Danielle Crestani smiling during a hand therapy session
Carpal tunnel & nerve conditions

Help for tingling, numb or weak hands.

Tingling, numbness or a weak grip can make everyday jobs harder and can disturb your sleep. We look at what is going on in your hand and wrist and work with you on a plan that fits your day. If you have seen a doctor or surgeon, we work alongside their advice.

Understanding it

What is going on?

Nerves carry feeling and movement signals between your hand and your brain. When a nerve is squeezed or irritated, you may notice tingling, pins and needles, numbness or weakness. Carpal tunnel syndrome is one common example, where the median nerve is pressed on at the wrist. Other nerves, such as the ulnar nerve at the elbow, can cause similar symptoms in different fingers. Nerves can also be affected by a cut, a fracture or surgery.

Common reasons people come in

  • Tingling or pins and needles in your fingers
  • Numbness that wakes you at night
  • Dropping things or a weaker grip
  • Symptoms that come on when driving, typing or using tools
  • Recovering after carpal tunnel release surgery
  • Changed feeling in your hand after an injury or cut
Our approach

How hand therapy can help.

01

Careful assessment

We check feeling, strength and movement in your hand and ask about when your symptoms happen. This helps us understand which nerve may be involved.

02

Custom splints

Where it suits your condition, we can make a splint to help rest your wrist or elbow in a comfortable position, often for wear at night.

03

Everyday strategies

We talk through the tasks and positions that seem to bring on your symptoms and look at practical changes that may help.

04

Rehab after surgery

If you have had nerve surgery, we guide your recovery with scar care, movement and strengthening, following your surgeon's advice.

The road back

What recovery can look like.

  1. Assessment

    We learn about your symptoms, work and daily routine, and check how your hand is working.

  2. Settling symptoms

    We may use a splint, activity changes and gentle exercises to help reduce irritation of the nerve.

  3. Building function

    As things settle, we work on strength, dexterity and getting back to the tasks that matter to you.

  4. Review and next steps

    We keep track of your progress. If your symptoms are not improving, we will let your GP know so they can consider further tests or a surgical opinion.

Every recovery is different. Timeframes depend on your injury, any surgery, and your treating doctor's or surgeon's advice.

When to start

It is a good idea to get assessed if tingling or numbness keeps coming back, wakes you at night or is starting to affect your grip. You do not need a referral to book. If you have sudden weakness, loss of feeling after an injury, or symptoms in both arms with other changes, please see your GP or seek medical care promptly.

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Questions

Carpal tunnel & nerve conditions, answered.

Do I need a nerve test before I come in?

No. Many people come in before any tests. If we think a nerve conduction study or medical review would help, we will talk with you and your GP about it.

Will I need surgery for carpal tunnel?

Not everyone does. Some people are managed with hand therapy, and others go on to have surgery. That decision is made with your doctor or surgeon, and we can support you either way.

Can you help after my carpal tunnel operation?

Yes. We can help with wound and scar care, swelling, movement and strength as you recover, in line with your surgeon's instructions.

Ready to get started?

No referral needed. Call to book, or send an enquiry and we'll get back to you.