Tinel's Sign Assessment Form
Use this form to record a Tinel’s sign assessment, capture the tested side and location, document the response, and add clinical notes.
Patient and Test Context
Patient initials or reference code
*
Affected side
*
Right
Left
Both
Test location
*
Wrist
Elbow
Ankle
Other
Symptom onset duration (days or weeks)
*
Assessment Findings
Provocation Result
*
Positive
Negative
Indeterminate
Symptom Quality
Tingling
Numbness
Burning
Radiating discomfort
Paresthesia
Electric shock sensation
Other
Symptom Severity
Mild
1
2
3
4
5
6
7
8
9
Severe
10
1 is Mild, 10 is Severe
Reproducibility of Symptoms During Tapping
Never
Rarely
Sometimes
Often
Always
Exam Notes and Follow-up
Structured exam observations
Additional examiner comments or follow-up recommendations
Submit Assessment
Should be Empty: