Why does my hand only hurt at night?

Wrist position during sleep often compresses the nerve. Bracing at night and addressing the underlying restrictions usually resolves it quickly.

Is my neck involved in carpal tunnel?

Often, yes. Cervical nerve root irritation can sensitize the median nerve and amplify wrist symptoms — which is why we always evaluate the whole nerve pathway.

How long until I feel better?

Most patients notice meaningful relief within 2–4 visits. Full resolution typically takes 4–6 weeks of consistent care plus ergonomic adjustments.

Can I keep working during treatment?

Yes — we'll modify your setup and recommend movement breaks rather than pulling you out of work.

Conditions We Treat

Carpal Tunnel Syndrome

Nerve compression in the wrist causing numbness, tingling, and weakness.

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Overview

Understanding Carpal Tunnel Syndrome

Carpal tunnel syndrome (CTS) develops when the median nerve becomes compressed as it passes through the carpal tunnel — a narrow passageway on the palm side of the wrist. The result is a constellation of symptoms in the thumb, index, middle, and part of the ring finger that can range from mildly annoying to genuinely disabling.

While CTS is often blamed on “typing” alone, the reality is more nuanced. Cervical nerve root involvement, fascial restrictions along the median nerve's pathway, ergonomic factors, and systemic issues such as inflammation and fluid retention all play meaningful roles.

A precise neurodynamic evaluation determines exactly where the nerve is being irritated — and that drives a non-surgical plan with an excellent track record at FRI.

Recognising the Signs

Symptoms & Causes

Common Symptoms

Tingling or numbness in the thumb, index, middle, and ring fingers
Night-time symptoms that wake you and ease when you shake the hand
Weakness of grip and a tendency to drop objects
Aching pain in the wrist and forearm
Reduced fine motor control (buttons, jewellery, handwriting)
Symptoms aggravated by driving, typing, or holding a phone

Underlying Causes

Repetitive strain from typing, mousing, tools, or assembly work
Fluid retention from pregnancy, hormonal changes, or hypothyroidism
Cervical nerve root irritation “double-crushing” the median nerve
Fascial densifications along the nerve's pathway in the forearm
Wrist anatomy and prior trauma narrowing the carpal tunnel

Our Approach

How We Treat Carpal Tunnel Syndrome

Every plan is built around your individual findings and combines the most effective evidence-based methods available.

Step 01

Comprehensive neurodynamic evaluation from neck to hand

Step 02

Targeted neurodynamic mobilization (median nerve gliding)

Step 03

Fascial Manipulation to release restrictions in the forearm and wrist

Step 04

Joint mobilization of the carpal bones, elbow, and cervical spine

Step 05

Ergonomic and postural correction to reduce ongoing load

Step 06

Functional Medicine workup when systemic inflammation is suspected

Why FR Institute

The FRI Difference

At FRI, we treat carpal tunnel syndrome by following the median nerve from the neck to the hand, identifying every site of irritation and addressing each one. Our combination of neurodynamic mobilization, fascial work, and ergonomic correction resolves the vast majority of cases without injections or surgery — and our Functional Medicine team can address inflammatory and metabolic contributors when they're driving symptoms.

2,000+

Patients Served

Doctor-Led

Specialty Care

5.0 ★

Patient Rating

95%

Success Rate

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Related Conditions

Specific Conditions

Nerve Pain

Gentle, non-invasive neurodynamic care with a 96% success rate for nerve-related injuries.

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Body Regional Pain

Hand and Wrist Pain

Repetitive strain, nerve entrapment, and joint conditions in the hand and wrist.

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Specific Conditions

Tendinopathy

Chronic tendon degeneration causing persistent pain and reduced function.

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Frequently Asked