Physical examination maneuver

Physical Exam

Temporal Artery Palpation

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How to Perform

Locate the temporal artery just anterior to the ear, above the zygomatic arch, and palpate it gently with one or two fingertips. Follow its course over the temple, comparing the two sides, and note the pulse and the character of the vessel wall — its prominence, any thickening or nodularity, and any tenderness.

How to Interpret

Showing all 5 findings

Giant Cell Arteritis

Diminished or absent temporal artery pulse
Rule in
Somewhat helpful
Rule out
Minimally helpful
Evidence:Moderate
Prominent or enlarged temporal artery
Rule in
Somewhat helpful
Rule out
Minimally helpful
Evidence:Strong
Thickened or hardened temporal artery (cord-like)
Rule in
Somewhat helpful
Rule out
Minimally helpful
Evidence:Moderate
Beaded temporal artery
Rule in
Somewhat helpfulWide CI
Rule out
Not helpful
Evidence:Strong
Temporal artery tenderness
Rule in
Minimally helpful
Rule out
Not helpful
Evidence:Strong

References

  • Smetana GW, Shmerling RH. Does this patient have temporal arteritis? JAMA. 2002;287(1):92-101. doi:10.1001/jama.287.1.92. PMID: 11754714.
  • van der Geest KSM, Sandovici M, Brouwer E, Mackie SL. Diagnostic accuracy of symptoms, physical signs, and laboratory tests for giant cell arteritis: a systematic review and meta-analysis. JAMA Intern Med. 2020;180(10):1295-1304. doi:10.1001/jamainternmed.2020.3050. PMID: 32804186.
  • Bickley LS, Szilagyi PG, Hoffman RM, Soriano RP. Bates' Guide to Physical Examination and History Taking. 13th ed. Philadelphia, PA: Wolters Kluwer; 2021.
  • Swartz MH. Textbook of Physical Diagnosis: History and Examination. 9th ed. Philadelphia, PA: Elsevier; 2025.

Research last updated September 9, 2026.