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What is carpal tunnel syndrome?
It happens when the median nerve is squeezed as it passes through a narrow space at the wrist. Factors linked to it include repetitive hand movements, long periods with the wrist bent or strained, pregnancy and hormonal changes, and some long-term conditions such as diabetes. In many people no single clear cause is found.
Common signs
- Numbness, tingling or burning in the thumb, index and middle fingers and part of the ring finger
- Symptoms that are worse at night or on waking, and may ease by shaking or moving the hand
- Difficulty holding small objects, or dropping things
- Pain that may spread from the wrist up the forearm
What usually helps?
Medical guidance (NICE and the JOSPT physiotherapy guideline) indicates that mild to moderate cases often benefit from non-surgical options. The types of exercise that usually help are nerve gliding exercises, tendon gliding exercises, gentle wrist and finger movement, and gradual strengthening of the forearm and hand. They are used with manual therapy as part of a plan, not on their own.
Night splints and activity changes
A night wrist splint, which keeps the wrist in a neutral position, is a common option to ease night symptoms. Adjusting daily activity also helps: changing wrist position when typing or using your phone, taking short breaks, and easing strong gripping and repetitive movements. We explain what suits your work and daily life.
How we treat you at Revibe
- Listen: when symptoms appear, which fingers, and what your work involves
- Assess the wrist, hand, neck and shoulder, plus sensation and strength, to understand the source
- Identify what keeps the symptoms going
- Treat: manual therapy, muscle-knot release in the forearm, and nerve and tendon gliding exercises
- Progress with a home exercise programme and wrist-posture advice until you are back to your activities
Watch the explanation
نفق رسغي؟ مش دايماً بدّه عملية ✋ #shorts
تنميل بإيدك بالليل؟ النفق الرسغي مش دايماً بدّه عملية (الأسباب | الخرافات | 4 تمارين)
When do you need urgent medical care?
- Sudden numbness or weakness in the hand or arm with a drooping face, difficulty speaking or chest pain — call an ambulance: 911 in Jordan or 122 in Iraq and Kurdistan
- Constant numbness day and night, clear weakness of grip, or wasting of the muscle at the base of the thumb
- Numbness or pain in the hand after a wrist fracture or injury
- A red, hot, swollen wrist with fever
- Numbness in both hands with leg weakness, trouble walking or loss of bladder control
In these cases go to the nearest emergency department or a doctor straight away — instead of booking physiotherapy.
FAQ
Do I need a nerve conduction test?
That is the doctor’s decision. Not everyone with symptoms needs one; we refer you if symptoms persist or worsen despite treatment, or if clear weakness or constant numbness appears.
Do night splints help?
They often ease night symptoms because they keep the wrist straight during sleep. We guide you on a suitable position and how to use one alongside exercises.
Should I stop working or typing?
Usually not. It is better to adjust your posture and plan breaks than to stop completely, and we give practical changes that fit your work.
How many sessions will I need?
It depends on your condition and how long you have had it; after the first assessment we explain the plan and the expected number of sessions.
More common questions: Elbow, wrist and hand questions — 15 questions
Ready to start?
Book your first session at Revibe Clinic in Amman (it starts with an assessment), or message us on WhatsApp.
Related pages
Source: NICE CKS — Carpal tunnel syndrome · Erickson M et al. (2019). Carpal Tunnel Syndrome: Clinical Practice Guidelines Revision 2019. J Orthop Sports Phys Ther 49(5):CPG1–CPG85
Reviewed by Ahmed AlKhatib, licensed physiotherapist — 22 October 2026
This information is general education and does not replace a clinical assessment.