Main symptoms
The main symptoms of carpal tunnel syndrome (CTS) affect the median nerve, which passes through the carpal tunnel in the wrist and controls the movement of the hand. The three main symptoms are:
These symptoms occur in:
- the thumb
- the index finger
- the middle finger
- half of the ring finger
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 that is 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. The symptoms of CTS can also be worse at night and may wake you up.
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.
