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: One of the most common forms of entrapment neuropathy is Carpal Tunnel Syndrome (CTS). There are various treatment options for CTS. However, there are no clear and structured guidelines. This review classified the existing treatments and developed an algorithm to help physicians to choose the best option for their patients. Treatment options were summarized in three sections: non-surgical management of CTS, post-operative management of CTS, and practical open carpal tunnel release post-op protocol. The physicians can prescribe multiple treatment options to CTS patients. Corticosteroid in oral or injectable form has strong evidence in pain control and functional improvement in the short term. Shockwave therapy and nocturnal wrist splints display moderate therapeutic effects. Post carpal tunnel release rehabilitation can be started a few days after the operation.

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Special attention is needed to assess constant wrist pain to avoid missed carpal bone fractures after traumatic events. Also, the consideration of avascular necrosis of carpal bones such asscaphoid bone after a traumatic or stress fracture is crucial. We hereby report a young elite wrestler who has been complaining about pain in both wrists for about two years before hisvisit to our clinic. The interesting point about this athlete is bilateral involvement and that the second pathology was probably overuse without any trauma.

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Post-surgery treatment: 1000 mg of folate daily: 1000 microgram of folate daily) Publisher's note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.