Carpal tunnel syndrome

Carpal tunnel syndrome (CTS) is pressure on a nerve in your wrist. It causes tingling, numbness and pain in your hand and fingers. You can often treat it yourself, but it can take months to get better.

The symptoms of carpal tunnel syndrome include:

  • an ache or pain in your fingers, hand or arm
  • numb hands
  • tingling or pins and needles
  • a weak thumb or difficulty gripping

These symptoms often start slowly and come and go. They’re usually worse at night.

What causes CTS?

CTS happens when the carpal tunnel inside your wrist swells and squeezes 1 of your nerves (median nerve).

You’re more at risk if you:

  • are overweight
  • are pregnant
  • do work or hobbies that mean you repeatedly bend your wrist or grip hard, such as using vibrating tools
  • have another illness, such as arthritis or diabetes
  • have a parent, brother or sister with CTS
  • have previously injured your wrist

How can CTS be managed?

CTS sometimes gets better by itself in a few months, particularly if you have it because you’re pregnant.

Wear a wrist splint

A wrist splint is something you wear on your hand to keep your wrist straight. It helps to relieve pressure on the nerve.

You wear it at night while you sleep. You’ll have to wear a splint for at least 4 weeks before it starts to feel better.

You can buy wrist splints online or from pharmacies.

Stop or cut down on things that may be causing it

Stop or cut down on anything that causes you to frequently bend your wrist or grip hard, such as using vibrating tools for work or playing an instrument.

Painkillers

Painkillers like paracetamol or ibuprofen may help carpal tunnel pain short-term.

But there’s little evidence to say they can treat the cause of CTS, so it’s important not to rely on them.

Hand exercises

There’s a small amount of evidence to suggest hand exercises help ease the symptoms of CTS.

Treatment

It is possible to treat CTS with an operation or with injections.