Skip to main content

In this review: Manual Therapy Versus Surgery for Carpal Tunnel Syndrome: 4-Year Follow-Up From a Randomized Controlled Trial
PTJ, November 2020

The Message
A study from Spain asserts that manual therapy for carpal tunnel syndrome in women fares just as well as surgery after four years in terms of pain, function, and self-perceived improvement — as long as the manual therapy goes beyond localized approaches and includes soft tissue mobilizations and other techniques that take in the entire upper extremity. This type of manual therapy, focused in part on the perception of pain, should be considered a viable first-line approach to the treatment of CTS, authors conclude.

Log in or create a free account to keep reading.

Join APTA to get unlimited access to content.

You Might Also Like...


Landmark APTA Report Makes the Case for Physical Therapy's Economic Value

Sep 27, 2023

The macroeconomic review of eight conditions shows how physical therapy delivers cost-effectiveness through quality-of-life improvements.


From PTJ: For Carpal Tunnel Diagnosis, Don't Rely on Provocative Tests Alone

May 2, 2023

Echoing a CPG on carpal tunnel syndrome from two APTA academies, authors advocate a combination of diagnostic approaches.


Study: Manual Therapy Works as Well, And Sometimes Better, Than Surgery for...

Mar 6, 2017

Researchers found similar improvement in self-reported function and CTS symptom severity for both surgical and physical therapy patients after 1 year,