The study will be carried out on a total number of fifty-four females with age ranged 40 - 60 years old suffering from CTS post mastectomy ,the patients will be randomly assigned into two groups equal in number (27 patients for each group from Damanhur Medical National institute). 1. -Group (A): This group will include 27 patients will receive laser acupuncture technique 3 times per week in addition to traditional physical therapy program (myofascial release, nerve flossing ex., Tendon gliding ex. strengthening ex., ROM ex. and night splint) for 8 weeks. 2. -Group (B): This group will include 27 patients will receive traditional physical therapy program (myofascial release, nerve flossing ex., Tendon gliding ex., strengthening ex., ROM ex. and night splint) for 8 weeks.
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Inclusion Criteria: * The subject selection will be according to the following criteria: * Patients' age will be ranged between 40-60 years old. * 54 Female patients had breast cancer will participate in this study. * All patients will have wrist pain and disability post AIS. * All patients will suffer from moderate to severe pain. * All patients will enroll to the study will have their informed consent Exclusion Criteria: * The potential participants will be excluded if they met one of the following criteria: * Patients with previous history of fracture at the wrist fracture. * History of any arthritis related to wrist. * Rheumatoid arthritis wrist secondary to fracture, dislocation, * Reflex sympathetic dystrophy and neurological disorder, Malignancy. * Epilepsy or any psychological disorders.