Efficacy of Acupuncture in the Symptoms of the Carpal Tunnel Syndrome: Assessment of Efficacy and Methodologies

Carpal Tunnel Syndrome (CTS) is a compressive neuropathy of the median nerve at the wrist, most prevalent in adults aged 40 to 60, predominantly affecting women. Characterized by symptoms such as tingling, pain, and numbness in the upper extremities, CTS negatively impacts quality of life and work capacity. Conventional therapies—both surgical and conservative—have limitations, underscoring the need for a multidisciplinary approach. This study explores acupuncture’s role in CTS management from the perspective of Traditional Chinese Medicine (TCM). In TCM, CTS is viewed as a Painful Obstruction (bi) Syndrome related to external factors—wind, cold, and dampness. Pathologically, CTS arises from stagnation of Qi, Blood, and Phlegm, often coupled with deficiencies in Qi, Yin, Yang, or Blood. Literature reviews and clinical trials support acupuncture’s efficacy in pain relief and symptom improvement. Acupoint selection (e.g., PC 7, PC 6) is grounded in TCM theory to restore energetic balance and enhance circulation. Complementary Tuina massage further reduces inflammation and promotes mitochondrial biogenesis. Although evidence is promising, further high‑quality studies are needed to consolidate acupuncture’s benefits in CTS. Integrative approaches combining acupuncture and Tuina present a valuable alternative for improving functionality and quality of life in CTS patients, offering symptomatic relief and potentially reducing reliance on conventional treatments.