Most of us use our hands everyday at work and/or home.  Maybe you've noticed a little pain or tingling in them.  Perhaps the pain occurs after performing a certain activity for a while, especially something we do repetitively.  Eventually, it comes on without warning or maybe the pain wakes you at night.  These are classic Carpal Tunnel Syndrome symptoms and you should read on to learn more about this potentially debilitating condition.

What is Carpal Tunnel Syndrome?

Carpal Tunnel Syndrome (CTS) is a peripheral nerve entrapment neuropathy. The median nerve becomes "entrapped" or compressed at the wrist on the palm side of your hand.  The carpal tunnel is a closed space covered by several layers of tissues.  Through this tunnel, the median nerve, along with nine tendons pass through.  During wrist and finger movement, these tendons and the nerve must slide smoothly.  When there is an imbalance between the size of the tunnel and its contents, normal sliding movements are prevented and pressure is placed on the median nerve.  This pressure translates to the pain felt in the fingers and wrists characteristic of CTS.

Who is most likely to have Carpal Tunnel Syndrome?

CTS occurs in women twice as much than men, and usually after the age of 40.  There is some evidence that women have smaller wrists but not correspondingly smaller tendons, making them more susceptible to CTS for purely mechanical reasons.  Obesity has also been known to be risk factor.  Within the last 10 years there has been a higher incidence of CTS in younger persons, especially those involved in work at the computer keyboard and in repetitive manual labor.  There is also a high level of CTS in both wrists of one person, which may indicate systemic or physiologic disorders as contributing factors. 

What are the signs and symptoms of Carpal Tunnel Syndrome?
  • Pain in the wrist, hand and/or fingers
  • Numbness or tingling in the wrist and/or fingers
  • Pain during the night
  • Possible weakness in the hand and atrophy of muscle


It is important to note that the above symptoms may be caused by other conditions.  If you have these symptoms, it is essential that you see a physician, who can determine if it is Carpal Tunnel Syndrome.

How can I prevent Carpal Tunnel Syndrome?

CTS can often be prevented or alleviated by conservative methods, such as exercise and a change in routine.  Stretching and keeping the wrist flexible can help.  Below are some pictures of wrist stretches you can perform anywhere.  It is important to hold the stretch gently and not to bounce during the stretch.  Classically, a stretch is held for about 30 seconds and completed about 4 to 5 times with a 10-15 second rest in between repetitions.  Using putty or squeezing a stress ball can help to strengthen the hand.

Resting splints are helpful for use at work and at night.  They maintain your wrist in a neutral position, relieving pressure on the carpal tunnel.  Simple modifications can alleviate pain or help prevent it.  Add wrist support at the bottom of your keyboard and mouse. Change the height of your work area to allow for better wrist and hand postures.  Take short, frequent breaks, and stretch throughout your day. 

Most importantly, remember to see your physician if you suspect you may be suffering from Carpal Tunnel Syndrome.  Don't let your discomfort linger for too long.  The longer you wait, the greater the possibility of needing surgery to repair the problem.