Predictive Value of Baseline CTQ-SSS Scores for Progression to Carpal Tunnel Release Surgery: A Cohort Study

Inclusion Criteria: * Patients with symptoms consistent with carpal tunnel syndrome, such as numbness, tingling, or pain in the hand or wrist. * Patients with a positive nerve conduction study confirming carpal tunnel syndrome, OR patients with clinical symptoms and signs consistent with carpal tunnel syndrome if a nerve conduction study is not available or inconclusive. * Patients who have not undergone hand or wrist surgery within the past 6 months. * Patients who are 18 years of age or older. * Patients who are willing and able to provide informed consent and comply with study requirements. Exclusion Criteria: * Patients with a history of hand or wrist surgery within the past 6 months. * Patients with severe hand or wrist pain that would prevent completion of the outcome measures or interfere with their ability to participate in the study. * Patients with severe cognitive impairment or language barrier that would prevent understanding of the study instructions or interfere with their ability to participate in the study. * Patients with other neurologic or musculoskeletal disorders that could affect hand function or interfere with test completion. * Pregnant or breastfeeding women. * Patients who have participated in another clinical trial within the past 30 days.