Eligibility Criteria:
Inclusion Criteria:
* Age ≥18 years
* Presence of typical CTS symptoms (numbness, tingling, paresthesias, or pain that may be provoked by nighttime or activity-related posture
* VAS score of ≥ 3/10
* Symptom duration longer than 12 weeks
* Positive Tinel's and/or Phalen's sign
* Electrophysiologically mild or moderate CTS being diagnosed.
* Volunteer to participate in study
Exclusion Criteria:
* Patients with shoulder, elbow, wrist, or finger problems (e.g., impingement syndrome, epicondylitis, history of fractures in the wrist, de Quervain's tenosynovitis, trigger finger, Complex Regional Pain Syndrome (CRPS), Dupuytren's contracture).
* Patients with a history of trauma or surgery in the affected hand, or those with significant anatomical deformities.
* Patients with systemic diseases such as rheumatological disorders, hypothyroidism, amyloidosis, diabetes, gout, or chronic kidney failure.
* Patients with conditions that may mimic CTS, such as polyneuropathy, plexopathy, cervical radiculopathy, or thoracic outlet syndrome.
* Patients with cognitive dysfunction or communication issues.
* Patients with severe CTS, neurological deficits (e.g., thenar atrophy, muscle weakness in thumb abduction/opposition), or those requiring surgical intervention.
* Patients who have received local steroid injections or physical therapy to the hand/wrist within the last 6 months.
* Patients who are receiving or will receive another/additional treatment for CTS.
* Pregnant or lactating women.
* Patients with active malignancies or local/systemic infections.
* Patients who are receiving any active treatment (e.g., NSAIDs, oral/intramuscular steroids, acupuncture, other pain medications).
* Patients with upper extremity involvement due to first motor neuron damage (e.g., stroke-hemiplegia, tetraparesis, multiple sclerosis).
* Patients with a bifid median nerve, persistent median artery, ganglion cyst, tenosynovitis, or tendinitis in the wrist.
* Use of a wrist splint during the last 6 months.
* Allergy to corticosteroids or local anesthetics, and blood diathesis