Overview
To assess the effectiveness of a combined physical and psychological intervention in reducing pain and improving function in carpal tunnel syndrome patients with nociplastic pain.
Eligibility
Inclusion Criteria:
- Adults aged 25-65 years
- Both sexes
- Diagnosis of carpal tunnel syndrome based on clinical examination and nerve conduction studies
- Presence of nociplastic pain as determined by the Central Sensitization Inventory (CSI) with a score ≥40
- Positive tinel and phalen sign.
Exclusion Criteria:
- Previous carpal tunnel release surgery
- Other musculoskeletal or neurological disorders affecting the upper extremity