What is it?
Carpal tunnel syndrome (CTS) occurs when the median nerve is compressed at the wrist, causing pain, numbness, and tingling in the hand. It is one of the most common nerve compression syndromes and is particularly prevalent in people who perform repetitive hand activities.
Common causes
- Repetitive hand and wrist movements (typing, assembly work)
- Fluid retention during pregnancy
- Wrist fracture or injury
- Hypothyroidism or diabetes
- Prolonged awkward wrist positions during sleep or work
Signs and symptoms
- Numbness and tingling in the thumb, index, middle, and half of the ring finger
- Symptoms worse at night or with prolonged wrist flexion
- Weakness in pinch grip and difficulty with fine tasks
- Pain that may radiate up the forearm
- Dropping objects due to reduced hand sensation
Physiotherapy treatment at VPARC
- Neural mobilisation (nerve gliding exercises)
- Wrist splinting in neutral position, especially at night
- Ergonomic assessment and workplace modification
- Strengthening of the thenar muscles
- Physiotherapy can avoid surgery in mild-to-moderate cases
What you can do at home
- Wear a wrist splint at night to keep the wrist in a neutral position
- Perform nerve gliding exercises: gently extend the wrist and fingers, then flex
- Take regular breaks from repetitive hand tasks every 30 minutes
- Avoid resting your wrist on a hard edge while typing
When to visit VPARC
Visit VPARC for assessment if hand numbness, tingling, or weakness is affecting your sleep or daily activities. Nerve conduction studies may be recommended to confirm diagnosis.
Call +91 98896 78838 or read more on our Orthopaedic Physiotherapy in Varanasi page. This leaflet is general information and does not replace a medical assessment.