Carpal tunnel syndrome develops when the median nerve is compressed as it passes through a narrow channel in the wrist. It commonly causes numbness, tingling, and pain in the thumb, index, and middle fingers, often worse at night.
Repetitive hand use, wrist position during sleep, pregnancy, diabetes, and thyroid conditions can all contribute. Caught early, carpal tunnel syndrome frequently responds to non-surgical care.
Common symptoms
- Numbness or tingling in the thumb and fingers
- Symptoms that wake you at night
- Dropping things or a weakening grip
- Pain radiating up the forearm
How interventional pain physicians treat it
Interventional pain physicians typically confirm the diagnosis with an exam, and sometimes nerve conduction studies, before starting with conservative measures. Care may include:
- Bracing and activity modification
- Physical or occupational therapy
- Steroid injections
- Minimally invasive procedures when needed
Treatment is always determined by a physician based on individual evaluation. This page is general information, not medical advice.
Frequently asked questions
Why are my symptoms worse at night?
Many people sleep with their wrists bent, which narrows the carpal tunnel and increases pressure on the nerve. A simple night splint that keeps the wrist neutral often improves sleep symptoms quickly.
Will carpal tunnel go away on its own?
Mild cases sometimes improve with activity changes and splinting. Persistent numbness or weakness, however, can signal ongoing nerve compression, and delaying care risks lasting nerve damage.
When is surgery considered?
Surgery is typically considered when symptoms persist despite conservative treatment or when testing shows significant nerve compression. Many patients get lasting relief without ever needing it.
Independent, physician-owned practices in the DxTx network provide this kind of care across 11 states. One call connects you to the practice closest to you.