Carpal Tunnel Syndrome

Carpal tunnel syndrome occurs when the median nerve becomes compressed as it passes through the wrist. Many people notice tingling or numbness in the thumb, index, and middle fingers, night-time waking, weakness, or a tendency to drop objects. Symptoms often develop gradually and can interfere with sleep, work, and everyday activities.

Understanding Carpal Tunnel Syndrome

This condition develops when the space within the carpal tunnel narrows or pressure on the median nerve increases. This can cause nerve irritation, leading to tingling, numbness, and reduced hand strength. Left untreated, it may impact fine motor tasks and daily function.

Assessment at The London Ultrasound Clinic

Your appointment includes a hands-on clinical assessment and a high-resolution ultrasound scan of the wrist. This allows us to assess the median nerve directly, checking for swelling, reduced movement, or narrowing within the carpal tunnel. Ultrasound provides clear diagnostic information and helps guide management decisions.

Conservative Management

Many patients respond well to conservative treatment, which is usually the first step:

• Wrist splinting, particularly at night, to reduce pressure on the nerve
• Activity pacing and ergonomic advice to protect the wrist
• Gentle nerve and hand exercises to maintain movement and strength
• Education and reassurance about symptom progression and recovery

These measures often reduce symptoms significantly, especially in mild to moderate cases.