Routine postoperative therapy after carpal tunnel release was examined in two moderate-quality studies. These studies (Pomerance 2007 and Provinciali 2000) addressed the need for supervised therapy in addition to a home program in the early postoperative period. The studies compared in-clinic or therapist-supervised exercise programs in addition to a home program to a home program alone. The studies were somewhat limited by an incomplete description of who delivered home programs, exercise/education content and dosage, and treatment progression. Pomerance (2007) compared a two-week program directed by a therapist combined with a home program alone and found no additional benefit in terms of grip or pinch strength in comparison to the home program alone. Provinciali (2000) compared one-hour sessions over 10 consecutive days of in-clinic physiotherapy comprising a multimodal program with a home program that was progressed in terms of strength/endurance. No benefit was found in outcome when measured by a carpal tunnel syndrome-specific patient reported instrument.