What is Carpal Tunnel Syndrome? Experiencing Tingling Pain in Your Wrist and Fingers
by Princeton Orthopaedic Associates
If you’ve been experiencing numbness, tingling, or pain in your wrist and fingers, you might be wondering if you have carpal tunnel syndrome. Carpal tunnel is a common condition that affects millions of people. It can significantly impact daily activities. Understanding carpal tunnel syndrome can help you take steps toward relief and prevention.
The Daily Struggle with Carpal Tunnel Syndrome
Living with carpal tunnel syndrome can be incredibly frustrating and disruptive. Simple daily tasks like typing, holding a phone, gripping a steering wheel, or even buttoning a shirt can become painful and difficult. Many people struggle with sleep due to tingling and numbness, waking them up in the middle of the night. Even work productivity can suffer, especially for those in jobs requiring repetitive hand movements, such as office workers, hairstylists, and factory workers. If you have hobbies involving heavy use of your hands, like crocheting, cooking, or playing an instrument, carpal tunnel syndrome can cause them to become challenging. Dealing with this persistent discomfort and unpredictability of symptoms can be frustrating and lead to fatigue, impacting your overall well-being and quality of life.
Carpal Tunnel Syndrome, What is It?
It's a pretty commonly known condition, but what is it? Carpal tunnel syndrome (CTS) happens when the median nerve, running from your forearm into your hand, becomes compressed at your wrist. This nerve passes through the carpal tunnel, which is a narrow passageway in your wrist that is surrounded by your bones and ligaments. This tunnel can become too narrow due to swelling or inflammation, and when this happens, it puts pressure on the median nerve, which leads to the symptoms accompanying carpal tunnel syndrome.
Symptoms of Carpal Tunnel Syndrome
Carpal tunnel symptoms often start gradually and may worsen over time, making it important to know the common signs.
Common signs of possible carpal tunnel syndrome include:
Tingling or numbness: This often affects the thumb, index, middle, and ring fingers, but specifically not the pinky. The sensation can also extend up the arm.
Pain or discomfort: It is common for many people to feel aching or burning pain in the wrist, palm, or forearm.
Weakness: If you have carpal tunnel, you might notice that your grip strength has weakened, making it harder to hold objects or perform fine motor tasks.
Nighttime symptoms: With carpal tunnel syndrome, your symptoms will often worsen at night, sometimes waking you up from sleep with a need to shake out your hands.
The gradual onset of carpal tunnel symptoms can sometimes make it more difficult to realize what might be going on. If you have some or all of these symptoms, we recommend seeing one of our orthopaedic hand & wrist specialists. Seeking a proper diagnosis will help you get set on the right treatment plan for you and relieve your discomfort.
Why you can trust us:
We have multiple highly specialized, board-certified, fellowship-trained orthopaedic surgeons.
We know that we serve people - actual humans - not random orthopaedic conditions. That drives us to compassionate care.
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We provide outcome-focused treatment. We work with our patients to achieve their goals, all while developing custom treatment plans that fit our patient's lives.
Carpal Tunnel Syndrome Symptoms vs. Cubital Tunnel Syndrome Symptoms
While carpal tunnel syndrome and cubital tunnel syndrome share some similarities, they affect distinctly different areas and nerves. It can seem easy to confuse by name, but once you understand each condition, you can better determine which may be causing your pain.
Below is a quick comparison of the symptoms:
Cubital Tunnel Syndrome
Affects the ulnar nerve at the elbow
Pain radiates from elbow to hand
Symptoms include pinky and ring finger numbness
Symptoms may worsen with elbow flexion
Carpal Tunnel Syndrome
Affects the median nerve at the wrist
Pain typically radiates from wrist to hand
Symptoms include thumb and index finger numbness
Symptoms worsen with wrist flexion
Causes and Risk Factors
Carpal tunnel syndrome can be caused by anything that puts pressure on the median nerve.
Some common causes and risk factors include:
Repetitive hand movements: Frequent typing, using a mouse, or assembly line work can contribute to CTS by causing repetitive strain on the wrist and tendons, leading to swelling.
Wrist position: Holding the wrist in a bent position for long periods, such as when using a phone, sleeping, or driving, can increase the likelihood of nerve compression.
Medical conditions: Conditions such as diabetes, rheumatoid arthritis, thyroid disorders, and obesity can increase inflammation or fluid retention, which may contribute to carpal tunnel syndrome.
Injury or swelling: Fractures, sprains, or direct trauma to the wrist can lead to swelling and narrowing of the carpal tunnel, putting pressure on the median nerve.
