Tendon & Joint
Carpal tunnel syndrome: tingling, numbness and hand weakness
Night-time tingling or difficulty gripping can be signs of pressure on a nerve at the wrist. Assessment helps distinguish carpal tunnel syndrome from other causes.
What is carpal tunnel syndrome?
Carpal tunnel syndrome occurs when the median nerve is compressed at the wrist. It can cause tingling, numbness or pain in the hand, sometimes with a weak thumb or difficulty holding objects. Symptoms can come and go and are often more noticeable at night.
Why confirm the diagnosis?
Not every numb or painful hand has carpal tunnel syndrome. Your clinician will ask about the pattern and examine sensation and strength. Nerve tests or imaging may be considered if the diagnosis is uncertain. Describe which fingers are affected, how long symptoms last and whether you are dropping objects.
Common starting points
A night splint that keeps the wrist in a neutral position may help. Altering tasks that repeatedly bend the wrist or require forceful gripping can also be useful. Discuss symptom control with a pharmacist or clinician; easing pain does not necessarily remove nerve compression.
When specialist treatment is considered
If symptoms persist, worsen or affect strength, a clinician may discuss an injection or referral for surgery to release pressure on the nerve. Treatment decisions depend on severity and your assessment. This guide does not position shockwave or EMTT as a replacement for established nerve-compression care.
Do not ignore worsening weakness
Seek a timely clinical review for persistent numbness, increasing weakness or loss of hand function. Sudden neurological symptoms or a major injury need urgent medical advice rather than a routine treatment enquiry. Bring details of any previous splints, injections or nerve tests to your appointment.
Choosing the right assessment
For this condition, a GP or the relevant hand, foot or shoulder specialist can advise on diagnosis and established care. Our musculoskeletal secretary can answer questions about our services on 01223 901005; an enquiry does not mean a particular treatment is suitable.
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