Tratamiento fisioterápico basado en la neuromodulación de la sensibilización central en el síndrome del túnel del carpo: a propósito del un caso

Carpal tunnel syndrome (CTS) is responsible for high annual costs to the society and it has been recently demonstrated that CTS exhibits central sensitization. The case of a 35-year old woman, with clinical and electromyographical diagnosis of moderate right CTS with a central sensitization is presented. Treatment consisted of 3 physiotherapy sessions targeted at reducing central sensitization (neuro-modulation effects), including soft tissue mobilization and a nerve slider neurodynamic technique biased towards the median nerve. Pain intensity at baseline was 4 points on a numerical pain rate scale. The Boston Carpal Tunnel Questionnaire scores were 2/5 on functional status and 2.8/5 on severity of symptoms. The pain at rest was 0 in the last session and during the 6 months of follow-up, as well as in the functional status and severity of symptoms scores. Physiotherapy approach targeted at central sensitization neuro-modulation represents a potential effective intervention for reducing symptoms in CTS.