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Carpal tunnel syndrome - Symptoms of carpal tunnel syndrome

NHS Choices Medical Reference

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The main symptoms of carpal tunnel syndrome (CTS) arise from injury to the median nerve.

The median nerve passes through the carpal tunnel in the wrist and controls the movement of the thumb, as well as sensation in the thumb and the next two-and-a-half fingers.

The symptoms of CTS tend to develop gradually and usually start off being worse at night or early in the morning.

The three main symptoms are:

  • tingling
  • numbness
  • pain

These symptoms occur in:

  • the thumb
  • the index finger
  • the middle finger
  • half of the ring finger

However, the tingling, numbness and pain can sometimes extend outside this area.

These symptoms can be present in one or both hands, although most cases affect both hands eventually.

Other symptoms

Other possible symptoms of CTS include:

  • a dull ache and discomfort in the hand, forearm or upper arm
  • a burning, prickling sensation (paraesthesia) in the hand similar to pins and needles
  • dry skin, swelling or changes in the skin colour of the hand
  • becoming much less sensitive to touch (hypoaesthesia)
  • weakness in the thumb when trying to bend it at a right angle, away from the palm (abduction)
  • weakness and wasting away (atrophy) of the muscles in the thumb

The symptoms of CTS are often worse after using the affected hand. Any repetitive actions of the hand or wrist can aggravate the symptoms, as can keeping your arm or hand in the same position for a prolonged period of time.

In more severe cases of CTS, you may experience pain that leads from your hand up to your forearm and elbow.

Using your hands

If you have CTS, your hand may become weak and you may find it difficult to grip certain objects. Your dexterity, which is the ability to use your hands effectively to carry out certain tasks, is often impaired by CTS. You may also find it difficult to use the affected fingers to carry out specific tasks, such as typing or fastening buttons.

Medical Review: September 17, 2012
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