Comparative Efficacy of Neuromobilization, Tendon Gliding Exercises, and Combined Techniques in Mild to Moderate Carpal Tunnel Syndrome

Inclusion Criteria: * • Symptoms of CTS (pain, paresthesia in the area of hand innervated by the median nerve) * First and Second Trimester Pregnant women. * Mild to Moderate CTS patients. * Individuals experiencing wrist pain for a duration of at least 6-8 weeks without a history of trauma or specific diagnosis (e.g., fracture, arthritis). * Pain rated between 3 and 5 on (NPRS). * Present neurological disorders (e.g., carpal tunnel syndrome, cervical radiculopathy). * No prior physical therapy treatment for wrist pain in the last 3-6 months Exclusion Criteria: * • History of traumatic injury, fracture, or surgery to the wrist or hand. * Diagnosis of systemic diseases affecting the wrist (e.g., rheumatoid arthritis, gout, or diabetes-related neuropathy). * Any skin condition or infection around the wrist that would contraindicate physical therapy. * Third Trimester Pregnant women * Individuals with serious cardiovascular or metabolic disorders. * patients currently undergoing other treatments specifically targeting CTS (e.g., steroid injections)