Tinel’s Test
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Purpose
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Tinel's sign is a way to detect irritated nerves
Technique
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It is performed by lightly tapping (percussing) over the nerve to elicit a sensation of tingling or "pins and needles" in the distribution of the nerve. It takes its name from French neurologist Jules Tinel (1879-1952).[1][2][3]
The test is positive when there is pressure neuropathy of the nerve, like in the foot or ankle, or in the hand. When the nerve is not trapt behind a structure there will be a negative test and the patient will feel no pain. On the opposite when the nerve is trapt the patient will feel tingling’s in the distal area. (5)
When the nerve is trapt in the tarsal tunnel the sign can be called by tapping whit a reflex hammer just behind the medial malleolus. (5)
Evidence[edit | edit source]
The tinel’s test is a specific test for the carpal tunnel syndroom and can be used as indication for medical management. (4)
It is concluded that it is difficult to identify patients with tibial nerve compression at the ankle or foot region reliably with traditional electrodiagnostic techniques, even in the absence of neuropathy, and that the presence of a positive "Tinel" sign over the tibial nerve in the tarsal tunnel can identify this as a site of chronic nerve compression. (5)
Resources[edit | edit source]
add any relevant resources here
