Tinel's Sign: Causes & Reasons

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Possible Causes for Tinel's Sign

Carpal Tunnel Syndrome

Clinical outcome measures were taken by Boston Questionnaire score, the presence or absence of Tinel's sign, and Phalen's test findings. [ncbi.nlm.nih.gov]

Tinel's sign is the induction of paresthesias by tapping over the site of the median nerve at the wrist. [ncbi.nlm.nih.gov]

Tinels sign and Phalens test were positive with no obvious thenar muscle wasting on examination. [ncbi.nlm.nih.gov]

Multiple Myeloma

sign, or a Phalen sign due to carpel tunnel compression secondary to amyloid deposition. [emedicine.medscape.com]

Neurologic findings may include a sensory level change (ie, loss of sensation below a dermatome corresponding to a spinal cord compression), neuropathy, myopathy, a Tinel [emedicine.medscape.com]

Amyotrophic Lateral Sclerosis

Amyotrophic lateral sclerosis (ALS) is one of the most common forms of motor neuron diseases. It is also known as “Lou Gehrig's disease”, after a well-known baseball player in New York. The hallmark of the disease is a mixed upper and lower motor neuropathy that is progressive over time. The upper motor signs[…] [symptoma.com]

Amyotrophic Lateral Sclerosis Type 5

Amyotrophic lateral sclerosis (ALS) is a progressive and generally fatal neurodegenerative disorder. Most cases are sporadic, but high familial incidence is observed occasionally. Amyotrophic lateral sclerosis 5 (ALS5) is one of many subtypes of familial ALS. It has been related to mutations in the SPG11 gene, a[…] [symptoma.com]

Tarsal Tunnel Syndrome

Published on Jul 14, 2019 Here is a very short and old video of a patient who has Tarsal Tunnel Syndrome with a Positive Tinel's Sign. [youtube.com]

Although a positive Tinel sign related to favorable outcomes in some of the reports, this relationship was not evaluated specifically. [doi.org]

The role of varicosities as a cause of tarsal tunnel syndrome and the significance of Tinel's sign are discussed through a large review of the literature. [ncbi.nlm.nih.gov]

Entrapment Neuropathy

The motor Tinel sign (MTS) refers to electromyographic activity, sometimes associated with a visible muscle jerk, evoked by percussion or manipulation of a peripheral nerve [ncbi.nlm.nih.gov]

Tinel's sign was located in the upper arm medial to the biceps and 5 cm proximal to the elbow. The patient underwent microsurgery under local anesthesia. [ncbi.nlm.nih.gov]

Documentation and staging of the severity of neuropathy with neurosensory testing and the presence of Tinel's sign facilitate successful selection of surgical candidates. [jim.bmj.com]

Median Neuropathy

A Tinel’s sign is present in more than half of CTS cases; however, false-positive Tinel’s signs are common in the general population. [clinicalgate.com]

[…] of the nerve at the carpal tunnel (the onset of paresthesia indicates a positive Tinel's sign). [symptoma.com]

Signs include a positive Tinel's sign at the wrist (tingling in median nerve distribution on percussion over ventral wrist), positive Phalen's sign (similar findings within [mitchmedical.us]

Ulnar Nerve Entrapment

Tinel's sign was present just proximal to the medial epicondyle. A bilateral ulnar nerve entrapment was clinically suspected. [ncbi.nlm.nih.gov]

A positive Tinel's sign finding is typically present in cubital tunnel syndrome. However, Tinel's sign may be positive in asymptomatic people. [patient.info]

sign) is critical for the diagnosis of entrapment Diagnosis Medical history will be discussed with the patient. [pathologies.lexmedicus.com.au]

Ulnar Neuropathy

Postride testing showed 95.5% with positive Tinel sign and 91% with positive flexion/compression test. [ncbi.nlm.nih.gov]

An exquisite or prominent electrical twinge (known as a Positive Tinel’s Sign ) is characteristic of significant nerve compression. [neurosurgeon.com]

sign (tingling upon tapping nerve) at the Elbow with appropriate radiation to arm and fourth/fifth digits EMG Very good for showing Ulnar slowing or conduction block at the [teleemg.com]

Peroneal Nerve Compression Neuropathy

Provocative testing by the scratch collapse test and Tinel's sign was performed. [utsouthwestern.influuent.utsystem.edu]

When examined, she had a positive Tinel sign over the common and superficial peroneal nerve in left lower extremity. [omicsonline.org]

