This book intend to provides the treatment of ABCTS.To compare the effectiveness of Nerve gliding exercises and splinting Vs ultra sound and splinting in improving functional activity for patients with acute bilateral carpal tunnel syndrome.Statistical analysis done by using paired ¿t¿ test showed that there is improvement in functional activity in group I and group II. Independent ¿t¿ test using post test values between group I and group II showed improvement in group I that group II.Results from the study showed nerve gliding and splinting is superior to ultrasound and splinting in improving functional activity for the patients with acute bilateral carpal tunnel syndrome.