Hormonal changes: Pregnancy and menopause can cause issues with fluid retention and swelling. Which increases the risk of developing CTS.
Genetics: It is possible to be genetically prone to carpal tunnel syndrome. Some people can simply be born with a smaller carpal tunnel. Having this smaller tunnel can make you more prone to nerve compression.
Work environment: Jobs that require forceful or repetitive hand movements, vibrating tools, or prolonged wrist flexion can heighten the risk of developing CTS.
If you suspect you have CTS, it's important to see an orhtopaedic specialist to evaluate your symptoms and condition. An orthopaedic hand doctor can accurately diagnose the condition and set you on the right path to finding relief.
What will an orhtopaedic hand doctor do to diagnose your condition:
Physical exam: Checking for tingling, numbness, and muscle weakness.
Tinel’s test: Tapping on the median nerve to see if it triggers tingling.
Phalen’s test: Holding your wrists in a flexed position to see if symptoms develop.
Nerve conduction studies: Measuring how well electrical signals travel through the median nerve.
Imaging: MRI or an ultrasound can create detailed images of the carpal tunnel, helping to confirm CTS and identify any other underlying issues.
Carpal Tunnel Syndrome Treatment
If you are struggling with possible carpal tunnel pain in your wrists, the good news is that carpal tunnel syndrome is treatable! The treatment options for your CTS may vary depending on the severity of your symptoms and may include:
Lifestyle changes: Adjusting work habits such as improving ergonomics, and taking breaks can help relieve pressure on the nerve.
Wrist splints: Wearing a wrist splint, especially at night, can help keep your wrist in a neutral position, letting it rest, and reduce symptoms.
Ice and anti-inflammatory medications: Over-the-counter pain relievers like ibuprofen can be useful to help reduce swelling and discomfort.
Exercises and physical therapy: Specific stretches and strengthening exercises can improve wrist mobility and nerve function.
Steroid injections: For some, steroid injections are a great option to address the pain you are experiencing from your carpal tunnel syndrome. Corticosteroid shots can help reduce the inflammation in your wrist and provide you temporary relief from your pain.
Surgery: In severe cases, a procedure called carpal tunnel release surgery can create more space for the median nerve, relieving symptoms.
While not all cases of CTS can be prevented, you can take steps to lower your risk of developing it.
Here are a few examples of steps you can proactively take to prevent carpal tunnel syndrome:
Maintain proper wrist posture: With the prevalence of desk and keyboard work, improper ergonomics can greatly impact your wrist issues. It can be beneficial to help prevent this if you focus on proper ergonomics and keep your wrists straight while typing and using your mouse.
Take breaks: If your work or hobbies involve performing repetitive tasks, it is important to make sure you give your hands a rest.
Stretch regularly: Regularly doing simple hand and wrist stretches can help keep your median nerve from becoming compressed.
Use ergonomic tools: A well-designed keyboard, mouse, or wrist support can reduce strain.
Stay active and healthy: Managing conditions like diabetes and arthritis can help prevent CTS from developing.
Carpal Tunnel Syndrome Stretches
Here are some simple hand and wrist stretches to help with carpal tunnel syndrome relief:
1. Wrist Flexor Stretch
Extend one arm straight with your palm facing up.
Use your other hand to gently pull your fingers down and back.
Hold for 15–30 seconds, then switch hands.
2. Wrist Extensor Stretch
Extend one arm straight with your palm facing down.
Use your other hand to pull your fingers toward you.
Hold for 15–30 seconds, then switch hands.
3. Prayer Stretch
Place your palms together in front of your chest (like a prayer).
Slowly lower your hands while keeping your palms together until you feel a stretch.
Hold for 15–30 seconds.
4. Median Nerve Glide
Make a fist with your thumb tucked in.
Slowly open your fingers, extending them straight.
Then extend your thumb outward and stretch your wrist back slightly.
Repeat 5–10 times on each hand.
5. Shake It Out
Gently shake your hands for 10–15 seconds to relieve stiffness.
Try doing these 2–3 times a day to help with flexibility and reduce tension.
When to See a Doctor
If you’re experiencing persistent symptoms that are gradually worsening and interfere with daily activities, it’s best to see a healthcare provider. Seeking early intervention can prevent your condition from worsening and help you find relief sooner.
Carpal tunnel syndrome is a common but manageable condition. Understanding the symptoms, causes, and treatment options can help you take the right steps to relieve your discomfort and protect your hands! If you suspect you have CTS, making small changes now can make a big difference in your long-term hand health!
This blog post is meant to be informative and should not act as a self-diagnosis tool. If you’d like to see one of our doctors, please contact us here.
