Physical Therapy should be considered 'Front Line' Treatment for carpal Tunnel Syndrome

Surgery or physical therapy for carpal tunnel syndrome(CTS)? Studies (Journal of Pain) have found most would rather a conservative approach. Sprain concluded that for pain and function, physical therapy is equal to surgery at 6 and 12 months after baseline, and produces greater improvements earlier on.

The real difference was the TYPE of PT used: desensitization maneuvers of the central nervous system- soft tissue mobilization and nerve/tendon exercises"manual techniques directed at anatomical sites of potential entrapment of the median nerve," according to authors.