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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 release

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.

Consultation is ₹500 for a first visit and ₹300 for a follow-up, the same at both clinics. For anything else, 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
Sunday by prior appointment only

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
Sunday by prior appointment only

Ready when you are.

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