Carpal Tunnel Solutions: Get a Grip on Results With Clinical Practice Guidelines and Manual Therapy
Live Event

Carpal Tunnel Solutions: Get a Grip on Results With Clinical Practice Guidelines and Manual Therapy

Thu, Apr 24th, 2025
6:00pm – 9:00pm US Eastern Time
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About the Event

Do you feel frustrated by the lack of positive outcomes for your clients who suffer from carpal tunnel syndrome (CTS)? Are you looking for a better approach to offer them? While some clinicians continue to rely on old modalities and exercise approaches for CTS, they often end up witnessing their clients resorting to surgical decompression despite their best efforts. It's time to move beyond standardized rehab protocols and discover the power of manual therapy, a key component that leads to successful outcomes for people with CTS, as recommended by the recently released clinical practice guidelines (CPGs).

This live interactive webinar focuses on the critical tests that can accurately identify CTS and will help you understand which interventions truly work so you can streamline your examination and treatment process. The root causes of CTS lie in chronic strain and repetitive motion, which lead to inflammation of the flexor tendons and median nerve. This, in turn, results in fascial adhesions, tingling, numbness, weakness, pain, and stiffness. Managing these adhesions or scar tissue is crucial for restoring better mobility and function, enabling clients to tolerate exercise and activities with less pain. Join us as we learn how to integrate high-quality manual interventions with appropriate bracing techniques and patient education so you can significantly speed up patient recovery in a conservative way.

Live Event
This live online event will be held as a Zoom Webinar. Attendees will have the option to interact through features such as the Chat and Q&A, but cameras and microphones will not be enabled.

Live Event Instructor

Theresa Schmidt

Theresa Schmidt

Dr. Theresa Schmidt PT, DPT, OCS, LMT, CEAS of Educise.com is an Orthopedic Certified Specialist PT, Expert Consultant, educator, massage therapist, hypnotherapist and author in private practice at Educise PC Health & Wellness in NH. She is a Clinical Specialist in the Pain program at New Hampshire VA. She received her DPT at UNE., served as faculty in PT and massage programs and presented for International Fascia Research Congress, APTA, AMTA, AOTA, NASA, Johns Hopkins, and Cleveland Clinics. She focuses on hands-on natural solutions to pain and mobility problems integrating manual therapy, precision exercise, functional training and alternative medicine approaches. Her engaging seminars inspire clinicians with practical tools they can apply immediately for measurable results clients rave about.

Target Audience

This live interactive webinar is intended for Physical Therapists, Physical Therapy Assistants, Occupational Therapists, Occupational Therapy Assistants, and Massage Therapists. (PT, PTA, OT, COTA, LMT)

Learning Objectives

After taking this activity, you should be able to:

  1. 1 List 5 examination tools for CTS.
  2. 2 Perform an assessment to document response to CTS treatment.
  3. 3 Summarize clinical practice guidelines (CPG) for CTS.
  4. 4 Demonstrate 5 manual therapy interventions to address CTS impairments.

Baker, N.A., Dole, J., & Roll, S.C. (2021, April 29). A meta-synthesis of carpal tunnel syndrome treatment options: Developing consolidated clinical treatment recommendations to improve practice. Archives of Physical Medicine and Rehabilitation, 102(10), 2030-2042. https://doi.org/10.1016/j.apmr.2021.03.034

Barbe, M.F., Harris, M.Y., Cruz, G.E. Amin, M., Billet, N., Dorotan, J.T., & Bove, G.M. (2021, May 5). Key indicators of repetitive overuse-induced neuromuscular inflammation and fibrosis are prevented by manual therapy in a rat model. BMC Musculoskeletal Disorders, 22, 417. https://doi.org/10.1186/s12891-021-04270-0

Chen, Y., Williams, L., Zak, M.J., & Fredericson, M. (2016, September 14). Review of Ultrasonography in the Diagnosis of Carpal Tunnel Syndrome and a Proposed Scanning Protocol. Journal of Ultrasound in Medicine, 35(11), 2311-2324. https://doi.org/10.7863/ultra.15.12014

Cuenca-Martínez, F., La Touche, R., Varangot-Reille, C., Sardinoux, M., Bahier, J., Suso-Martí, L., & Fernández-Carnero, J. (2022). Effects of Neural Mobilization on Pain Intensity, Disability, and Mechanosensitivity: An Umbrella Review With Meta-Meta-Analysis. Physical Therapy, 102(6), pzac040. https://doi.org/10.1093/ptj/pzac040

Dec, P., & Zyluk, A. (2018). Bilateral carpal tunnel syndrome – A review. Polish Journal of Neurology and Neurosurgery, 52(1), 79-83. DOI: 10.1016/j.pjnns.2017.09.009

Fernandez-de-las-Penas, C., Arias-Buria, J.L., Cleland, J.A., Parej, J.A., Plaza-Manzano, G., & Ortega-Santiago, R. (2020, August 6). Manual Therapy Versus Surgery for Carpal Tunnel Syndrome: 4-Year Follow-Up from a Randomized Controlled Trial. Physical Therapy, 100(11), 1987–1996. https://doi.org/10.1093/ptj/pzaa150