In the report by Wieman and Patel ( 28 ) on 33 limbs in 26 patients, 32 had a positive Tinel sign, yet 19 of 26 responded and 7 with positive Tinel signs did not. [care.diabetesjournals.org]

Peroneal Nerve Paralysis

sign over the fibular neck, helps localize the site of nerve compression; - always check for a fabella and check to see if direct compression reproduces nerve symptoms; - [wheelessonline.com]

Prognostic ability of Tinel sign in determining outcome for decompression surgery in diabetic and nondiabetic neuropathy. Ann Plast Surg. 2004; 53(6):523-527. 12. [podiatrytoday.com]

The Tinel sign was present with a sensory deficit on the back of his foot. [jmedicalcasereports.biomedcentral.com]

Pronator Syndrome

A positive Tinel's sign over the pronator teres muscles may be present. The disease usually affects the dominant arm in men. [medical-dictionary.thefreedictionary.com]

sign) Electrodiagnostic studies may: (1) be normal (2) show a conduction delay in the median nerve at the antecubital fossa References: Andreisek G, Crook DW, et al. [meducator3.net]

How about a Tinel's sign over the pronator teres? PT syndrome seems to fit well. [forums.studentdoctor.net]

Radial Tunnel Syndrome

Lateral epicondylitis can cause similar tenderness around the lateral epicondyle but does not cause the Tinel sign (paresthesia elicited by percussion over a nerve) or tenderness [msdmanuals.com]

Clinical evaluation Lateral epicondylitis can cause similar tenderness around the lateral epicondyle but does not cause the Tinel sign (paresthesia elicited by percussion [merckmanuals.com]

Cervical Nerve Root Avulsion

A nonadvancing Tinel's sign indicates the likelihood of poor recovery. [neurologyindia.com]

[…] of neurologic recovery advancing Tinel sign is best clinical sign of effective nerve regeneration Operative immediate surgical exploration (< 1 week) indications sharp penetrating [orthobullets.com]

Over time, if the location of the Tinel sign moves down the arm toward the hand, it is a sign that the injury is repairing itself. [orthoinfo.aaos.org]

Meralgia Paresthetica

Tinel's sign was elicited on percussing the avulsed bony fragment of the anterior superior iliac spine. He underwent open reduction and internal fixation. [ncbi.nlm.nih.gov]

Pelvic compression test, Neurodynamic testing, and Tinels sign have been shown through limited research to positively identify MP. More research is needed. [theinvertabelt.com]

On physical examination, a positive Tinel’s sign is usually present 1 cm medial and inferior to the anterior superior iliac crest. [physiotherapy-treatment.com]

Ilioinguinal Nerve Entrapment

They may also have positive Tinel signs along the posterior tibial nerve. [emedicine.medscape.com]

In the report by Wieman and Patel ( 28 ) on 33 limbs in 26 patients, 32 had a positive Tinel sign, yet 19 of 26 responded and 7 with positive Tinel signs did not. [care.diabetesjournals.org]

sign). [jamanetwork.com]

Radial Nerve Palsy

The patient history and examination, including Tinel's sign, may be sufficient for diagnosis in some cases, but x-ray is necessary in the presence of trauma, and electrodiagnostics [amboss.com]

’s sign over the superficial sensory radial nerve is the most common exam finding Clinical features presence of motor weakness suggests a more proximal site of compression [slideshare.net]

sign. [ci.nii.ac.jp]

Medial Epicondylitis

Sign Test Steps Athlete is sitting with the elbow in slight flexion Examiner grasps athlete's wrist (laterally) with distal hand Examiner stabilizes the wrist and taps on [ahn.mnsu.edu]

’s sign at the cubital tunnel Elbow flexion test Pressure provocative test Ulnar/medial collateral ligament sprain Moving valgus stress test Adhesive Capsulitis Hand-to-neck [physio-pedia.com]

Physical examination typically reveals a positive Tinel sign at the radial tunnel. The point of maximal tenderness usually resides over the anterior radial head. [aafp.org]

Mild Mononeuropathy of the Median Nerve

In the report by Wieman and Patel ( 28 ) on 33 limbs in 26 patients, 32 had a positive Tinel sign, yet 19 of 26 responded and 7 with positive Tinel signs did not. [care.diabetesjournals.org]

A Tinel’s sign is present in more than half of CTS cases; however, false-positive Tinel’s signs are common in the general population. [clinicalgate.com]

