Carpal Tunnel Syndrome: Symptoms, Causes and Physiotherapy
Carpal tunnel syndrome is pressure on the median nerve at the wrist, causing tingling, numbness and weakness in the thumb, index and middle fingers, often worse at night. Mild to moderate cases often improve with night splinting, nerve gliding exercises, activity changes and desk setup advice.
Carpal tunnel symptoms are common in people who type, use tools or grip for long periods, and during pregnancy. Starting treatment early gives the best chance of avoiding surgery.
Typical symptoms
Pins and needles in the thumb and first fingers, waking at night needing to shake the hand, dropping things and a weak pinch grip. The little finger is usually not affected.
How physiotherapy helps
We confirm the nerve is irritated at the wrist rather than the neck, then use wrist splinting at night, nerve and tendon gliding exercises, workstation and grip changes, and strengthening. Neck and upper back treatment is added when they contribute.
When is surgery considered?
If numbness is constant, muscles at the base of the thumb are wasting, or symptoms don't improve after a few months of good conservative care, we refer you to a doctor for nerve tests and a surgical opinion.
Related physiotherapy services
Frequently asked questions
Can carpal tunnel come from my neck?+
A trapped nerve in the neck can cause similar tingling. That is why we assess the neck too before treating the wrist.
Does a wrist brace help?+
A neutral wrist splint worn at night helps many people with night symptoms. We advise on the right type.
Medical disclaimer: this article is general education and does not replace a personal assessment. If your pain is severe, worsening, or accompanied by numbness, weakness or loss of bladder or bowel control, seek care promptly.
Book with N S Physiotherapy
In clinic in Eco Park, Centurion, or home visits across Centurion and Midrand.
Related articles
- GeneralThe Home Office Setup a Physio Actually Recommends
Working from home does not have to mean daily neck pain. A cheap, sensible setup and a few good habits will beat the fanciest ergonomic chair in the world.
01 Aug 2026Read article - Workplace ErgonomicsNeck Pain From Working on a Computer
Screen related neck pain is usually a load and duration problem. Raise the screen to eye level, bring the keyboard close, and interrupt sustained positions every 30 to 45 minutes with brief movement.
12 Aug 2026Read article - Workplace ErgonomicsLower Back Pain From Sitting: Why It Happens and What Helps
Sitting itself is not damaging, but staying in one position for hours reduces blood flow and increases stiffness. Changing position every 30 to 45 minutes, adjusting chair and screen height, and adding short movement breaks usually helps more than buying an expensive chair.
12 Aug 2026Read article