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Case Reports
. 2022 Jul 26:42:231.
doi: 10.11604/pamj.2022.42.231.33240. eCollection 2022.

[Moderate bilateral carpal tunnel syndrome improved by median nerve neurodynamic mobilization: a case report]

[Article in French]
Hassan Beddaa  1 , Bouchra Kably  2 , Basma Marzouk  2 , Youness Azemmour  1 , Ismail Bouzekraoui Alaoui  3 , Nazha Birouk  2
Affiliations
Case Reports

[Moderate bilateral carpal tunnel syndrome improved by median nerve neurodynamic mobilization: a case report]

[Article in French]
Hassan Beddaa et al. Pan Afr Med J. .

Abstract
in English, French

Carpal tunnel syndrome is the most common neuropathy affecting the upper limb. Several therapeutic approaches are used to treat this syndrome, including conservative treatment, often used as the first line treatment. We here report the case of a 61-year-old female patient, presenting to the Department of Clinical Neurophysiology of the Specialty Hospital, Rabat, with moderate and bilateral carpal tunnel syndrome with sensory loss confirmed by electroneuromyography (ENMG). Manual therapy, including bilateral median nerve neurodynamic mobilization, was performed. Patient´s outcome was marked by disappearance of nocturnal numbness and follow up ENMG showed a marked improvement in nerve conduction parameters. Based on this positive result, neurodynamic mobilization of the median nerve may be considered as a possible approach for the conservative treatment of carpal tunnel syndrome.

Le syndrome du canal carpien est la neuropathie canalaire la plus fréquente affectant le membre supérieur. Plusieurs approches thérapeutiques sont utilisées pour traiter ce syndrome, dont le traitement conservateur souvent de première ligne. Nous rapportons l´observation d´une patiente de 61 ans, qui s´est présentée au service de neurophysiologie clinique de l´hôpital de spécialités de Rabat pour un syndrome du canal carpien sensitif modéré et bilatéral confirmé par électroneuromyogramme (ENMG). L´intervention a consisté en une thérapie manuelle incluant une mobilisation neurodynamique du nerf médian en bilatéral. L´évolution a été marquée par une disparition de l´engourdissement nocturne et l´ENMG de contrôle a montré une nette amélioration des paramètres de conduction nerveuse. D´après ce résultat positif, la mobilisation neurodynamique du nerf médian pourrait être considérée comme une piste envisageable dans le cadre du traitement conservateur du syndrome du canal carpien.

Keywords: Pain; carpal tunnel syndrome; case report; electroneuromyogram; neurodynamic mobilization techniques.

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Conflict of interest statement

Les auteurs ne déclarent aucun conflit d´intérêts.

References

    1. Brininger TL, Rogers JC, Holm MB, Baker NA, Li ZM, Goitz RJ. Efficacy of a fabricated customized splint and tendon and nerve gliding exercises for the treatment of carpal tunnel syndrome: a randomized controlled trial. Arch Phys Med Rehabil. 2007;88(11):1429–35. - PubMed
    1. Wolny T, Linek P. The effect of manual therapy including neurodynamic techniques on the overall health status of people with carpal tunnel syndrome: a randomized controlled trial. J Manipulative Physiol Ther. 2018 Oct 1;41(8):641–9. - PubMed
    1. Wainner RS, Fritz JM, Irrgang JJ, Boninger ML, Delitto A, Allison S. Reliability and diagnostic accuracy of the clinical examination and patient self-report measures for cervical radiculopathy. Spine (Phila Pa 1976) 2003;28(1):52–62. - PubMed
    1. Dilley A, Lynn B, See JP. Pressure and stretch mechanosensitivity of peripheral nerve fibres following local inflammation of the nerve trunk. Pain. 2005;117(3):462–72. - PMC - PubMed
    1. Dale AM, Harris-Adamson C, Rempel D, Gerr F, Hegmann K, Silverstein B, et al. Prevalence and incidence of carpal tunnel syndrome in US working populations: pooled analysis of six prospective studies. Scand J Work Environ Heal. 2013;39(5):495–505. - PMC - PubMed