Inclusion Criteria:  aged between 18-65 clinically diagnosed with CTS electrophysiologically confirmed mild-to-moderate CTS having typical CTS symptoms for at least 3 months not benefiting from splinting and resting.  Exclusion Criteria:  electrophysiologically diagnosed with severe CTS surgery history for CTS presence of metabolic, endocrine and neoplastic disorders presence of other neurological disorders (such as plexopathy, cervical radiculopathy, proximal median or ulnar neuropathy, polyneuropathy and mononeuritis multiplex)