Effectiveness of Manual Therapy and Extracoropral Shock Wave Therapy in Patients With Carpal Tunnel Syndrome

Comparative Study of Effectiveness of Manual Therapy and Extracoropral Shock Wave Therapy in Patients With Carpal Tunnel Syndrome

This study aimed to compare the effectiveness of manual therapy and extracorporeal shock wave therapy in patients with mild to moderate carpal tunnel syndrome.

Carpal tunnel syndrome (CTS), the most common peripheral neuropathy in the upper limb, occurs due to the entrapment of the median nerve at the wrist. Treatment options for CTS consist of wrist splints, physical modalities, local corticosteroid injections, and surgical release.

Extracorporeal shockwave therapy (ESWT) is a noninvasive technique that uses single-pulse acoustic waves. These pulses are generated outside the body and focused on a specific part of the body.

Inclusion Criteria:

• Both sexes.
• Patients with mild and moderate carpal tunnel syndrome (CTS).

Exclusion Criteria:

• Severe cases of CTS.
• History of carpal tunnel release surgery.
• Steroid injection in carpal tunnel in the past 6 months.
• Cases of thoracic outlet syndrome and cervical radiculopathy.
• Pregnant females.
• Systemic rheumatic diseases such as rheumatoid arthritis.
• Hypothyroidism.
• Patients with bleeding tendency.