The Effectiveness of Ultrasound and Exercise Therapy in Pain Management and Muscle Strength Optimisation in Cases of Carpal Tunnel Syndrome (CTS) Dextra: A Case Report

Abstract

Background:Carpal Tunnel Syndrome (CTS) is one of the most common compressive neuropathies caused by compression of the median nerve in the carpal tunnel. This condition causes pain, numbness, muscle weakness, and reduced functional ability of the hand. Physiotherapy plays an important role in conservative management use modalities such as ultrasound and therapeutic exercises.Objective:To determine the effectiveness of ultrasound therapy and exercise therapy in reducing pain and optimising muscle strength in cases of CTS Dextra.  Methods:  A 42-year-old woman presented with complaints of pain and numbness in the right wrist, radiating to the thumb and index finger, accompanied by weakness when gripping. The intervention consisted of ultrasound and exercise therapy (neural mobilisation and joint mobilisation) twice a week for two weeks. Evaluation was conducted using the NRS for pain and the MMT for muscle strength.Results:There was a significant reduction in pain across all pain categories. Muscle strength improved in radial and ulnar deviation movements, while flexion and extension did not show changes.Conclusion:Ultrasound combined with exercise therapy involving neural mobilisation and joint mobilisation was effective in reducing pain and improving muscle strength in cases of CTS Dextra. This conservative physiotherapy approach has proven to be a safe, effective, and non-invasive option in the management of CTS.