Overview
To evaluate and quantify changes in the elasticity and shear wave modulus (stiffness) of the median nerve in patients diagnosed with mild to moderate carpal tunnel syndrome following osteopathic manipulative therapy.
Eligibility
Inclusion Criteria:
- Diagnosis of unilateral or bilateral mild to moderate carpal tunnel syndrome, based on recent EMG findings
Exclusion Criteria:
- History of undergoing recent physical therapy for treatment of carpal tunnel syndrome
- History of wrist trauma or surgery
- Hypothyroidism
- Severe CTS that has progressed to muscle atrophy
- Systemic disease or condition including but not limited to diabetes mellitus, thyroid disorders, rheumatoid disorders, Paget's bone disease, gout, myxedema, multiple myeloma, acromegaly, hepatic disease, dialysis patients, or other diseases or conditions in which peripheral neuropathies are common.
- Secondary cause of CTS such as a ganglion cyst, mass, or an accessory muscle shown by US or MRI of the affected wrist.
- Bifid median nerve as shown by US or MRI of the affected wrist
- pregnant or recently postpartum