Carpal tunnel syndrome (CTS): investigations

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Carpal tunnel syndrome (CTS): investigations. Blood glucose. Fully referenced neurology checklist.

Blood investigations

  • Blood glucose
  • Connective tissue disease screen: this is of doubtful value
  • Thyroid function tests: these are of doubtful value

Nerve conduction studies

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High resolution ultrasound

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Magnetic resonance imaging (MRI)

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References

  1. Bland JDP. Carpal tunnel syndrome. BMJ 2007; 335:343-346.
  2. Practice parameter for carpal tunnel syndrome (summary statement). Report of the Quality Standards Subcommittee of the American Academy of Neurology. Neurology 1993; 43:2406-2409.
  3. Cartwright MS, Hobson-Webb LD, Boon AJ, et al. Evidence-based guideline: neuromuscular ultrasound for the diagnosis of carpal tunnel syndrome. Muscle Nerve 2012; 46:287-293.
  4. Lin TY, Chang KV, Wu WT, Özçakar L. Ultrasonography for the diagnosis of carpal tunnel syndrome: an umbrella review. J Neurol 2022; 269:4663-4675. 
  5. El Miedeny YM, Aty SA, Ashour S. Ultrasonography versus nerve conduction study in patients with carpal tunnel syndrome: substantive or complementary tests? Rheumatology 2004; 43:887-895.
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