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.