Carpal Tunnel Syndrome: Assessment and Care Options

Carpal tunnel syndrome can cause tingling, numbness or discomfort in the hand and fingers, sometimes becoming more noticeable at night or during everyday activities. Because similar symptoms can have different causes, we start by assessing your symptoms and the factors that may be contributing to them before developing an individualised management plan.

A Living Health Group practitioner in consultation with a patient
Osteopathy · Myotherapy · Remedial MassageWheelers Hill, near Glen Waverley

Understanding Carpal Tunnel Syndrome

The carpal tunnel is a narrow passage at the wrist containing the median nerve and the tendons that help move the fingers. Carpal tunnel syndrome occurs when the median nerve is compressed within this space, which can cause symptoms such as tingling, numbness, pain or weakness in the hand and fingers.

Symptoms can sometimes be more noticeable at night, and certain wrist positions or repetitive hand activities may aggravate them.

Tingling, numbness and weakness in the hand can also have other causes, including symptoms arising from elsewhere in the arm or neck. An assessment can help determine what may be contributing to your symptoms and whether further investigation or referral is appropriate.

Hands-on treatment in a consulting room at Living Health Group

Common Signs and Symptoms

  • Tingling or numbness in the thumb, index or middle fingers, which may be more noticeable at night
  • Feeling the need to shake or move the hand when symptoms occur
  • Changes in grip strength or difficulty holding small objects
  • Aching or discomfort around the wrist or forearm

These symptoms can overlap with other nerve or musculoskeletal conditions, so an assessment can help determine what may be contributing and whether further investigation or referral is appropriate.

How We Approach Carpal Tunnel Syndrome

Your care starts with understanding you, your symptoms and the factors that may be contributing to them. From there, we develop an individualised management plan based on your assessment, needs and goals.

1. Assess

We assess your symptoms, movement and daily activities, and consider whether the pattern is consistent with carpal tunnel syndrome or whether other factors may need to be investigated.

2. Treat

Depending on your presentation, management may include advice around activity and wrist positioning, exercise and hands-on treatment where appropriate.

3. Build

Exercises and practical strategies may be introduced based on your assessment, work demands and everyday activities.

4. Refer When Needed

Some presentations may require further investigation or medical management. Where appropriate, we may recommend review by your GP or another healthcare practitioner.

Meet our practitioners

Carpal tunnel treatment at Living Health Group begins with confirming whether your symptoms fit carpal tunnel syndrome or another pattern from the arm or neck. Desk workers with repetitive strain also ask us about RSI treatment, and the same assessment-first approach applies.

Dr Lisa Gadd (Osteopath), Founder and Clinical Director, Osteopath at Living Health Group

Dr Lisa Gadd (Osteopath)

Founder and Clinical Director, Osteopath

Women’s health, persistent pelvic pain and the musculoskeletal changes that come with hormonal transitions. Lisa also contributes to the medical team at Mulgrave Football Club.

Dr Andrew Moerenhout (Osteopath), Osteopath at Living Health Group

Dr Andrew Moerenhout (Osteopath)

Osteopath

Neck and back pain, sporting injuries and movement-related conditions, with exercise-based rehabilitation and dry needling where appropriate.

Dr Rebecca Campbell (Osteopath), Osteopath at Living Health Group

Dr Rebecca Campbell (Osteopath)

Osteopath

Neck and back pain, pregnancy-related musculoskeletal conditions and everyday aches and injuries.

Dr Tully Loomes (Osteopath), Osteopath at Living Health Group

Dr Tully Loomes (Osteopath)

Osteopath

Sporting injuries and rehabilitation, low back pain, neck pain and headaches, hip and knee conditions, and work or lifestyle-related pain.

Meet the whole Living Health Group team →

Carpal tunnel treatment at our Wheelers Hill clinic

Assessment, practical strategies for work and hands-on care where appropriate, near Glen Waverley.

A Living Health Group practitioner in consultation with a patient
Dr Rebecca Campbell (Osteopath) with a patient during a neck assessment at Living Health Group
Living Health Group practitioners talking together in a consulting room

Common questions

Will I need surgery?
Not everyone with carpal tunnel syndrome requires surgery. Management will depend on your symptoms, their severity and your individual circumstances. If your presentation warrants further investigation or medical review, we’ll recommend that as part of your care.
Is this just from typing?
Not necessarily. Carpal tunnel syndrome can be influenced by a range of factors, and symptoms may be aggravated by certain hand or wrist activities. Your assessment considers your symptoms, daily activities, work demands and other factors that may be relevant to your presentation.
Is this the same as RSI?
No. RSI is a broad term commonly used to describe pain or symptoms associated with repetitive activities, while carpal tunnel syndrome specifically involves compression of the median nerve at the wrist. Because symptoms can overlap, an assessment can help determine what may be contributing to your symptoms.

Ready to Get Started?

Book an appointment at our Wheelers Hill clinic, near Glen Waverley. We’ll take the time to understand your concerns, assess what may be contributing to your symptoms and tailor your care to your individual needs and goals.

This page provides general information only and is not intended to provide a diagnosis or replace individual healthcare advice. Outcomes vary between individuals. Our practitioners assess each person before recommending care. Osteopaths at Living Health Group are registered with AHPRA.
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