Managing carpal tunnel syndrome with modified neurodynamics approach: a case report
DOI:
https://doi.org/10.18203/2320-6012.ijrms20242961Keywords:
Case report, Carpal tunnel syndrome, Modified neurodynamicsAbstract
Carpal tunnel syndrome is a median nerve entrapment neuropathy. The condition is noteworthy, as it has put a lot of burden in the economy. Although, a variety of treatments availed for the condition but there needs a new innovative protocol to treat the same. Carpal tunnel syndrome is having huge burden over the society hence; a peculiar protocol has to be find. The case introduces a 45-year-old supervisor working in a hospital who came to the physiotherapy outpatient department (OPD) with complaints of tingling sensation and numbness over the median nerve distribution area along with the pain at wrist, bilaterally. The assessment included special tests to check the sensitivity of median nerve in the carpal tunnel. The outcome measures numeric pain rating scale (NPRS) and Boston carpal tunnel syndrome questionnaire (BCTSQ) taken at definitive intervals to identify the efficacy of treatment. In this report, we aim to design a protocol for carpal tunnel syndrome using modified neurodynamics, which involves static opener, sliders and tensioners for median nerve.
References
Nakandala P. Manual Therapy Interventions for Carpal Tunnel Syndrome: A Review. Int J Adv Res Publication. 2019;3(6):88-96.
Beddaa H, Kably B, Marzouk B, Mouhi I, Marfak A, Azemmour Y, et al. The effectiveness of the median nerve neurodynamic mobilisation techniques in women with mild or moderate bilateral carpal tunnel syndrome: A single-blind clinical randomised trial. S Afr J Physiother. 2022;78(1):1823.
Izadi S, Kardeh B, Hooshiar S, Neydavoodi M, Borhani-Haghighi A. Correlation of clinical grading, physical tests and nerve conduction study in carpal tunnel syndrome. Scand J Pain. 2018;18(3): 345-0.
Ibrahim I, Khan WS, Goddard N, Smitham P. Suppl 1: carpal tunnel syndrome: a review of the recent literature. Open Orthop J. 2012;6:69.
Genova A, Dix O, Saefan A, Thakur M, Hassan A. Carpal tunnel syndrome: a review of literature. Cureus. 2020;12(3).
Wipperman J, Goerl K. Carpal tunnel syndrome: diagnosis and management. Am Fam Physician. 2016;94(12):993-9.
Burton C, Chesterton LS, Davenport G. Diagnosing and managing carpal tunnel syndrome in primary care. Br J Gen Pract. 2014;64(622):262-3.
Wolny T. The Use of Neurodynamic Techniques in the Conservative Treatment of Carpal Tunnel Syndrome-a Critical Appraisal of the Literature. Orthop Traumatol Rehab. 2017;19(5):427-40.
Shacklock M. Clinical neurodynamics: a new system of neuromusculoskeletal treatment. Elsevier Health Sciences. 2005.
Erickson M, Lawrence M, Jansen CW, Coker D, Amadio P, Cleary C, et al. Hand pain and sensory deficits: Carpal tunnel syndrome: Clinical practice guidelines linked to the international classification of functioning, disability and health from the academy of hand and upper extremity physical therapy and the academy of orthopaedic physical therapy of the American physical therapy association. J Orthop Sports Phys Ther. 2019;49(5):CPG1-85.
