Managing carpal tunnel syndrome with modified neurodynamics approach: a case report

Carpal tunnel syndrome is a median nerve entrapment neuropathy. The condition is noteworthy, as it has put a lot of burden in the economy. Although, a variety of treatments availed for the condition but there needs a new innovative protocol to treat the same. Carpal tunnel syndrome is having huge burden over the society hence; a peculiar protocol has to be find. The case introduces a 45-year-old supervisor working in a hospital who came to the physiotherapy outpatient department (OPD) with complaints of tingling sensation and numbness over the median nerve distribution area along with the pain at wrist, bilaterally. The assessment included special tests to check the sensitivity of median nerve in the carpal tunnel. The outcome measures numeric pain rating scale (NPRS) and Boston carpal tunnel syndrome questionnaire (BCTSQ) taken at definitive intervals to identify the efficacy of treatment. In this report, we aim to design a protocol for carpal tunnel syndrome using modified neurodynamics, which involves static opener, sliders and tensioners for median nerve.