Tinel's Sign: Causes & Reasons

Possible Causes for Tinel's Sign

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

Tinel sign, and sleep disturbance. [jamanetwork.com]

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]

[…] tenderness Neurologic assessment: Sensory level change (ie, loss of sensation below a dermatome corresponding to a spinal cord compression), neuropathy, myopathy, positive Tinel [emedicine.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]

Tarsal Tunnel Syndrome

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

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]

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

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

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]

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]

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]

Amyotrophic Lateral Sclerosis

Amyotrophic Lateral Sclerosis (ALS) Amyotrophic lateral sclerosis (ALS), also known as Lou Gehrig's disease, is a progressive wasting away of the nerve cells in the brain and spinal column that control the muscles that allow movement. Over a period of months or years, ALS causes increasing muscle weakness, inability[…] [stanfordhealthcare.org]

Ulnar Neuropathy

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

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]

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 Compression Neuropathy

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

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 in the popliteal fossa, and by electrodiagnostic studies. [semanticscholar.org]

Peroneal Nerve Paralysis

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]

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]

If back causes can be ruled out, stress should be on diagnostic clinical signs to detect a peripheral compressive lesion (Tinel’s sign, swelling, etc.). 2) MRI and EMG/NCV [file.scirp.org]

Pronator Syndrome

sign in the proximal anterior forearm but no Tinel sign at wrist nor provocative symptoms with wrist flexion as would be seen in CTS resisted elbow flexion with forearm supination [orthobullets.com]

Keys to the physical exam are to note the areas of tenderness and the presence of a positive Tinel’s sign. [musculoskeletalkey.com]

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

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]

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]

Radial Tunnel Syndrome

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

There is pain around the elbow on resisted extension of the middle finger Tinel’s sign is positive. Nerve conduction test may be positive. [physiowarzish.in]

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]

sign (1) Diagnosis is confirmed by the absence of motor signs and by excluding pelvic and intra-abdominal causes of irritation such as a tumour. [gpnotebook.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]

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

Superficial Peroneal Nerve Disorder

Clinical examination showed partial sensitivity deficit and positive Tinel’s sign in the territory of the superficial peroneal nerve (A). [ncbi.nlm.nih.gov]

L'examen clinique a objectivé un déficit partiel de la sensibilité et un signe de Tinel positif dans le territoire du nerf fibulaire superficiel (A). [ncbi.nlm.nih.gov]

(A) image clinique qui montre la localisation du point douloureux chez notre patient (signe de tinel positif); (B) radiographie standard éliminant une cause ostéoarticulaire [ncbi.nlm.nih.gov]

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]

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]

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]

Atypical Neurofibroma

Moreover, Tinel’s sign was positive along the territory of the ulnar nerve. Examination of all the limbs revealed multiple café-lait spots and cutaneous nodules. [ncbi.nlm.nih.gov]

After 6 months from surgery, Tinel’s sign was tested negative at the ulnar forearm (this can be modified for a more accurate statement), thus suggesting nerve regeneration [ncbi.nlm.nih.gov]

Plexiform Schwannoma

Palpation revealed a positive Tinel sign. [scienceopen.com]

La palpation a révélé un signe de Tinel positif. [scienceopen.com]

We present an unusual case of multiple nerve sheath tumors in a patient with left radicular leg pain accompanied by a Tinel sign. [scienceopen.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]

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]

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]

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]

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]

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]

On physical examination, a positive Tinel sign may be present with tenderness to percussion or palpation along the course of the occipital nerves. [practicalneurology.com]

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]

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]