The Carpal tunnel syndrome - CTS - primary and secondary prevention - review of literature
DOI:
https://doi.org/10.12775/JEHS.2025.77.56481Keywords
fizjoterapia, Carpal tunnel syndrome (CTS), kinezyterapiaAbstract
Carpal Tunnel Syndrome (CTS) is the most common neuropathy affecting the median nerve in the upper limb. It is characterized by pain, numbness, paresthesia, muscle weakness, and difficulties in precise hand movements. CTS can be caused by trauma, excessive nerve stretching, or compression. The condition more frequently affects women, with risk factors including obesity, diabetes, and hypothyroidism. Diagnosis of CTS is based on clinical evaluation, Tinel's and Phalen's tests, and examinations such as EMG or MRI. Treatment includes surgical methods like nerve decompression and conservative approaches such as physiotherapy, kinesitherapy, and neuromobilization. Studies show that tendon and nerve gliding exercises can significantly reduce CTS symptoms. These exercises are less invasive and effective in mild to moderate cases of CTS, providing a good alternative or complement to surgical interventions. Regular stretching and strengthening exercises improve the clinical condition of CTS patients. Findings from the literature review suggest that regular exercise can significantly improve the condition of CTS patients, alleviating pain symptoms and enhancing hand function.
References
1.Genova A, Dix O, Saefan A, Thakur M, Hassan A. Carpal tunnel syndrome: a review of literature. Cureus. 2020 Mar 19;12(3):e7333. doi: 10.7759/cureus.7333. Available from: https://pubmed.ncbi.nlm.nih.gov/32313774/
2.Yang FA, Wang HJ, Kuo TY, Peng ChW, Liou TH, Escorpizo R, Chen CHH. Injection therapy for carpal tunnel syndrome: A systematic review and network meta-analysis of randomized controlled trials. PLoS One. 2024 May 16;19(5):e0303537. doi: 10.1371/journal.pone.0303537. Available from: https://pubmed.ncbi.nlm.nih.gov/38753671/
3.Rotaru-Zavaleanu AD, Lungulescu CV, Bunescu MG, Vasile RC, Gheorman V, Gresita A, Dinescu VC. Occupational Carpal Tunnel Syndrome: a scoping review of causes, mechanisms, diagnosis, and intervention strategies. Front Public Health. 2024; 12: 1407302. doi: 10.3389/fpubh.2024.1407302. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11150592/
4.Mao BN, Li Y, Yin YL, Zhang Z, Li J, Fu WL. Local corticosteroid injection versus physical therapy for the treatment of carpal tunnel syndrome: A systematic review and meta-analysis of randomized controlled trials. Asian J Surg. 2024 Jan;47(1):89-99. doi: 10.1016/j.asjsur.2023.04.104. Available from: https://pubmed.ncbi.nlm.nih.gov/37147265/
5.Hernández-Secorún M, Montaña-Cortés R, Hidalgo-García C, Rodríguez-Sanz J, Corral-de-Toro J, Monti-Ballano S, Hamam-Alcober S, Tricás-Moreno JM, Lucha-López MO. Effectiveness of conservative treatment according to severity and systemic disease in carpal tunel syndrome: a systematic review. Int J Environ Res Public Health. 2021 Feb 28;18(5):2365. doi: 10.3390/ijerph18052365. Available from: https://pubmed.ncbi.nlm.nih.gov/33671060/
6.Dabbagh A, MacDermid JC, Yong J, Macedo LG, Packham TL. Diagnosing carpal tunnel syndrome: diagnostic test accuracy of scales, questionnaires, and hand symptom diagrams—a systematic review. J Orthop Sports Phys Ther. 2020 Nov;50(11):622-631. doi: 10.2519/jospt.2020.9599. Available from: https://pubmed.ncbi.nlm.nih.gov/32938312/
7.Aboonq MS. Pathophysiology of carpal tunnel syndrome. Neurosciences (Riyadh). 2015 Jan; 20(1): 4–9. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4727604/
8.Gniadek M, Trybus M. Zespół kanału nadgarstka – etiologia i leczenie. Przegląd Lekarski; 2016. 520–524 pp.
9.Lam KHS, Wu YT, Reeves KD, Galluccio F, Allam AE, Peng PWH. Ultrasound-guided interventions for carpal tunnel syndrome: a systematic review and meta-analyses. Diagnostics (Basel). 2023 Mar 16;13(6):1138. doi: 10.3390/diagnostics13061138. Available from: https://pubmed.ncbi.nlm.nih.gov/36980446/
10. Peters S, Page M, Coppieters M, Ross M, Johnston V. Rehabilitation following carpal tunnel release. Cochrane Database Syst Rev. 2016 Feb 17;2(2):CD004158. doi: 10.1002/14651858.CD004158.pub3. Available from: https://pubmed.ncbi.nlm.nih.gov/26884379/
11.Wielemborek PT, Kapica-Topczewska K, Pogorzelski R, Bartoszuk A, Kochanowicz J, Kułakowska A. Carpal tunnel syndrome conservative treatment: a literature review.
Postep Psychiatr Neurol. 2022 Jun;31(2):85-94. doi: 10.5114/ppn.2022.116880. Available from: https://pubmed.ncbi.nlm.nih.gov/37082094/
12.Ballestero-Pérez R, Plaza-Manzano G, Urraca-Gesto A, Romo-Romo F, Atín-Arratibel MA, Pecos-Martín D, Gallego-Izquierdo T, Romero-Franco N. Effectiveness of nerve gliding exercises on carpal tunnel syndrome: a systematic review. J Manipulative Physiol Ther. 2017 Jan;40(1):50-59. doi: 10.1016/j.jmpt.2016.10.004. Available from: https://pubmed.ncbi.nlm.nih.gov/27842937/
13.Łach P, Cygańska A. Effectiveness of prevention exercises protocol among officeworkers with symptoms of carpal tunnel syndrome. Int J Occup Med Environ Health. 2024 Mar 5;37(1):45-57. doi: 10.13075/ijomeh.1896.02164. Available from: https://pubmed.ncbi.nlm.nih.gov/38362945/
14.Shem K, Wong J, Dirlikov B. Effective self-stretching of carpal ligament for thetreatment of carpal tunnel syndrome: A double-blinded randomized controlled study. J Hand Ther. 2020 Jul-Sep;33(3):272-280. doi: 10.1016/j.jht.2019.12.002. Available from: https://pubmed.ncbi.nlm.nih.gov/32362377/
15.Sheereen FJ, Sarkar B, Sahay P, Shaphe MA, Alghadir AH, Iqbal A, Ali T, Ahmad F. Comparison of two manual therapy programs, including tendon gliding exercises as a common adjunct, while managing the participants with chronic carpal tunnel syndrome. Pain Res Manag. 2022 Jun 8:2022:1975803. doi: 10.1155/2022/1975803. Available from: https://pubmed.ncbi.nlm.nih.gov/35719196/
16.Yoo W. Effect of the release exercise and exercise position in a patient with carpal tunnel syndrome. J Phys Ther Sci. 2015 Oct; 27(10): 3345–3346. doi: 10.1589/jpts.27.3345 Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4668198/
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