What to expect from physiotherapy for carpal tunnel syndrome

A therapist may ask about tingling, numbness, night symptoms, grip, and tasks that require typing, gripping, or vibrating tools. They can check sensation, hand and wrist movement, strength, and the way the wrist is positioned during activities. Treatment may include education, a night splint that keeps the wrist near neutral, gentle tendon or nerve-gliding exercises, and adjustments to workstation or tool use. Exercises should not reproduce or spread tingling.

Wear a recommended splint as directed and avoid prolonged bent-wrist positions, especially during sleep or sustained tasks. Take brief movement breaks, loosen a forceful grip, and keep frequently used items within easy reach where possible. Practise only the exercises prescribed for you. Tell the therapist if numbness becomes constant, grip is declining, or symptoms are waking you more often, because these changes may require medical reassessment.

Arrange prompt medical review for persistent numbness, increasing weakness, dropping objects, or visible wasting at the base of the thumb. Seek urgent care after a serious hand injury or if the hand becomes suddenly cold, pale, or severely painful.

Ask whether nerve testing is needed, how long to try splinting and therapy, and which findings would make a specialist or surgical opinion appropriate.