Genova, A., Dix, O., Saefan, A., Thakur, M., & Hassan, A. (2020). Carpal Tunnel Syndrome: A Review of Literature. Cureus, 12(3), e7333. https://doi.org/10.7759/cureus.7333

Hamoda, R.E., Osman, D.A., Hamada, H.A., Radwan, R., Yousef, A.M., Samea, G.A.A., & Gharib, H.O. (2019). Effect of myofascial release on electrophysiological and clinical measures of pregnant women with carpal tunnel syndrome. Physiotherapy Quarterly, 27(1), 18-24. https://doi.org/10.5114/pq.2019.83057

Hernández-Secorún, M., Montaña-Cortés, R., Hidalgo-García, C., Rodríguez-Sanz, J., Corral-de-Toro, J., Monti-Ballano, S., Hamam-Alcober, S., Tricás-Moreno, J.M., & Lucha-López, M.O. (2021). Effectiveness of Conservative Treatment According to Severity and Systemic Disease in Carpal Tunnel Syndrome: A Systematic Review. International Journal of Environmental Research and Public Health, 18(5), 2365. https://doi.org/10.3390/ijerph18052365

Ijaz, M. J., Karimi, H., Gillani, S. A., Ahmad, A., & Chaudhary, M. A. (2022). Effect of median nerve neuromobilization on functional status in patients with carpal tunnel syndrome: A double-blinded randomized control trial. JPMA. The Journal of the Pakistan Medical Association, 72(4), 605–609. https://doi.org/10.47391/JPMA.2212

Kobrynska, E., Zalewska, A., Galczyk, M., & Komorowski, A. (2021). Impact of physical therapy on the condition of a patient with carpal tunnel syndrome and Raynaud’s disease. Med Og Nauk Zdr, 27(1), 82–85. DOI: https://doi.org/10.26444/monz/133956

Mohamed, F.I., Hassan, A.A., Abdel-Magied, R.A., & Wageh, R.N. (2016). Manual therapy intervention in the treatment of patients with carpal tunnel syndrome: median nerve mobilization versus medical treatment. Egypt Rheumatol Rehabil, 43, 27–34. https://doi.org/10.4103/1110-161X.177424

Mohammadi, S., Roostayi, M.M., Naimi, S.S., & Baghban, A.A. (2019, January 29). The effects of cupping therapy as a new approach in the physiotherapeutic management of carpal tunnel syndrome. Physiotherapy Research International, 24(3), e1700. https://doi.org/10.1002/pri.1770

Padua, L., Coraci, D., Erra, C., Pazzaglia, C., Paolasso, I., Loreti, C., ... Hobson-Webb, L. D. (2016, October 11). Carpal tunnel syndrome: Clinical features, diagnosis, and management. The Lancet Neurology, 15(12), 1273-1284. https://doi.org/10.1016/S1474-4422(16)30231-9

Papacharalambous, C., Savva, C., Karagiannis, C., & Giannakou, K. (2022). The effectiveness of slider and tensioner neural mobilization techniques in the management of upper quadrant pain: A systematic review of randomized controlled trials. Journal of Bodywork and Movement Therapies, 31, 102–112. https://doi.org/10.1016/j.jbmt.2022.03.002

Paquette, P., Higgins, J., Danino, M. A., Harris, P., Lamontagne, M., & Gagnon, D. H. (2021). Effects of a preoperative neuromobilization program offered to individuals with carpal tunnel syndrome awaiting carpal tunnel decompression surgery: A pilot randomized controlled study. Journal of Hand Therapy, 34(1), 37-46. https://doi.org/10.1016/j.jht.2019.12.012

Peters, S., Page, M. J., Coppieters, M. W., Ross, M., & Johnston, V. (2016, February 17). Rehabilitation following carpal tunnel release. Cochrane Database of Systematic Reviews, 2. Art. No.: CD004158. https://doi.org/10.1002/14651858.CD004158.pub3

Piper, S., Shearer, H. M., Côté, P., Wong, J. J., Yu, H., Varatharajan, S., ... Taylor-Vaisey, A. L. (2016, February). The effectiveness of soft-tissue therapy for the management of musculoskeletal disorders and injuries of the upper and lower extremities: A systematic review by the Ontario Protocol for Traffic Injury management (OPTIMa) collaboration. Manual Therapy, 21, 18-34. https://doi.org/10.1016/j.math.2015.08.011

Pourmemari, M. H., Heliovaara, M., Viikari-Juntura, E., & Shiri, R. (2018, April 17). Carpal tunnel release: Lifetime prevalence, annual incidence, and risk factors. Muscle and Nerve, 58(4), 497-502. https://doi.org/10.1002/mus.26145

Rodríguez-Fuentes, I., De Toro, F. J., Rodríguez-Fuentes, G., de Oliveira, I. M., Meijide-Faílde, R., & Fuentes-Boquete, I. M. (2016, July). Myofascial Release Therapy in the Treatment of Occupational Mechanical Neck Pain. American Journal of Physical Medicine & Rehabilitation, 95(7), 507-515. doi: 10.1097/PHM.0000000000000425

