Effect of complete decongestive therapy on carpal tunnel syndrome post upper limb lymphedema

Abstract

Purpose. To evaluate the therapeutic effects of CDT on carpal tunnel syndrome post upper limb lymphedema. Methods. A randomized controlled trial involving 60 female patients aged 40‑60 years with CTS post upper limb lymphedema was conducted. Patients were randomly assigned to two groups: Group A received CDT along with standard medical treatment, and Group B received medical treatment and bandaging. Outcomes measured included pain (Visual Analogue Scale), upper limb volume, grip strength, and nerve conduction studies. Results. Both groups showed significant improvement post-treatment in all measured outcomes. However, Group A (CDT) exhibited significantly greater improvements in pain reduction, decrease in upper limb volume, increase in grip strength, and nerve conduction compared to Group B (medical treatment and bandaging). Conclusion. CDT significantly enhances outcomes in patients with CTS post upper limb lymphedema compared to medical treatment and bandaging. Implementing CDT in standard care for these patients is recommended to improve quality of life and functional outcomes.