PA01.49.Carpal tunnel syndrome: A case report

PURPOSE: Carpal tunnel syndrome is an entrapment neuropathy of median nerve causing paraesthesia, pain, numbness and other symptoms in the distribution of median nerve due to its compression at wrist in carpal tunnel. Modern medicine prescribes surgery for its treatment. We report a case that was treated completely without any recurrence. METHOD: Case presentation: A female patient aged 23 years presented with numbness in the middle finger of left hand associated with paraesthesia, morning stiffness, loss of delicate movements of middle finger and dropping of small objects since 4 days. She consulted an allopathic doctor and was diagnosed as having Carpal tunnel syndrome (CTS). She was advised surgery. The patient was reluctant for undergoing surgery and took the medicines for 1 day, but had no relief. Next day she came to the OPD. On examination, Tinel™s percussion test and hand diagram were positive. On assessment, symptom severity scale (SSS) and functional status scale (FSS) were found to be 1.5 and 3.5 respectively, before treatment. Treatment given was varanadi kashaya, sahacharadi and supti taila, yogaraja guggulu, cap chelnar, dhanyamla dhara, shunthibaladi choorna etc, for a period of 1 month. The medicines were changed as per the condition of patient and the disease, at every follow up of 1 week, during the 1 month of treatment. RESULT: At the end of 1 month patient got complete relief from her complaints, and the scales SSS and FSS scored 0. CONCLUSION: The treatment given here aimed at release of compression by considering the involvement of doshas. The state of the disease was acute due to which complete relief was achieved. Thus if patients come to Ayurveda in early stages of the disease, prognosis will be better.