Home / Conditions / Carpal tunnel syndrome

Carpal tunnel syndrome

Numbness, tingling and pain in the thumb, index and middle fingers — classically waking you at night and eased by shaking the hand.

Do not wait for an appointment

These mean do not wait and watch.

  • Wasting of the muscle at the base of the thumb
  • Constant numbness that no longer comes and goes
  • You are dropping things or cannot feel what you are holding
  • Symptoms in both hands in a young person, or after an injury
  • Symptoms in a child — this is not ordinary and needs investigating
Sheet 20 · Hand and nerve glide exercisesHand & wristMany improve with a splint; some need a small operation to free the nerve

Do this

  • Wear a night splint. Night wear is the part that works — keep the wrist straight, not bent back
  • Nerve glide exercises — Sheet 20
  • Tell us if you are pregnant, diabetic, or have a thyroid problem. All three matter here
  • Shake the hand at night — it is not a cure but it is not harmful

Avoid this

  • Sleeping with the wrist curled under the pillow
  • Waiting until the thumb muscle has wasted. That does not fully recover
  • Assuming surgery is a big operation — it is usually done under local anaesthetic in under half an hour

The questions everybody asks

Do I need nerve tests?

Often, if surgery is being considered.

Nerve conduction studies confirm the diagnosis and show how severe it is. They are not needed for a straightforward case being treated with a splint.

Does the surgery work?

Yes — it is one of the more reliable operations in orthopaedics.

Night symptoms usually go quickly. Numbness that has been constant for a long time recovers less completely, which is why we do not wait too long.

Will an injection cure it?

It helps temporarily in many people, but it is not usually a cure.

It is useful in pregnancy, where the problem often resolves after delivery, and as a way of confirming the diagnosis.

Open the exercise sheet

Pictures, how many and how often, and what it should feel like. Free, and printable.

On cost: if we suggest a scan, an injection or an operation, ask us what it costs and what happens if you do nothing. We will answer both. You should never feel pushed into spending money.

For anything you are unsure about, ask at the desk or on WhatsApp before it is done — we will tell you the exact cost.

Should you come and see us?

A page is a starting point, not a diagnosis. If the pain is not settling, come in and have it looked at properly — bring any X-ray, MRI or CT films you already have.

Nallasopara West

Opposite Patil Hospital

Shop No. 14, Veena Apartment,
Opposite Patil Hospital, near Panchmukhi Hanuman Mandir,
S.T. Stand Road, Nallasopara West — 401203

Monday to Saturday
12:00 noon – 2:00 pm  ·  7:30 pm – 9:30 pm
Closed on Sunday. Urgent injury such as a fracture or dislocation? Please call first.

Virar East

Opposite Parimal Hospital

Shop No. 7, Damodar Tower,
Opposite Parimal Hospital, Morya Nagar,
Manvel Pada Road, Virar East — 401305

Monday to Saturday
5:30 pm – 7:30 pm
Closed on Sunday. Urgent injury such as a fracture or dislocation? Please call first.

Ready when you are.

Call either clinic during consulting hours, or send a WhatsApp message any time.