These investigations are not commissioned for access from Primary Care.

If in doubt, advice and guidance from neurology may be sought.

References
Bady, B. and Vial, C. (1996) Critical study of electrophysiologic techniques for exploration of carpal tunnel syndrome Neurophysiol Clin. 1996;26(4):183-201.

Carter, T, Jordan, R and Cummins, C (2000) Electrodiagnostic techniques in the pre-surgical assessment of patients with carpal tunnel syndrome. West Midlands Development and Evaluation Service Report.

Chapell R, Bruening W, Mitchell M D, Reston J T, Treadwell J R. Diagnosis and treatment of worker-related musculoskeletal disorders of the upper extremity. 2002:714. Rockville, MD, USA: Agency for Healthcare Research and Quality.

D'Arcy C A, McGee S. Does this patient have carpal tunnel syndrome?. JAMA. 2000;283(23):3110-3117.

Jablecki, C.K.; Andary, M.T.; So, Y.T.; Wilkins, D.E. and Williams, F.H. (1993)

Literature review of the usefulness of nerve conduction studies and electromyography for the evaluation of patients with carpal tunnel syndrome. AAEM Quality Assurance Committee. Muscle Nerve. 1993 Dec;16(12):1392-414.

Jarvik, Jeffrey G.; Yuen, Eric and Kliet, Michael (2004) Diagnosis of carpal tunnel syndrome: electrodiagnostic and MR imaging evaluation. Neuroimaging Clin N Am. 2004 Feb;14(1):93-102, viii.

Kilmer, D.D and Davis, B.A. (2002) Electrodiagnosis in carpal tunnel syndrome. Hand Clin. 2002 May;18(2):243-55.

Wilder-Smith, Einar P.; Seet, Raymond C.S. and Lim, Erle C.H. (2006)

Diagnosing carpal tunnel syndrome--clinical criteria and ancillary tests. Nat Clin Pract Neurol. 2006 Jul;2(7):366-74.

www.gp-training.net  - on right hand side ‘Doctors’ click ‘protocols’ then ‘orthopaedics’ then ‘orthopaedic referral guidelines’

NHS Scotland National Patient Pathways 2005: Orthopaedics; Hand conditions.

New Zealand Ministry of Health National Referral Guidelines 2001: Orthopaedics

---