Effects of Two Different Kinesiotaping Techniques in Carpal Tunnel Syndrome

This study aims to evaluate the clinical, functional, and ultrasonographic effects of two different kinesiotaping techniques added to a standard exercise and night splint program in the treatment of Carpal Tunnel Syndrome (CTS). Participants will be randomly assigned to one of three groups: the I-Strip kinesiotaping technique group, the Button Hole kinesiotaping technique group, or a control group receiving only standard therapy. The study will assess treatment outcomes over a 12-week period using high-resolution ultrasound (specifically median nerve cross-sectional area and flattening ratio) and clinical parameters to determine the most effective conservative management approach.

Inclusion Criteria: Being aged between 18 and 65 years. * Willingness and ability to sign the informed consent form. * Having symptoms of carpal tunnel syndrome (hand numbness, tingling, pain) for at least 3 months. * Clinical diagnosis of mild-to-moderate carpal tunnel syndrome confirmed by physical examination (positive Phalen/Tinel tests) and a prior nerve conduction study (EMG). Exclusion Criteria: * Previous wrist or hand surgery. * Severe carpal tunnel syndrome on EMG (evidence of thenar atrophy or severe motor loss). * History of trauma, fracture in the wrist area, or anatomical anomalies affecting ultrasonography. * Cervical radiculopathy, polyneuropathy, diabetic neuropathy, or other concomitant upper extremity entrapment neuropathies. * Local corticosteroid injection to the carpal tunnel within the last 6 months. * Pregnancy. * Systemic corticosteroid use or inflammatory rheumatic diseases. * Cognitive impairment or psychiatric illness preventing comprehension of questionnaire instructions. * Lack of a prior EMG report upon admission to the outpatient clinic.