Durkins compression test Most sensitive test for carpal tunnel syndrome Apply direct compression of median nerve at the carpal tunnel Postive test = paresthesias in median nerve distribution within 30 seconds. Indicates: Carpal Tunnel syndrome , Phalens test hands held in forced maximum flexion for 60 seconds, Positive test = numbness or tingling in radial digits within 60 seconds Indicates: Carpal Tunnel syndrome . Sensitivity =40-88%, Specificity = 81% (Kuschner SH, Orthopedics 1992;15:1297). Allen's Test