--- title: "Carpal Tunnel Treatment in Haslemere" description: "Physiotherapy in Haslemere for carpal tunnel syndrome. Assessment, night splinting and clear advice on when surgery is the answer." canonical: "https://healthflex.co.uk/services/carpal-tunnel-syndrome" --- ![Arms crossed with beige wrist-and-thumb brace against dark blazer](/_next/image?url=%2Fapi%2Fmedia%2Ffile%2Fhealthflex-carpal-tunnel-syndrome.jpg%3Fprefix%3Dtenants%252F6a993819fabdf5583928bbf1%26v%3D1790157211233&w=3840&q=75&dpl=dpl_FWxsgCyzDSRxWHosZK98qVgRxgBw) Shoulder and arm conditions # Carpal tunnel syndrome £62–£72 30–45 mins [Book online](https://healthflex.connect.tm3app.com/book/physiotherapy) Carpal tunnel syndrome is caused by pressure on the median nerve where it passes through a tunnel at the front of the wrist. The classic picture is numbness and tingling in the thumb, index, middle and half the ring finger, **worse at night**, waking you and relieved by hanging the hand out of bed or shaking it. Many people also notice dropping things, or difficulty with buttons and keys. Phillipa Frankland has **a particular clinical interest in hands**, which is worth knowing, because hand and wrist problems are frequently treated generically. ## Is it definitely the wrist Not always, and this is where an assessment earns its keep. Numbness in the hand can also come from the neck, from the elbow, or from a more general nerve condition, and **the pattern of which fingers are affected is one of the most useful clues**. Treating the wrist when the problem is in the neck is a common and avoidable waste of months. ## What treatment involves For mild to moderate symptoms, **a wrist splint worn at night** is one of the most effective simple treatments and often makes a substantial difference within weeks. Alongside that, we look at aggravating activities and at how the nerve moves, and treat any contributing problem further up the arm. ## When to think about surgery Carpal tunnel release is a genuinely effective operation, and it is the right answer when symptoms are severe, when there is **constant numbness or muscle wasting at the base of the thumb**, or when conservative treatment has not worked. If any of that applies we will tell you and write to your GP rather than continuing to treat. ## Pregnancy and other causes Symptoms in pregnancy are common and often settle after birth. Thyroid problems, diabetes and rheumatoid arthritis also contribute, which is worth raising with your GP. [Book online](https://healthflex.connect.tm3app.com/book/physiotherapy) ## Frequently Asked Questions What are the signs of carpal tunnel syndrome? Numbness and tingling in the thumb, index, middle and half the ring finger, characteristically worse at night, waking you and eased by shaking the hand or hanging it out of bed. Many people also notice dropping things or fumbling with buttons and keys. Could my hand numbness be coming from my neck instead? It can, and that is one of the most valuable things an assessment establishes. Numbness in the hand can arise from the neck, the elbow, or a more general nerve condition, and which fingers are affected is a strong clue. Treating the wrist when the problem is in the neck wastes months. Do wrist splints work? For mild to moderate symptoms a splint worn at night is one of the most effective simple treatments and often makes a substantial difference within a few weeks. We will show you how it should fit, because a badly worn splint does very little. When is surgery needed? Carpal tunnel release is an effective operation and is the right answer where symptoms are severe, where there is constant numbness or wasting of the muscle at the base of the thumb, or where conservative treatment has not worked. We will tell you and write to your GP rather than keep treating. [Book online](https://healthflex.connect.tm3app.com/book/physiotherapy) ## Available Team Members These team members perform this service - ![Phillipa Frankland, physiotherapist at Healthflex in Haslemere Description: Head and shoulders portrait of Phillipa Frankland, physiotherapist at Healthflex, The Edge, Haslemere. She has long straight light brown hair and a wide, friendly smile, and wears a navy zip neck fleece. Behind her, out of focus, are a yellow green hedge and trees under a pale sky.](/_next/image?url=%2Fapi%2Fmedia%2Ffile%2Fhealthflex-phillipa-frankland-physiotherapist-haslemere-48x61.jpg%3Fprefix%3Dtenants%252F6a993819fabdf5583928bbf1%26v%3D1790159136941&w=96&q=75&dpl=dpl_FWxsgCyzDSRxWHosZK98qVgRxgBw) Phillipa Frankland Physiotherapist [View](/team-members/phillipa-frankland) - ![Nick Thornhill, physiotherapist at Healthflex in Haslemere Description: Close head and shoulders portrait of Nick Thornhill, physiotherapist at Healthflex, The Edge, Haslemere. He has short dark hair and a full dark beard flecked with grey, with a relaxed closed mouth smile, and wears a navy polo shirt. Behind him is soft green foliage under a pale sky.](/_next/image?url=%2Fapi%2Fmedia%2Ffile%2FNick%2520Thornhill-48x57.jpg%3Fprefix%3Dtenants%252F6a993819fabdf5583928bbf1%26v%3D1790159610604&w=96&q=75&dpl=dpl_FWxsgCyzDSRxWHosZK98qVgRxgBw) Nick Thornhill Physiotherapist [View](/team-members/nick-thornhill) ## Related Services Complete your experience with these services - Musculoskeletal physiotherapy £62–£72•30–45 mins [View](/services/musculoskeletal-physiotherapy)