Sasaki, T., Koyama, T., Kuroiwa, T., Nimura, A., Okawa, A., Wakabayashi, Y., & Fujita, K. (2022). Evaluation of the Existing Electrophysiological Severity Classifications in Carpal Tunnel Syndrome. Journal of Clinical Medicine, 11(6), 1685. https://doi.org/10.3390/jcm11061685

Scalise, V., Brindisino, F., Pellicciari, L., Minnucci, S., & Bonetti, F. (2021, February 18). Carpal Tunnel Syndrome: A National Survey to Monitor Knowledge and Operating Methods. International Journal of Environmental Research and Public Health, 18(4), 1995. https://doi.org/10.3390/ijerph18041995

Sperry, B. W., Reyes, B. A., Ikram, A., Donnelly, J. P., Phelan, D., Jaber, W. A., ... Hanna, M. (2018, October 1). Tenosynovial and Cardiac Amyloidosis in Patients Undergoing Carpal Tunnel Release. Journal of the American College of Cardiology, 72(17), 2040-2050. https://doi.org/10.1016/j.jacc.2018.07.071

Talebi, G. A., Saadat, P., Javadian, Y., & Taghipour, M. (2018). Manual therapy in the treatment of carpal tunnel syndrome in diabetic patients: A randomized clinical trial. Caspian Journal of Internal Medicine, 9(3), 283–289. https://doi.org/10.22088/cjim.9.3.283

Talebi, G. A., Saadat, P., Javadian, Y., & Taghipour, M. (2020). Comparison of two manual therapy techniques in patients with carpal tunnel syndrome: A randomized clinical trial. Caspian Journal of Internal Medicine, 11(2), 163–170. https://doi.org/10.22088/cjim.11.2.163

Tang, C. Q. Y., Lai, S. W. H., & Tay, S. C. (2017, October 1). Long-term outcome of carpal tunnel release surgery in patients with severe carpal tunnel syndrome. The Bone & Joint Journal, 99-B(10), 1348-1353. https://doi.org/10.1302/0301-620X.99B10.BJJ-2016-0587.R2

Tsimerakis, A. F., Lytras, D., Kottaras, A., Iakovidis, P., & Kottaras, I. (2021). The effect of neural tissue mobilization techniques on pain, functioning and health in patients with median nerve entrapment in mild to moderate carpal tunnel syndrome: A narrative review. International Journal of Physical Education, Sports and Health, 8(2), 186-190. https://doi.org/10.22271/kheljournal.2021.v8.i2c.2049

Urits, I., Gress, K., Charipova, K., Orhurhu, V., Kaye, A. D., & Viswanath, O. (2019). Recent Advances in the Understanding and Management of Carpal Tunnel Syndrome: A Comprehensive Review. Current Pain and Headache Reports, 23(70). https://doi.org/10.1007/s11916-019-0811-z

Wipperman, J., & Goerl, K. (2016). Carpal Tunnel Syndrome: Diagnosis and Management. American Family Physician, 94(12), 993–999.

Wolny, T., Saulicz, E., Linek, P., Shacklock, M., & Mysliwiec, A. (2017, May). Efficacy of Manual Therapy Including Neurodynamic Techniques for the Treatment of Carpal Tunnel Syndrome: A Randomized Controlled Trial. Journal of Manipulative and Physiological Therapeutics, 40(4), 263-272. https://doi.org/10.1016/j.jmpt.2017.02.004

Wolny, T., & Linek, P. (2018, October 11). Is manual therapy based on neurodynamic techniques effective in the treatment of carpal tunnel syndrome? A randomized controlled trial. Clinical Rehabilitation, 33(3), 408-417. https://doi.org/10.1177/0269215518805213

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CE Learning Systems adheres to the ACCME's Standards for Integrity and Independence in Accredited Continuing Medical Education. Any individuals in a position to control the content of a CE activity – including faculty, planners, reviewers, or others ― are required to disclose all relevant financial relationships with ineligible entities (formerly known as commercial interests).

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Theresa A. Schmidt, PT, DPT, MS, OCS, LMT, CEAS – None to report.

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Event Agenda

Agenda times are listed in US Eastern Time. That is 3 hours later than US Pacific Time. The event starts at 3:00pm US Pacific Time.

6:00 PM - 7:00 PM ET: Introduction and its risk factors including signs, symptoms, and differential diagnosis of CTS. Evaluation methods and overview of Clinical Practice Guidelines (CPGs) with relevant tests.
7:00 PM - 8:00 PM ET: Interventions for CTS: Assistive technology, orthoses, and biophysical agents (electrotherapy, light, ultrasound, iontophoresis, magnets). Exercise and stretching techniques, nerve glides. Manual Therapy (MT) interventions and research findings.
8:00 PM - 9:00 PM ET: Specific MT techniques: Neurodynamic mobilization, ULTT, MT/STM (soft tissue mobilization) including arm pull with neural glides in PNF diagonals, forearm muscle play, and negative pressure cupping therapy. Case studies and conclusion.

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