02/04/2026
I am providing a guide on the Phalen test for carpal tunnel syndrome. This bedside assessment checks for median nerve compression. ЁЯй║ To perform, press the backs of your hands together for 30-60 seconds, flexing wrists to 90 degrees. тЬЛ A positive result includes tingling, numbness, or pain. тЪб While useful, clinical assessment is crucial for diagnosis. ЁЯТб
тЬЛ PHALEN TEST
Simple bedside test for Carpal Tunnel Syndrome (CTS)
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ЁЯФ╖What is it?
тЦкя╕ПThe Phalen test checks for median nerve compression at the wrist тАФ the main cause of carpal tunnel syndrome.
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ЁЯзк How to Perform
1я╕ПтГг Raise forearms to chest level
2я╕ПтГг Press the backs of your hands together
3я╕ПтГг Flex wrists to ~90┬░
4я╕ПтГг Hold for 30тАУ60 seconds
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тЬЕ Positive Test
тАв тЪб Tingling
тАв ЁЯТд Numbness
тАв ЁЯФе Pain
ЁЯУН In median nerve distribution:
тАв Thumb
тАв Index finger
тАв Middle finger
тАв Half of ring finger
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ЁЯФД Reverse Phalen (Prayer Test)
тАв Press palms together (wrists extended)
тАв Useful if wrist flexion is uncomfortable
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ЁЯУК Accuracy & Limitations
тАв Sensitivity: ~51тАУ91%
тАв Specificity: ~33тАУ88%
тЪая╕П Not definitive тАФ should be used with:
тАв ЁЯСЙ TinelтАЩs test
тАв ЁЯСЙ Clinical assessment
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ЁЯТб Points
A positive Phalen test suggests nerve compression, but diagnosis should always be confirmed clinically.
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ЁЯУ▒Important
Tingling in your fingers? Try this simple test тЬЛ
PhalenтАЩs test can help screen for carpal tunnel syndrome.
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