Carpal tunnel syndrome occurs when the median nerve is compressed as it passes through the wrist. Common symptoms include numbness, tingling, burning or pain in the thumb, index, middle and part of the ring finger. Symptoms may be worse at night or during activities that keep the wrist bent.
Early Symptoms
- Intermittent tingling or numbness
- Hand discomfort at night
- Feeling as though the hand is asleep
- Difficulty with prolonged gripping
More Advanced Symptoms
Persistent numbness, hand weakness, dropping objects and wasting of muscles at the base of the thumb can occur when nerve compression is more severe.
What Causes It?
Risk can be associated with repetitive hand use, wrist anatomy, pregnancy, diabetes, inflammatory conditions and other factors. Similar symptoms can also come from the neck or other nerve problems, so diagnosis matters.
Treatment
Depending on severity, treatment may include activity modification, a neutral wrist splint, exercises, medication or injections. Persistent or severe nerve compression may require surgery.
When to Get Evaluated
Seek evaluation when numbness persists, symptoms interfere with sleep or work, or weakness develops. Early assessment can help prevent long-term nerve damage.
