Carpal Tunnel Syndrome

Carpal tunnel syndrome is a condition that causes numbness, tingling, and pain in the hand and arm due to pressure on the median nerve in the wrist.

Carpel tunnel syndrome doesn't just affect your nerves—it touches every part of your life, every part of you. It's a persistent companion, often an unwelcome one, and we understand how it can make you feel alone and misunderstood. But we want you to know you're not alone.

Our team is made up of highly skilled professionals who are not only experts in the field of nerve pain, but also compassionate listeners who truly care about your well-being. Our goal is to help you manage your pain, regain your strength, and rediscover the joys of living that carpel tunnel may have overshadowed.


The basics

Carpal tunnel syndrome is a common condition that affects the hand and wrist. It occurs when the median nerve becomes compressed or squeezed at the wrist, causing pain, numbness, and tingling in the hand, wrist, and fingers. Carpal tunnel syndrome can also make it difficult to grip objects or perform fine motor tasks. This condition is more common in women and tends to affect people between the ages of 40 and 60. It's often associated with repetitive movements of the wrist and hand. Other factors that can increase the risk of developing carpal tunnel syndrome include pregnancy, arthritis, diabetes, and obesity. If left untreated, it can cause permanent nerve damage and loss of hand function. However, with proper treatment, the condition can usually be managed effectively, and most people are able to regain normal use of their hand and wrist.

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The presentation of carpal tunnel syndrome can vary from person to person, but most individuals experience a combination of the following symptoms:

  • Pain, numbness, or tingling in the hand, wrist, or fingers (usually the thumb, index, and middle fingers)
  • Weakness in the hand or difficulty gripping objects
  • Aching or discomfort in the forearm or wrist
  • A feeling of swelling or puffiness in the fingers, even if they don't look swollen
  • Worsening symptoms at night or after prolonged use of the hand/wrist
  • Shock-like sensations that radiate up the arm
  • Reduced sensitivity to touch or hot/cold temperatures in the affected hand
  • Clumsiness or a tendency to drop things due to weakness or numbness in the hand.

Symptoms may develop gradually over time and can be intermittent at first, but they may eventually become constant if left untreated. Some people may also experience aching in the arm or shoulder, as well as a reduced ability to feel textures or grip strength. Early diagnosis and treatment can help manage symptoms and prevent long-term damage.

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Therapies & treatments


A wrist splint can be worn during activities that aggravate carpal tunnel syndrome to help alleviate symptoms.


Non-steroidal anti-inflammatory drugs (NSAIDs) and corticosteroids can be prescribed to help reduce inflammation and pain.

Physical therapy

A physical therapist can design exercises and stretches to help alleviate pain and increase strength and flexibility in the wrist and hand.

Ultrasound therapy

High frequency sound waves can be used to generate heat and increase blood flow to the affected area, promoting healing and reducing inflammation.

Transcutaneous electrical nerve stimulation (TENS)

A TENS unit delivers electrical impulses to the affected area, helping to reduce pain.

Corticosteroid injections

A corticosteroid injection can be delivered directly into the carpal tunnel to reduce inflammation and alleviate symptoms.

Hand therapy

A hand therapist can provide exercises, education, and ergonomic modifications to help alleviate pain and prevent further injury.

Occupational therapy

An occupational therapist can help modify work tasks and environments to reduce strain on the wrist and hand, and to promote healing and prevention of further injury.

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Self-care strategies

Rest and Splinting

Take regular breaks and avoid repetitive wrist movements. Wearing a splint at night can help alleviate symptoms by keeping the wrist in a neutral position.

Hand Exercises

Stretching and strengthening exercises can help improve flexibility and reduce pain in the hands and wrists. Consult with a physical therapist to develop a safe and effective exercise plan.

Ergonomic Adjustments

Make adjustments to your work environment and daily activities to reduce strain on the wrists. This may include using a wrist pad while typing or using an ergonomic mouse.

Cold or Heat Therapy

Applying ice or heat to the affected area can help reduce pain and inflammation. Experiment to see which works best for you.

Pain Relief Creams

Over-the-counter or prescription creams containing anti-inflammatory ingredients, such as capsaicin or diclofenac, can help alleviate pain and discomfort.


Some individuals find relief from carpal tunnel syndrome symptoms with acupuncture treatment, which involves the insertion of small needles into specific points on the body.

Massage Therapy

Massaging the affected area can help reduce muscle tension and promote relaxation, potentially reducing pain and discomfort.

Mind-Body Therapies

Practices such as yoga, meditation, and deep breathing can help reduce stress and tension in the body, potentially reducing carpal tunnel syndrome symptoms.

Weight Management

Maintaining a healthy weight can help reduce strain on the wrists and potentially reduce carpal tunnel syndrome symptoms.


Over-the-counter or prescription medications, such as nonsteroidal anti-inflammatory drugs (NSAIDs) or corticosteroids, can help alleviate pain and reduce inflammation in the wrist. Consult with a healthcare provider to determine the best medication regimen for you.

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Carpal Tunnel Syndrome

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