Tinel's sign was not present in the wrist ; however, Phalen's test was positive in the right hand. [jstage.jst.go.jp]

Radial Neuropathy

sign over LACN can be mistaken for positive Tinel's over superficial sensory radial nerve Intersection syndrome may have dorsoradial forearm swelling symptom exacerbation [orthobullets.com]

[…] hand/thumb area Difficulty spreading fingers (pseudo-ulnar interosseii weakness) Pseudo-Ulnar weakness correctible when wrist held level with forearm by examiner Positive Tinel [teleemg.com]

Results of physical examination demonstrated a positive Tinel's sign over the radial sensory nerve as it exits the deep fascia, a false-positive Finkelstein test, and a positive [jamanetwork.com]

Charcot-Marie-Tooth Disease Type 2D

Tinel signs were present at the wrists and elbows. No nerves could be palpated. Hammertoes and high arches were present. [emedicine.medscape.com]

signs. [emedicine.medscape.com]

Some patients are oligosymptomatic or asymptomatic, but their examination findings during family evaluations may reveal subtle abnormalities such as distal hyporeflexia or Tinel [emedicine.medscape.com]

Elbow Injury

Ulnar nerve tenderness (Tinel’s sign) can be elicited just posterior to medial epicondyle, indicating ulnar neuropathy. [ncbi.nlm.nih.gov]

A detailed neurovascular exam must be performed on these athletes and special tests including Tinel’s sign, elbow flexion test and Froment’s sign can all be used in the work-up [aspetar.com]

Nerve Compression

There is a tender fullness over the distal lateral fibula with a positive Tinel's sign. [orthobullets.com]

In plantar nerve entrapment, the following are often present: Other signs of tarsal tunnel syndrome (eg, Tinel sign) are often absent. [merckmanuals.com]

Tinel's sign was positive distal to the wrist. [scielo.br]

Hypothenar Hammer Syndrome

sign (due to ulnar nerve compression) positive Allen test 2 It may be caused by any repetitive compression or blunt trauma to this region. [radiopaedia.org]

[…] handball, tennis and golf players. cold senstation and pain in the palm Raynaud syndrome tender hypothenar eminence ischemia of (usually) fourth and fifth fingers positive Tinel [radiopaedia.org]

Distal Spinal Muscular Atrophy Type 5

Tinel signs were present at the wrists and elbows. No nerves could be palpated. Hammertoes and high arches were present. [emedicine.medscape.com]

A "Tinel sign" can often be elicited by gentle tapping over the site of injury. [dartmouth.edu]

signs. [emedicine.medscape.com]

Pudendal Neuralgia

A positive Tinel sign in the third segment indicates a nerve entrapment. [karger.com]

In addition, the Tinel sign is typically positive: a tingling, needle-like experience is perceived along the nerve. [possover.com]

Two signs are highlighted in the examination, the Tinel sign (pain triggered by compressing the nerve against the ischiatic spine), and the Rolling Test (rolling a fold of [medical-clinical-reviews.imedpub.com]

Brachial Plexus Injury

Among the topics the author explores are diagnosis (including pain, the presence or absence of the Tinel sign, and the irradiation of pins and needles) and the principles [ncbi.nlm.nih.gov]

Over time, if the location of the Tinel sign moves down the arm toward the hand, it is a sign that the injury is repairing itself. [orthoinfo.aaos.org]

Humerus Trochlea Aplasia

Tinels sign was positive, and pain radiated over the distal ulnar nerve region. [docslide.net]

A small subcutaneous lump was palpable on the medial side of the right elbow, but Tinels sign was negative. [docslide.net]

Two small nodules were discovered on the medial side of the left elbow and one showed a positive Tinels sign. [docslide.net]

Cervico-Occipital Neuralgia

Based on his lancinating pain in the distribution of the greater occipital nerve coupled with positive Tinel’s sign and temporary pain relief after local anesthetic injection [pain-manage.org.tw]

Severe cases may actually have Tinel’s sign in which tapping on the area of the nerve causes sharp, throbbing pain and tingling. [practicalpainmanagement.com]

Thoracic Outlet Syndrome

Patients may have a positive Tinel sign over the brachial plexus in the neck, reduced sensation in the fingers to light touch, and positive provocative maneuvers. 9 Complicating [practicalpainmanagement.com]

Brachial Tinel’s sign Tinel's sign is a way to detect irritated nerves. [omicsonline.org]

There will be tingling at the distribution point of the nerve if Tinel’s sign is positive. [omicsonline.org]