Boston Carpal Tunnel Syndrome Questionnaire gives a measure of the severity of the tingling and numbness in your hand.
Do you want to know how serious your carpal tunnel syndrome is? Take this little test, and take it with you to your chiropractor. Also note which is your dominant hand, and whether you have symptoms in one or both hands.
You must give ONE answer only, and if you have CTS in both hands, then fill in the questionnaire for each hand.
The following questions refer to your symptoms for a typical twenty four hour period during the past two weeks; circle one answer.
The test comes in two parts:
Here is the list of eleven question to test the severity of your symptoms. Pain is very subjective. The Boston carpal tunnel syndrome questionnaire gives you a more objective sense of the pain and disability you are having.
Are you being a baby and the symptoms are really minor? Compared with the risks of surgery, should you be putting up with your pain.
Or, are these symptoms really severe and you are putting up with pain and disability and sleep nights when a course of treatment from your chiropractor really is indicated. It doesn't happen often, but neglected a pinched median nerve really can cause permanent weakness and numbness in your hand.
Add up your scores, and divide by 12. A typical group filling in this Boston Carpal Tunnel Syndrome Questionnaire report an average of 3.4.
Boston Carpal Tunnel Syndrome Questionnaire objectively evaluates the pain and disability of the tingling in your arms and hands; now to the second half of this process.
|Activity||No difficulty||Mild difficulty||Moderate difficulty||Severe difficulty||Cannot do at all due to Hand or Wrist symptoms|
|Buttoning of clothes||1||2||3||4||5|
|Holding a book whilst reading||1||2||3||4||5|
|Gripping a phone||1||2||3||4||5|
|Opening a jar||1||2||3||4||5|
|Carrying of grocery bags||1||2||3||4||5|
|Bathing and dressing||1||2||3||4||5|
Once again, add up your scores, and divide by 8. A typical group filling in this Boston Carpal Tunnel Syndrome Questionnaire gave a result of 3.0.
You should then repeat this questionaire (without looking at your first response) three months later. It will give you a reliable result of how effective the chiropractic treatment was.
The chiropractic management of CTS depends on correctly discovering the oft multiple sites of entrapment. Surgery on the wrist often doesn't help the tingling in arms and hands, or relieves the symptoms only partially if these other areas in the below the elbow, inter scalene triangle and cervical spine aren't also corrected; one way of measuring this process is the Boston carpal tunnel syndrome questionnaire.
The Upper Limb Tension Test should be used to rule out a frankly pinched nerve in the neck.
Surgery will not help at all if there is also tingling in the pinkie. It's not Carpal Tunnel syndrome. Think rather of the various conditions that can affect and cause a Thoracic Outlet syndrome ...
Right now I'm busy with a lady who had surgery a year ago which did not help at all; not surprisingly as the tingling was also in the pinkie. She has an unusual condition called Tietze's syndrome that sometimes affects the biomechanics of the collar bone and the inter scalene triangle.
All in all, pain and tingling in arms and hands has to be very carefully evaluated to ensure that the treatment addresses the man potential causes of the ache.
There is anecdotal evidence that a length of duck tape applied diagonally across the hand during hard physical work may relieve the symptoms of carpal tunnel syndrome.
More questions from readers