Carpal tunnel syndrome (CTS) is a complex disorder of the arm usually associated with compression of the median nerve at the carpal tunnel, with a reported prevalence of 3.72% in the US population,1 and an annual incidence of 139.4 per 100 000 in females and 67.2 cases per 100 000 in males. 2 Scientific evidence for the management of CTS has exhibited conflicting results. A Cochrane review has concluded that surgical treatment relieves symptoms significantly better than splinting. 3 However, Jarvik et al4 reported that although surgical treatment led to a better outcome than physical therapy, the clinical relevance of this difference was small. This study also showed that 61% of the patients with CTS who received physical therapy preferred not to receive any surgical treatment.4 There are several physical therapy interventions available
for the management of patients with CTS. 5 One of these