Dr. Bert Perey MD, FRCSC professor of Orthopaedics, Vancouver, BC
Common Symptoms
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Numbness & Tingling: Typically affects the thumb, index, middle, and half of the ring finger (rarely the pinky).
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Nighttime Flare-ups: Waking up with a “pins and needles” sensation or needing to shake out your hand.
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Weakness: Difficulty gripping objects, opening jars, or performing fine motor tasks like buttoning a shirt.
Primary Causes & Triggers
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Repetitive Strain: Prolonged typing, assembly work, or using vibrating power tools.
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Wrist Anatomy: Inherently smaller carpal tunnels or prior wrist fractures/dislocations.
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Underlying Conditions: Diabetes, rheumatoid arthritis, thyroid disorders, or fluid retention during pregnancy.
Dr Grant Lum, Sports Medicine Physican, Toronto
Dr. Dean Johnston,Neurologist, Vancouver, BC
Key Considerations for Relief
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Dual Treatment Focus: Treating the median nerve compression alone (via night splints, physical therapy, or surgery) often improves mood by restoring sleep. Conversely, incorporating stress-reduction techniques (such as mindfulness or cognitive behavioral strategies) can lower overall pain sensitivity.
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Ergonomics & Body Awareness: When feeling stressed or anxious, monitor shoulder hunching and wrist positioning at work, as physical tension worsens nerve compression.
Carpal tunnel syndrome (CTS) and mental health share a dynamic, two-way relationship. Living with chronic pain and physical limitations directly affects psychological well-being, while high levels of stress, anxiety, or depression can intensify physical pain perception and trigger body tension
Dr. Bert Perey MD, FRCSC professor of Orthopaedics, Vancouver, BC
Dr. Bert Perey MD, FRCSC professor of Orthopaedics, Vancouver, BC
Dr. Bert Perey MD, FRCSC professor of Orthopaedics, Vancouver, BC
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