- Tinels Test
- Tinel Sign
- Tinel’s Test
- Hoffman-Tinel sign
- Used to evaluate nerves as an etiology of patients symptoms
- Most commonly used to evaluate for carpal tunnel syndrome
- Can be used on many peripheral nerves
- Patient is seated, elbow flexed and forearm supinated
- Examiner holds patients affected wrist in hand
- The examiner gently taps finger over area of flexor retinaculum on the median nerve
- Continue percussing and move up towards the palmar creases.
- Return back to the flexor retinaculum
- Positive test:
- Reproduction of the patients symptoms (pain, numbness, tingling)
- The ulnar nerve can be compressed at the cubital tunnel or at Guyon's canal
- The LFCN can be palpated as it exits the inguinal ligament region
- Tap the tibial nerve directly over the flexor retinaculum posterior to the medial malleolus.
- Proximal radiation of symptoms towards calf is called Valleix phenomenon
- Median Nerve
- Radial Nerve
- Ulnar Nerve
- Schiweterman et al
- Sensitivity: 53%
- Specificity: no reported
- Kitaoka, Hiroaki, et al. "JCS 2020 guideline on diagnosis and treatment of cardiac amyloidosis." Circulation Journal 84.9 (2020): 1610-1671.
- Image courtesy of uptodate.com, "The Tinel test for median nerve injury at the carpal tunnel"
- Merriman L, Turner W. Assessment of the lower limb. 2nd ed. London, UK: Churchill Livingstone; 2002.
- Schwieterman, Braun et al. “Diagnostic accuracy of physical examination tests of the ankle/foot complex: a systematic review.” International journal of sports physical therapyvol. 8,4 (2013): 416-26.