Introduction. Carpal tunnel syndrome (CTS) is the most commonly encountered nerve entrapment disorder; it causes pain, numbness, tingling sensation in the hands and leads to work disability. The purpose of this study was to analyse the impact of shock wave and iontophoresis in patients with CTS. Methods. This study was conducted in 30 patients with CTS of both sexes, aged 30-50 years. The patients were randomly allocated into 2 groups. Study group A received shock wave therapy and study group B received iontophoresis therapy. Results. The results revealed a higher improvement in group A than in group B. in group A, there were a significant increase of sensory nerve conduction velocity of median nerve and a significant decrease of pain after treatment, while in group B, there were a less significant increase of sensory nerve conduction and less significant reduction of pain after treatment. The inter-group comparisons showed statistically significant differences in favour of group A. Conclusions. Shock wave is more effective than iontophoresis in the treatment of patients with CTS.

Background: One of the most frequent causes of musculoskeletal pain in the general population is cervicalgia, sometimes known as neck pain. Its estimated prevalence ranges from 16.7% to 71.5 percent, and it should be noted that up to 50% of these cases may develop into chronic conditions. In this study, patients with persistent mechanical neck pain were examined to determine the effectiveness of trunk core training exercises on pain, range of motion, functional impairment, and muscle activity. Purpose: The goal of the study was to determine the impact of adding core training to patients' existing conventional treatments for chronic mechanical neck pain. Methods: Twenty male and twenty female patients with persistent mechanical neck pain, ranging in age from 18 to 40, participated in this study. The cases were classified into two equal groups randomly (A and B). Group A has got standard physiotherapy program (Passive stretching of the upper fibers of trapezius, sternocleidomastoid, and scalene muscles, Isometric strengthening exercises of neck muscles, hot pack). Group B has obtained standard physiotherapy program in addition to trunk core training program.

Background: Persistence of painful calcaneal spur (PCS) and loss of long-term effect may be related to unrecognized low back pain (LBP), dysfunction and/or lumbosacral radiculopathy (LSR), but prevalence of LBP in PCS patients has not been established. Purpose: to determine the prevalence of LBP among individuals with and without PCS. Methods: A cross-sectional study of individuals with (n = 26) and without (n=27) PCS. X-ray used to determine calcaneal spur. MRI and X-ray (as available), and clinical tests used to determine LBP/pathology/LSR. Results: A greater percentage of individuals with PCS had LBP (88.5% vs. 33% in controls), lumbar pathology (58 vs. 19), and LSR (54 vs. 15). Conclusion: Individuals with painful calcaneal spur had a greater prevalence of LBP/lumbar pathology/LSR. Treatment to address impairments related to lumbar spine may be necessary to enhance the treatment of PCS.