Blog Phalen’s Test – Carpal Tunnel Syndrome test | Clinical Examination

Phalen’s Test – Carpal Tunnel Syndrome test | Clinical Examination

Phalen test is a stirring test for carpal tunnel functions. This is why the other name of the Phalen test is a carpal tunnel test. A patient who has nerve compression in the carpal tunnel slightly feels the tingling sensation on the top of their wrist. If someone does not feel any tingling sensations or stirring sensations on the wrist, they don’t usually test positive for the Phalen test.

Let’s see first what the medical definition of the Phalen test is.


What Is The Phalen Test?

What Is The Phalen Test

To assess carpal tunnel syndrome, the doctors are conducting this test. The medical examiner has indirectly flexed the patient’s wrist but without pressuring the wrist. While maintaining the shoulder and elbow are in the same extension. This subject was given to hold this position for at least 60 seconds.

When the nerve signs are reproducing, the subject feels slight tingling sensations and numbness on the palm. Then the matter is tested positive in the Phalen test. If you want to know how carpal tunnel is diagnosed, Then I must say this is the first step your carpal tunnel functions are interpreted.

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What Is Carpal Tunnel Syndrome?

What Is Carpal Tunnel Syndrome

The Phalen test is performed to diagnose the painful conditions of the hand and fingers. The significant nerves pass through the hands’ carpal bones. And reach the front of the wrist.

The flexor tendons of the hands are facing challenges. The repetitive movements of the hands over a long period and the fluid restorations disrupt the hand’s functions.

The patients start to feel burning, numbness, and tingling sensations on both hands. These are the primary symptoms of carpal tunnel syndrome.

What Are The Causes Of Carpal Tunnel Syndrome?

What Are The Causes Of Carpal Tunnel Syndrome

Do you need to run the test? How to know the proper requirements to run the Phalen test? Here are all the details. But, first, read out the symptoms and know when it is appropriate to perform the test.

Everyone can perform the nerve test for carpal tunnel. But if you have some specific systems like:

  • Thyroid gland dysfunctions.
  • Diabetes.
  • Any problems for fluid retention due to pregnancy or menopause.
  • Patients who have higher level of blood pressure.
  • Bone fractures or the trauma on the wrist.
  • Autoimmune disorders or the authorities.

These five are the leading causes which are the reason for carpal tunnel syndrome. If you have these types of symptoms, it is required to perform the Phalen test. But it is better to take professional help to run the test.

Have a look at how the Phalen test is performing and how to perform the carpal tunnel syndrome test.

How To Perform Clinical Examination Of Phalen test?

How To Perform Clinical Examination Of Phalen test

The Phalen test is a simple and easy diagnosis process. You will only require a few seconds to perform the Phalen test. But if you want accurate results, you must process the whole examination steps under a specialized medical practitioner.

Here is the step-by-step guide to performing the clinical examination of the Phalen test:

Step1: To perform the Phalen Test tell your subject to relax their hands while sitting.

Step2: The Phalen test has a simple diagnosis process. The target of performing the Phalen test is to evaluate nerve compression. This nerve compression determines carpal tunnel syndrome.

Step3: The subject is instructed to compress the two backsides of the wrist. Keep the wrist held in the position of 90 degree flexed positions.

Step4: Hold the positions for at least 60 to 50 seconds.

Step5:If the subject is having any problems in the carpal tunnel system. Then after a few seconds of holding the wrists in the same position, the matter will feel a slight tingly sensation.

Step6: The median nerve of the wrist is feeling slightly tingling sensations. When the subject faces some problem in the functions of the median nerve, you will get some tingling sensations on the wrist or the palm.

Step7: After performing the Phalen’s test, relax your wrist.

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What Are Positive Phalen’s Signs?

What Are Positive Phalen's Signs

While running the carpal tunnel syndrome Phalen test, when you are finding some specific signs, you can surely be going to know that these are the positive signs for the Phalen’s test. And you need a nerve specialist for medical diagnosis.

Here are some positive Phalen’s signs:

  • If the patient feels tingling and numbness on the tip of the fingers after holding their wrist in the position for 10 seconds. Then these symptoms are acknowledged as the positive symptoms for Phalen’s signs.
  • Other than the numbness, sometimes the patients cannot even hold the positions for 60 seconds. This is also a symptom of the positive Phaneln’s signs.

These are the signs of the positive Phalen maneuver test results. If you are showing these types of symptoms, you need a nerve doctor to diagnose the nerve problems.

What Is Reverse Phalen’s Test?

What Is Reverse Phalen’s Test

The reverse Phalen’s test is used to evaluate the median nerve compression. This is a test that is conducted to diagnose carpal tunnel syndrome. The patients are asked to keep both hands wrists in the complete extension positions for at least 60 seconds.

The position of the carpal tunnel is a region that is supplied by the median nerve. This s a clear sign of carpal tunnel syndrome. Medical practitioners often supervise this test to determine the factors for carpal tunnel syndrome.

The reverse Phalen test is less reliable than the Phalen Test. If you require complete specific physical examination records, run the Phalen test.

Frequently Asked Questions (FAQ):

1. What Did The Tinel’s And Phalen’s Tests Run For?

When you are analyzing the historical test data, you will compare Tinel’s signs and Phalen’s test data. The two examinations examined the 100 individuals and the carpal tunnel syndrome.

The tinel’s and the Phalen’s tests run to determine carpal tunnel syndrome. But when you compare both results, you will see that the Phalenis result provides more accurate results than the tinel’s result.

2. Why Does The Phalen’s Test Work?

The clinical terms of Phalen’s Manoeuvre refer to a provocative test. The test is running for carpal tunnel syndrome. The clinical term is Phalen’s Manoeuvre test. The proactive test is used to determine the symptoms of carpal tunnel syndrome.

3. Can You Test The Carpal Tunnel Without Phalen’s Test?

Panel maneuver test is a straightforward diagnosis process. But if you need strong results, you will require a more stable result than just running a simple physical test—the Ultrasound, X-Ray, and MRI.

These are the three different types of examination that you can run to determine the damaged or compressed median nerve situations. If you need some strong proof, you have to run these tests.


This is a simple process to run the Phalen test. Follow my guidance and diagnose the issue at your home. But as I tell you, you will require some specific medical lab tests like X-rays and MRI for more confirmed results. But before going for the health check, you can run the physical examination and determine the issue.

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