Role of P.T in Rehabilitation of Carpal Tunnel Syndrome From physiotherapists prospective of view

Abstract

Carpal Tunnel Syndrome (CTS) is a prevalent medical disorder characterized by numbness and pain and tingling in the hand and arm of the affected paten , CTS happens when the median nerve is  compressed as it travels through the wrist.The current study aims at determining the physiotherapy  methods that used in treatment of Carpal Tunnel Syndrome as well as describing factors associated  with carpal tunnel syndrome Methods: A cross sectional study was conducted on 194 physiotherapists who worked in government and private hospitals and clinics in Misurata city from November to May 2025, the data were  collected using questionnaire to collect responses from the study population regarding the physiotherapy rehabilitation of Carpal Tunnel Syndrome, based on insights drawn from various previous studies, a preliminary version of the questionnaire was designed. Results: The results indicated that physical therapy is the most commonly applied intervention for CTS cases, accounting for 50% of responses. Surgical treatment ranks second with 29.4%, while pharmacological treatment represents the least frequently used approach. In addition, the therapeutic methods adopted for the rehabilitation of CTS patients results reveal that therapeutic exercises are the most commonly used rehabilitation method, cited by 27.7% of respondents, this is followed by ultrasound therapy (21.1%). However, the electrical stimulation and therapeutic massage share an equal rate of 16.8% each. Laser therapy was reported by 9.5%, and the use of medical splints by 6.8%. Other less commonly mentioned techniques (1.3%) including cryotherapy, heat therapy, infrared radiation, and shockwave therapy. Moreover, the results  indicated that the effectiveness of physical therapy in improving movement is perceived as "Effective" by the largest proportion of respondents (38.7%), followed by "Very effective" (36.1%), and "Moderate" (18.6%). Lower ratings included "Weak" (3.6%) and "Not effective" (3.1%), which were the least cited..Conclusion: Physiotherapy plays an important role in treatment and rehabilitation of CTS as well as combining physical therapy with other medical strategies can improve the outcomes of the patients.