Inclusion:  Have been diagnosed with Carpal Tunnel Syndrome (CTS) after the electrophysiological test at the neurophysiology service of the Miguel Servet Hospital in Zaragoza and be on the waiting list for CTS surgery. Have experienced symptoms for more than two months. Have sufficient comprehension and communication skills to communicate their symptoms and to fill in the questionnaires. Ability to maintain supine and lateral decubitus without causing symptoms or altering the patient's condition. Accept and give consent to participate voluntarily in the study.  Exclusion:  Previous carpal tunnel surgery on the same limb. History of trauma on the upper limb which CTS may be associated, other musculoskeletal or neurological pathologies affecting the upper limb (e.g., cervical radiculopathy). Pregnancy, due to the influence of fluid retention in the cause of CTS, remitting spontaneously after childbirth, breastfeeding or up to 3 years after these episodes. Present physical contraindications (red flags) in general that contraindicate physical treatment such as: trauma, malignancy, inflammation, infection, fever... or psychological contraindications (yellow flags) that may have a marked effect on the results of treatment. Present specific physical contraindications that contraindicate diacutaneous fibrolysis treatment, such as ulcerations and skin alterations. Have specific contraindications that contraindicate surgical intervention such as taking anticoagulants or antiplatelet agents. Having received a steroid injection in the previous 6 months or interventions on the CTS in the previous 3 months. Pending trial or litigation related to CTS.