Low Intensity Ultrasound in Patients With Carpal Tunnel Syndrome

To investigate the influence of low intensity pulsed ultrasound on Pain level, pinch grip strength, sensory distal latency of the median nerve, motor distal latency of the median nerve and hand function in patients with chronic carpal tunnel syndrome

Inclusion Criteria:26 male and 26 female patients have unilateral with mild to moderate CTS in dominant hand diagnosed and referred by physician.Age will be ranged from 30-50 yearsAll patients have body mass index between 18.5 and 24.9 kg/m2Median nerve sensory distal latency > 3.5 millisecond but not more than 4.5 millisecond, motor distal latency longer than 4.2 millisecond but not exceed 6.5 millisecond.Positive clinical manifestation (pain, paresthesia in the distribution of the median nerve for 6 months, positive Tinel's and Phalen's sign)Exclusion Criteria:Patients with diabetes mellitus ( type I or type II),Patients with hypothyroidismPatients with rheumatoid diseasePatients with renal diseasePatients with polyneuropathypatients with cervical radiculopathyPatients with wrist arthritis , wrist fracture and acute traumaPatients with Carpal tunnel release surgeryPatients with outlet syndromethenar muscle atrophy -