Carpal tunnel syndrome

Carpal tunnel syndrome happens when a nerve at the wrist is compressed, causing tingling, numbness, and sometimes weakness in the hand, often worse at night or when gripping. It's common and, especially in milder cases, frequently improves with conservative treatment.

Physiotherapy helps through splinting, nerve-gliding exercises, and advice on managing aggravating activities to take pressure off the nerve. In this guide we cover evidence-based conservative management of carpal tunnel syndrome, practical, staged guidance for clinicians and clear explanations so patients understand their symptoms and the options available before considering surgery.