Understanding Carpal Tunnel: What That Tingling Might Be Telling You

Ever wake up with tingling fingers or feel sharp pain in your wrist after repetitive hand use? If so, you might be experiencing signs of Carpal Tunnel Syndrome (CTS)—a common condition that affects hand and wrist function.

CTS happens when the median nerve—which runs from your forearm into your hand—gets compressed inside a narrow passageway called the carpal tunnel. This tunnel also houses nine tendons and is surrounded by bones and ligaments. When inflammation, pressure, or swelling occurs, the space tightens, compressing the nerve and triggering symptoms.

Common Signs of CTS:

• Numbness or tingling in the fingers

• Hand, wrist, or forearm pain

• Weak grip—often dropping small objects

• Trouble with fine motor skills (e.g., buttoning clothes or turning a key)

Diagnosis: What to Expect

If you suspect CTS, your first step should be a visit to a Hand Surgeon. A proper diagnosis involves reviewing your symptoms and performing manual tests to detect nerve compression. In some cases, an EMG (electromyography) may be recommended to assess nerve function.

Treatment: Therapy That Works

If CTS is diagnosed, your doctor may refer you to a Certified Hand Therapist for personalized care. After evaluating your strength, sensation, and mobility, your therapist may recommend:

• Wearing a wrist brace at night

• Targeted exercises to improve mobility and coordination

• Activity modifications to reduce nerve pressure

• Body mechanics training for everyday tasks

What If Therapy Isn’t Enough?

Most patients respond well to therapy, but in some cases, symptoms persist. For those patients, carpal tunnel release surgery may be recommended to relieve pressure on the nerve. Recovery typically takes 2–6 weeks, and follow-up therapy often supports a full return to function.

Your hands do so much—don’t ignore the signs. Early treatment can help prevent long-term damage and keep you doing what you love, pain-free.

If you would like help with this condition, call us at (586) 779-8892 to schedule a consultation.