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Prognosis of Conservative Management of Median Nerve Neuropathy with Carpal Tunnel Syndrome: A Case Report

Tanya Gujral, Shivani Ahuja

Abstract


The most common entrapment neuropathy is carpal tunnel syndrome (CTS). Surgical decompression is
a common procedure that has long been considered the gold standard for treating CTS. Conservative
treatment options include physical therapy, bracing and workplace modifications. Even though CTS is
often progressive, patients can improve without any need for care. Self-limited behavior is normal, and
symptom resolution is not always linked to the intensity of clinical findings. Other therapies, such as
counselling, exercise, and yoga, have insufficient evidence supporting their effectiveness; so,
ergonomics, neural gliding, and further studies are needed. For severe pain and progressive functional
deficits, surgery is recommended. In our case, a 74-year-old male patient complained of heaviness in
the right wrist and arm. He also complained about having difficulty while writing and signing. No
investigations were done by the patient. Detailed examination was done involving manual muscle
testing, sensory examination, posture analysis, grip strength evaluation and special test which revealed
median nerve neuropathy with CTS. The patient was managed by conservative management including
strengthening exercise, yoga, neural glides, stretching, and cryotherapy used for reduction of pain and
swelling.


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DOI: https://doi.org/10.37628/ijorn.v7i2.2006

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