See how the median nerve passes through the wrist and learn which symptoms need timely medical assessment.
What is it?
Carpal tunnel syndrome occurs when the median nerve is compressed at the wrist. It commonly causes tingling or numbness in the thumb, index and middle fingers, and part of the ring finger. Symptoms may wake you at night.
- Night-time tingling
- Numbness in median-nerve fingers
- Sometimes weak thumb function
Assessment and possible contributors
Pressure within the wrist tunnel can affect the nerve. Health history and work or activity demands are relevant, but symptoms should not automatically be blamed on keyboard use. Assessment checks sensation, strength and the overall pattern; neck-related nerve symptoms and other neuropathies can overlap. Further testing is selected when needed. Assessment guidance
How physiotherapy may help
Check nerve function
Assess sensation and thumb strength and consider other sources of symptoms.
Reduce irritation
For mild-to-moderate symptoms, discuss task changes and a correctly fitted neutral-position night splint.
Coordinate care
Monitor progress and arrange medical assessment when symptoms persist or worsen.
Everyday approach
Avoid spending long periods with the wrist bent if this provokes symptoms. Do not repeatedly stretch into tingling. Any exercises or nerve-mobility work should be selected carefully rather than treated as a guaranteed solution.
What to keep in mind
Physiotherapy and splinting may help manage symptoms, but many non-operative treatments have uncertain long-term benefit. Persistent numbness, weakness or muscle loss can require a surgical opinion; delaying assessment may risk ongoing nerve problems.
General educational information, not a diagnosis or personal treatment plan. For an emergency in Australia, call 000.
Sources and further reading
Selected guidance and research; this brief guide is not an exhaustive evidence review.