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Symptoms

By Mayo Clinic staff

Carpal tunnel syndrome typically starts gradually with a vague aching in your wrist that can extend to your hand or forearm. Common carpal tunnel syndrome symptoms include:

  • Tingling or numbness in your fingers or hand, especially your thumb and index, middle or ring fingers, but not your little finger. This sensation often occurs while holding a steering wheel, phone or newspaper or upon awakening. Many people "shake out" their hands to try to relieve their symptoms. As the disorder progresses, the numb feeling may become constant.
  • Pain radiating or extending from your wrist up your arm to your shoulder or down into your palm or fingers, especially after forceful or repetitive use. This usually occurs on the palm side of your forearm.
  • A sense of weakness in your hands and a tendency to drop objects.

When to see a doctor
If you have persistent signs and symptoms suggestive of carpal tunnel syndrome, especially if they interfere with your normal activities and sleep patterns, see your doctor. If you leave the condition untreated, nerve and muscle damage can occur.

References
  1. Carpal tunnel syndrome fact sheet. National Institute of Neurological Disorders and Stroke. http://www.ninds.nih.gov/disorders/carpal_tunnel/detail_carpal_tunnel.htm. Accessed Dec. 20, 2010.
  2. Carpal tunnel syndrome. American Academy of Orthopaedic Surgeons. http://orthoinfo.aaos.org/topic.cfm?topic=a00005. Accessed Dec. 20, 2010.
  3. Carpal tunnel syndrome. American Society for Surgery of the Hand. http://www.assh.org/Public/HandConditions/Pages/CarpalTunnelSyndrome.aspx. Accessed Dec. 20, 2010.
  4. Scott KR, et al. Etiology of carpal tunnel syndrome. http://www.uptodate.com/home/index.html. Accessed Dec. 20, 2010.
  5. Wright PE. Carpal tunnel, ulnar tunnel, and stenosing tenosynovitis. In: Canale ST, et al. Campbell's Operative Orthopaedics. 11th ed. Philadelphia, Pa.: Mosby Elsevier; 2008. http://www.mdconsult.com/books/page.do?eid=4-u1.0-B978-0-323-03329-9..50076-3&isbn=978-0-323-03329-9&type=bookPage&sectionEid=4-u1.0-B978-0-323-03329-9..50076-3--cesec9&uniqId=230418749-3. Accessed Dec. 20, 2010.
  6. Clinical practice guideline on the diagnosis of carpal tunnel syndrome. Rosemont, Ill.: American Academy of Orthopaedic Surgeons. http://www.aaos.org/research/guidelines/CTS_guideline.pdf. Accessed Dec. 21, 2010.
  7. Clinical practice guideline on the treatment of carpal tunnel syndrome. Rosemont, Ill.: American Academy of Orthopaedic Surgeons. http://www.aaos.org/research/guidelines/CTSTreatmentGuideline.pdf. Accessed Dec. 21, 2010.
  8. Scott KR, et al. Treatment of carpal tunnel syndrome. http://www.uptodate.com/home/index.html. Accessed Dec. 21, 2010.
  9. Amadio PC (expert opinion). Mayo Clinic, Rochester, Minn. Dec. 21, 2010.
DS00326 Feb. 22, 2011

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