Orthopaedics  |  Carpal Tunnel pathway - Meets Direct Access Criteria


Carpal Tunnel pathway - Meets Direct Access Criteria

Requirements are:

  • Either:Positive Phalen's or median compression nerve test (Tinels not sensitive or specific)

    • Sensory loss
    • Thenar wasting
    • Nocturnal parasthesia greater than 6 months

  • A trial of steroid injection into carpal tunnel, or splinting (must have trial of non-operative without neurological compromise)


Exclusion criteria:

  • On anticoagulants - includes Clopidogrel and dabigatran
  • Age <30 or >80
  • Previous significant trauma or surgery to wrist
  • Patient not happy to go on direct access
  • Pregnancy





Last updated : Tuesday, October 13, 2015
Next review date : Wednesday, October 12,2016

Disclaimer: This site is intended to be flexible and frequently updated. While every effort has been made to ensure accuracy, all information should be verified.