Carpal Compression Test

Original Editor - Anas Mohamed Top Contributors - Anas Mohamed

Purpose[edit | edit source]

Carpal Tunnel Syndrome.png

Carpal Compression Test or Median Compression Test or Durkan’s test is a diagnostic test for carpal tunnel syndrome.

Technique[edit | edit source]

Step 1. Patient position in standing or sitting.

Step 2. Patient forearm is supinated and then examiner applies direct pressure over the carpal tunnel (median nerve) between the thenar and hypothenar eminence for 30 seconds.

Step 3. Positive test indicates any numbness, pain or paresthesia in the distribution of median nerve.

Evidence[edit | edit source]

Research was done on 2016 to find more suitable diagnostic test for carpal tunnel syndrome among carpal compression test (CCT), Tinel’s test (TT) and Phalen’s test (PT). Study shows sensitivity and specificity of Carpal compression test were higher than the both Tinel's and Phalen's test. Also study suggest both CCT and TT were positive, the diagnosis is more likely to be CTS[3].

See the test diagnostics page for an explanation of statistics.
[3] Carpal compression test Tinel's test Phalen's test
sensitivity 80.6% 65.3% 59.7%
specificity 52.9% 47.1% 35.3%

References[edit | edit source]

  1. Carpal Compression Test. The Student Physical Therapist. Available from:
  2. Patient Self Diagnose Carpal Tunnel Syndrome - Everything You Need To Know - Dr. Nabil Ebraheim. nabil ebraheim. Available from:
  3. 3.0 3.1 Almasi-Doghaee M, Boostani R, Saeedi M, Ebrahimzadeh S, Moghadam-Ahmadi A, Saeedi-Borujeni MJ. Carpal compression, Phalen's and Tinel's test: Which one is more suitable for carpal tunnel syndrome?. Iran J Neurol. 2016;15(3):173-174.