Simple steps to ease carpal tunnel pain while awaiting surgery

Carpal tunnel syndrome occurs when the median nerve is compressed as it passes through the wrist’s carpal tunnel. The nerve controls movement and sensation in parts of the hand, and when pressed it can cause pain, numbness and tingling, with symptoms often worse at night. Repetitive wrist movements such as typing are a common trigger, as are using vibrating tools, playing musical instruments, and certain medical conditions. The condition is more common in pregnancy, menopause and among people with diabetes, but in many cases there is no single identifiable cause. While some patients may eventually need surgery, many can manage symptoms with non-surgical measures in the meantime.

To reduce pressure on the nerve before any operation, clinicians commonly recommend a wrist splint that keeps the wrist straight. Splints are available at pharmacies and are often worn for about six weeks. For some people, this simple measure can reduce symptoms enough to avoid or delay surgery.

Beyond splints, physiotherapy exercises are strongly encouraged. The Chartered Society of Physiotherapists endorses a structured set of daily hand exercises designed to stretch and strengthen the wrist and forearm and ease discomfort. The CSP’s rehabilitation exercises for carpal tunnel can be done at home and are applicable whether or not surgery is planned; clinicians may tailor routines to individual activities such as typing, sewing or instrument-playing.

If symptoms persist or worsen, surgery remains an option. The procedure typically involves a small incision to release pressure on the median nerve, and it is usually completed within an hour as a day-case operation. Recovery times vary, but many patients report meaningful relief after healing.

Even when surgery is not immediate, ongoing management helps. Avoiding prolonged, repetitive wrist bending, taking regular breaks during tasks, and ensuring an ergonomic setup can reduce strain. Wearing the wrist splint during sleep or during activity as advised can help prevent recurrence of pain on nights.

People with suspected carpal tunnel should consult a GP or physiotherapist for an evaluation, especially if numbness or weakness affects daily tasks. As always, individuals should seek care if symptoms worsen or do not improve with intermittent splinting and exercises.