Tethered Median Nerve Stress Test

What is the "Tethered Median Nerve Stress Test" used for?

• Median nerve pathology (more likely in chronic conditions)

How to perform the "Tethered Median Nerve Stress Test"?

• The patient stands or sits with the elbow flexed and forearm supinated with wrist in slight extension. 
• The examiner then hyperextends the index finger at the distal interphalangeal joint

What is the positive result?

• If anterior radiating forearm pain is felt, the test is considered positive for median nerve pathology.
• Positive results are more likely in chronic conditions.