Abstract

INTRODUCTION: Patients with chronic disease, including carpal tunnel syndrome more and more often face any kind of treatment (e. g. complementary medicine) and are trying to find help in any levels of healthcare system. CASE REPORT: A 54-year-old female patient who worked on a cruised ship as a confectioner visited Medical University of Varna and University Centre of Eastern Medicine of Varna with the following complaints: hyperesthesia, neuropathic pain in the areas of wrist, palm and fingers, sleep disorder, and anxiety. These symptoms aggravated at night as the pain spread towards the elbow and shoulder, which led to disability, reduced function in daily-life activities and impaired quality of life. Immobilization with orthosis was conducted. The patient disembarked in Brazil, where she underwent an examination and еlectroneurography (ENG) and was diagnosed with carpal tunnel syndrome. After a few unsuccessful attempts of self-medication care and negative psychological attitude towards conventional medicine, the patient searched for treatment at Medical University of Varna and University Centre of Eastern Medicine of Varna. Tinel`s test and Phalen`s test were positive. Diagnostic mobilization nerves tests and manual muscle testing were carried out. A complex of unconventional methods of treatment was applied to the patient. CONCLUSION: Holistic approach to the patient along with the three dimensions of the human health are a proof that complementary medicine could be another possibility for a long-term and preventive treatment to patients with carpal tunnel syndrome.

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