Dry Needling for Carpal Tunnel Syndrome: Current Evidence, Clinical Outcomes, and Therapeutic Perspectives

Chiamaka Nwosu; Adewale Olusegun Adebayo

Chiamaka Nwosu Senior Lecturer, Department of Physiotherapy, College of Medicine, University of Nigeria, Enugu Campus, Enugu State, Nigeria
Adewale Olusegun Adebayo Lecturer, Department of Physiotherapy, Faculty of Medical Rehabilitation, Obafemi Awolowo University, Ile-Ife, Osun State, Nigeria

Keywords: Dry needling, Carpal tunnel syndrome, Needles, Acupuncture, Carpal tunnel pain

Abstract

Carpal tunnel syndrome (CTS) is a common condition caused by compression of the median nerve within the carpal tunnel, resulting in symptoms such as pain, restricted movement, impaired hand function, and reduced finger grip strength. Dry needling has been explored as a therapeutic intervention for CTS, with the aim of relieving pain, reducing muscular and neural tension, and improving functional symptoms.

This review evaluated the effectiveness of dry needling in the management of CTS-related symptoms. Relevant studies published between 2000 and 2021 were identified through searches of PubMed, Google Scholar, and Springer. Retrieved studies were screened according to predefined inclusion criteria, and five studies were ultimately included in the review. The primary outcomes assessed across the studies included pain intensity, range of motion, hand function, and grip strength. Overall, the available evidence suggests that dry needling may provide short-term benefits in reducing pain, improving range of motion, and enhancing finger grip strength among individuals with mild-to-moderate CTS. However, the existing literature remains limited, particularly regarding the effectiveness of dry needling for CTS. Although preliminary evidence indicates beneficial short-term effects, further well-designed randomized controlled trials with robust methodology and standardized, clearly described dry needling protocols are required to establish its effectiveness and long-term clinical benefits.

DOI: https://doi.org/10.24321/2455.7048.202613

How to cite this article:
Nwosu C, Adebayo A O. Dry Needling for Carpal Tunnel Syndrome: Current Evidence, Clinical Outcomes, and Therapeutic Perspectives. Epidem Int. 2026;11(3):9-14.

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