A Week’s Worth of Reasons to Reconsider Monofilament Testing for DPN: Saturday

monofilament3Saturday: The test provides ambiguous results and poor inter-rater reliability even when done correctly (1). Providers have recently called into question exactly how useful the device is at identifying diabetic patients with LOPS (2).

1. Collins S, Visscher P, De Vet HC, Zuurmond WW, Perez RS. Reliability of the Semmes Weinstein Monofilaments to measure coetaneous sensibility in the feet of healthy subjects. Disabil Rehabil. 2010;32(24):2019-27.

2. Dros J, et al: Accuracy of monofilament testing to diagnose peripheral neuropathy:a systematic review. Ann Fam Med 7: 555, 2009.