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

I read with interest an article on Ayurveda treatment for Carpal Tunnel Syndrome (CTS).[1] Probably a good initiative in the direction on merging of different treatment paths under one umbrella. But there are certain issues which I would like to bring to notice which will enhance the relevance of the case report for future similar case reports. These are as under: The patient was a goldsmith by occupation who was more susceptible for CTS, so whether the patient left the working during treatment, and what was the follow-up, or if not so, it will be worthwhile to follow up the patient Hypothyroidism is an important etiology for CTS, and so is impaired glucose tolerance. Of course, the eminent authors mention there was no such history, but ideally, one should get relevant tests done and document the same Monitoring with magnetic resonance imaging and ultrasonography is a quite reliable tool for assessment during the follow-up[2] Monitoring with Ayurveda components of drug metabolites, inflammatory markers may be worthwhile and should be evaluated in further case reports or studies, if feasible The authors mentioned the use of purgatives which helped reduce the weight, and so the pressure around the median nerve in the tunnel may have reduced. Use of purgatives may, of course, reduce the tunnel pressure but is associated with dementia[3] Ayurveda and many other traditional therapies are quite rewarding, so we should encourage studies like this, and such studies may be done in collaboration with their allopathic counterparts. Financial support and sponsorship Nil. Conflicts of interest There are no conflicts of interest.