This article shows excellent effect can be reached when TCM acupuncture and manipulation technique combined with psychological counseling on the side effects of operation on carpel tunnel syndromes. The case is a 53 year old female patient who received operation because of carpel tunnel syndromes. During her first visit, patient's right wrist and fingers are stiff and has no range of motion. Her symptoms are improved after our treatment. Our treatment plan is: 1. Acupuncture on right superior Ba-Xie and YangLao points, joined puncture of WaiGuan and NeiGuan, Hand SanLi, QuChi, total nine points: 2. After needles are removed, we apply manipulation technique to relieve finger joints and wrists.