Discussion
peripheral nerve injuries, hand pain, pain, CTS
PMS
The purpose of the study was to compare the therapeutic effects of five sessions of repetitive Peripheral Magnetic Stimulation (rPMS) PMS creates a magnetic field that induces an electrical current flow that improves sensory and motor nerve fiber function, which may explain improved symptoms and hand function. rPMS is a novel treatment method and growing evidence suggests that it may be an effective treatment option for treating CTS or other peripheral nerve injuries. rPMS parameters for pain relief and restoration of sensorimotor nerve function vary from 600 to 4,500 pulses (In the PMS group, pinch strength was improved from 10.6 to 13.8 lbs. This finding agrees with previous studies. After rPMS treatment, there was a significant improvement in symptom severity scores (SSS) as measured by the Thai version of the Boston Questionnaire. In accordance with the findings of Although the improvement in DSL in the rPMS group was not significant, the increase in SNAP amplitude was. Previous research on CTS treatment trended to concentrate on distal motor and sensory latency (DML and DSL) parameters, but not SNAP amplitude. For instance, a recent meta-analysis revealed that therapeutic ultrasound in CTS significantly improved DML with a mean effect size of 0.09 ms (Although there was no significant difference between the severity category of the two treatment groups, the rPMS group appeared to have better results than the control group, as two out of 12 participants (16.7%) changed from mild or moderate CTS to normal electrophysiologic findings. If the conversion rate remains high in a study with a larger sample size, rPMS would be a promising treatment for CTS.This research has several limitations. First, the duration of treatment was brief, so the long-term effect is unknown. Second, patients in the rPMS group reported improved hand pain 