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Abstract
Carpal tunnel syndrome (CTS)is defined as a compression of median nerve at the carpal tunnel of the wrist; it is the most common of all entrapment syndromes. The classic symptoms of CTS include nocturnal pain associated with tingling and numbness in the distribution of median nerve in the hand. The forty patients were selected randomly from Damietta specialist hospital, their age ranged from50-60 years old and their BMI did not exceed 35kg/m2. The diagnosis of CTS should be based on history, physical examination and results of electrophysiological studies. The aim of this study was conducted to compare between the effect of ultrasound therapy and extracopreal shock wave therapy in the treatment of forty women suffered from carpal tunnel syndrome in post-menopausal women. Results of this study indicated that both group (A&B) improved clinically in pain perception and conduction velocity; but shock wave group (A) exhibited highly significant improvement in sensory & motor distal latency of median nerve while ultrasound group (B) failed to provide such improvement in sensory and motor distal latency. Therefore shock wave must be indicated and added to the conservative treatment of CTS to gain maximum recovery results