pressure at the carpal tunnel for 30 seconds. Production of tingling in the fingers suggests carpal tunnel syndrome.


Should any of these test produce numbness or tingling OR if they do not AND you still experience hand pain or numbness, CLICK TO CALL NOW for a FREE consultation. The key to treating carpal tunnel syndrome is a correct diagnosis.


Dr. Schmaltz’ approach to carpal tunnel is to thoroughly examine from the fingers to the neck, looking for the cause of the symptoms. In most cases, there are multiple levels of nerve irritation such as in the wrist, elbow, shoulder or neck. All areas of irritation must be treated to effectively relieve the symptoms.

Do you suffer from hand pain or numbness: think it is carpal tunnel syndrome?  Do you live in Hazelwood, Florissant, Spanish Lakes, Ferguson, Berkeley, Bridgeton or North County? If yes, you owe it to yourself to call Dr. Schmaltz at 314-731-4383.

Dr. Martin graduated from Life Chiropractic College in Atlanta GA, where he earned his Doctor of Chiropractic degree. He is one of only a few board-certified chiropractic orthopedists in the metro St Louis region. He is a Diplomate of the International Academy of Neuromusculoskeletal Medicine. He uses the latest neuroscience research to make the best diagnosis of the cause of your pain as the starting point for your recovery. Since 1984 he has helped many people find relief from chronic pain or helped those injured in accidents recover.