Author response: Comment on Management of Carpal Tunnel Syndrome through Ayurveda: A case study

Dear Editor, I would like to express my sincere gratitude to the esteemed readers for their valuable comments and critical appraisal of our recently published manuscript titled “Management of Carpal Tunnel Syndrome through Ayurveda: A case study.” We deeply appreciate the interest shown in our work and the thoughtful observations made, which provide an opportunity to further clarify and strengthen the presented findings. We have carefully reviewed each point raised and would like to provide the following clarifications: Occupational factor (Goldsmith work and follow-up): The patient, a goldsmith engaged in repetitive wrist movements, was admitted for In-patient Department-based Ayurvedic management. Occupational activity was withheld during hospitalization and resumed after discharge. On 30-day follow-up, significant symptomatic improvement and negative clinical tests were observed Role of hypothyroidism and glucose intolerance: There was no clinical evidence of Diabetes Mellitus or Hypothyroidism in this case. These conditions were ruled out based on history and clinical examination, although biochemical reports were not detailed in the manuscript Use of Magnetic Resonance Imaging (MRI) and ultrasonography: Diagnosis and follow-up were primarily based on the Nerve Conduction Velocity test and clinical evaluation. Imaging modalities such as MRI or ultrasonography were not used in this case but can serve as valuable tools for objective assessment in future studies Monitoring of biochemical and inflammatory parameters: Clinical and functional outcomes were primarily assessed. Monitoring of biochemical or inflammatory markers was not done Use of Virechana (~therapeutic purgation) and Dementia concern: Mridu virechana karma (~mild therapeutic purgation) was performed under strict medical supervision as per classical Panchakarma (~five internal bio-cleansing therapies) protocol. It differs fundamentally from Chronic laxative use associated with Dementia in epidemiological studies; hence, such a risk does not apply in this therapeutic context Collaboration between Ayurveda and Modern medicine: We fully agree with the suggestion for Integrative research. Collaborative studies incorporating Ayurvedic principles with modern diagnostic modalities will further strengthen evidence-based understanding and enhance clinical acceptance. Once again, we sincerely thank the reviewers for their constructive feedback and valuable insights. Such scholarly interaction encourages continuous refinement of our work and contributes to the scientific growth of Ayurveda. Financial support and sponsorship Nil. Conflicts of interest There are no conflicts of interest.