Tinels-sign: Causes & Reasons

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Possible Causes for tinels 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]

Tarsal Tunnel Syndrome

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]

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]

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]

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]

References:[3][2] Diagnostics Physical examination Bottle sign In the case of carpal tunnel syndrome, the following signs are also present: Tinel's sign Phalen's sign Diagnostic [amboss.com]

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]

Amyotrophic Lateral Sclerosis

Please log in to edit this article. Edit Synonyms: ALS, Lou Gehrig’s Disease German : Amyotrophe Lateralsklerose 1 Definition Amyotrophic lateral sclerosis (ALS) is a chronic neurodegenerative disease of the central nervous system (CNS). It affects the motoric system leading to atrophy of skeletal muscles and[…] [flexikon.doccheck.com]

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]

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

’s sign) Ulnar nerve displacement when bending the elbow Changes in the sensation of fingers and muscle strength during grip X-rays to examine the bone quality and rule out [pathologies.lexmedicus.com.au]

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]

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]

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]

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]

[…] radiculopathy during the examination Possibility of foot drop Sensory loss that may be difficult to determine because of variable and small autonomous zone of sensation Tinel's [en.wikipedia.org]

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]

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]

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]

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]

(3) Tinel sign or reproduction of symptoms by percussion of the radial nerve is infrequently present. [chiroup.com]

Cervical Nerve Root Avulsion

[…] 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]

sign, tap supraclavicular fossa, a positive sign suggests root rupture as opposed to avulsion. [cambridgeorthopaedics.com]

Ganglion Cyst

On examination the altered sensation was in the superficial radial nerve distribution and she had a positive Tinel's sign over the site of the swelling which was located over [jmedicalcasereports.biomedcentral.com]

Baseline examination revealed a soft tumour which was palpable at the level of the head of the fibula; Tinel sign was positive at that point. [elsevier.es]

Although minimal tenderness without swelling was present around the left fibular head, Tinel's sign was not evoked along the course of the peroneal nerve. [asianjns.org]

Heelspur

’s sign) Tarsal tunnel syndrome (sinus tarsi): Impingement of the posterior tibial nerve Clinical (Tinel’s sign, dorsiflexion-eversion test) Other: Heel fat pad syndrome: [physio-pedia.com]

Tinel’s sign Are there any skin tears on the foot? Any difference in foot alignment in comparison with the other foot? Aggravation on weight-bearing? [physio-pedia.com]

(isotopic bone scan) and ultrasound. [14] Neurological causes: Baxter nerve entrapment: (chronic compression of the first branch of the lateral plantar nerve) Clinical (Tinel’s [physio-pedia.com]

Radial Nerve Palsy

’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]

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]

(Hosalkar, Matzon & Chang, 2006, p. 88) Axonotmesis of the nerve meant the "Tinel" sign is occurring slowly and there is signs of axon regeneration. [en.wikiversity.org]

Fibroma

On physical examination, she reported radiating numbness to the right thumb with Tinel’s sign related to the mass. Radiographs of the elbow were normal. [ncbi.nlm.nih.gov]

’s sign none 5 3 2 Open Case 2 1 42, F knee extra distal attachment of VL Mass none 7 4.5 3 Open Case 3 1 63, M knee intra suprapatellar capsule pain, limited ROM none 6 [ncbi.nlm.nih.gov]

Open Toki S [27] 1 54, M knee intra patellofemoral retinaculum pain, limited ROM none 3 4.5 2.0 5.5 Open Present Case 1 1 54, F elbow extra distal tendon of biceps mass, Tinel’s [ncbi.nlm.nih.gov]

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]

Tenosynovitis of the Wrist

On physical exam she is found to have normal appearing skin, a negative Tinel’s sign, and a positive Finklestein test. [orthobullets.com]

’s Sign *Be aware of pt's thumb position while performing this maneuver* Circulatory: • Blanching/Capillary Refill Capsuloligamentous-if an acute traumatic injury: • Thumb [physio-pedia.com]

Radial Neuritis o Cervical Radiculopathy CPR [16] o Joint Accessory Mobility- Intercarpal Instabilities Neurologic Tests: • ULTT B o Radial nn • Superficial Radial NN o Tinel’s [physio-pedia.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]

Intercostal Neuralgia

Careful palpation along the thoracotomy scar or rib may reveal a neuroma with the presence of a Tinel sign. [clinicalgate.com]

De Quervain Tenosynovitis

On physical exam she is found to have normal appearing skin, a negative Tinel’s sign, and a positive Finklestein test. [orthobullets.com]

sign; - may be caused by tight jewelry; - Radiographs: - if diagnosis is in doubt, consider obtaining a Roberts view, inorder to profile the CMC joint (see CMC arthrosis [wheelessonline.com]

’s Sign Be aware of patient's thumb position while performing this maneuver Circulatory Blanching/Capillary Refill Capsuloligamentous This is important to observe in an acute [physio-pedia.com]

Hyperesthetic Thalamic Pain Syndrome

Tinel’s sign is positive at the elbow Pain due to loss of sensory input into the central nervous system. [brainscape.com]

Ex: light tapping over the wrist of a patient with carpal tunnel syndrome evokes electrical shocks in the median nerve distribution (Tinel sign) Abnormal and unpleasant sensation [quizlet.com]

There may be decreased sensation on the tips of the first to third fingers, positive Tinel’s sign, and, rarely, atrophy of the thenar muscles. [brainscape.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]

Tendinitis

Finkelstein’s test, Phalen’s test, Tinel’s sign, and Hoffman’s sign were negative. [mdedge.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]

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]

’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]

Morton Neuroma

•Tinels’ sign may be positive. [youtube.com]

sign Toe-tip numbness See here for further description of these tests in relation to MN. [physio-pedia.com]

Gougoulias et al suggest the following to make a potential diagnosis of MN: Web-spaced tenderness test Squeeze test (Mulder's click) Plantar percussion test - a postive Tinel [physio-pedia.com]

Polycystic Ovary Syndrome

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

For example in carpal tunnel syndrome the Tinel sign is present at the wrist in the great majority of cases. [dartmouth.edu]