Symptoms, self-tests, exercises, and therapies that may help with carpal tunnel syndrome, demonstrated by a chiropractor with over 24 years of clinical experience — including some genuinely effective nerve-flossing exercises.
Carpal tunnel syndrome happens when the median nerve is compressed at the wrist, causing numbness, pins and needles, pain, or tingling in the thumb, index finger, middle finger, and half of the ring finger. The pain can travel up the arm and even to the neck, is often worse at night, and is aggravated by writing, typing, DIY, and housework. Around 5% of the population experience it each year.
Our chiropractor Jasper Hulscher covers the symptoms and common causes (arthritis, hormonal changes and fluid retention in pregnancy, an underactive thyroid, obesity, and wrist-heavy work), then demonstrates three self-tests to help confirm it (Phalen’s test, Tinel’s test, and the hand elevation test), followed by nerve-flossing exercises and self-care therapies. It also discusses supplements sometimes used to support inflammation, and when to see a GP or specialist.
Related Reading
Is chiropractic safe? What patients in Bury St Edmunds should know
Questions
What exercises help carpal tunnel syndrome?
What are the symptoms of carpal tunnel syndrome?
What causes carpal tunnel syndrome?
How do I test for carpal tunnel at home (Phalen's, Tinel's, hand elevation)?
What is nerve flossing for the wrist?
When should I see a GP or specialist for carpal tunnel?
Key Takeaways (timestamped)
[00:00] What it is — compression of the median nerve at the wrist, causing numbness, pins and needles, pain, or tingling in the thumb, index, middle, and half the ring finger.
[00:36] Symptoms — often worse at night; aggravated by writing, typing, DIY, and housework; the hand may feel weak (e.g. doing up buttons). Pain can travel up the arm to the neck.
[01:36] Common causes — arthritis (narrowing the tunnel, more common in older people), hormonal fluid retention (e.g. in pregnancy), an underactive thyroid, obesity, and wrist-heavy work (painting, drilling, sometimes mouse use).
[01:45] Three self-tests — Phalen’s test (backs of hands together, wrists at 90°, held ~60 seconds); Tinel’s test (tapping over the median nerve at the wrist); and the hand elevation test (hands raised overhead ~2 minutes). Reproduced symptoms = positive.
[02:57] Nerve-flossing exercises — gliding the median nerve through the carpal tunnel: a prayer-position spread, an “upside-down spider,” and “the shake” (as if drying wet hands). ~15–20 reps, three sets.
[04:30] Self-care therapies — a cold pack (~5–7 min per hour), a night wrist splint, and hands-on wrist mobilisation to open up the space for the nerve. A GP or specialist can offer a steroid injection.
[05:15] Supplements discussed — omega-3, turmeric (curcumin), and zinc are mentioned for their anti-inflammatory properties (see note below).
Transcript
Introduction
If you’re experiencing numbness, pins and needles, pain, or tingling in your thumb, index finger, middle finger, and half of your ring finger, you might be struggling with carpal tunnel syndrome. My name is Jasper, from Milton and Fornham Chiropractic Clinics. Today I’ll discuss the symptoms, common causes, some tests you can do, exercises and therapy, and some supplements — all to help with the symptoms of carpal tunnel syndrome.
Symptoms
The symptoms are mainly in the hand, but pain can travel up the arm and even to the neck. It’s often worse at night, and aggravated by writing, typing, DIY, and housework. The hand may feel weak — you might struggle to do up buttons.
Causes
Common causes include arthritis (which can narrow the carpal tunnel and compress the median nerve, especially in older people), hormonal fluid retention (often seen in pregnancy), an underactive thyroid (also fluid retention), obesity, and work that demands a lot of the wrist — painting, decorating, drilling, or sometimes computer mouse use.
Diagnostic Tests
Three tests. Phalen’s test: place the backs of your hands together with a 90-degree angle at the wrists, push the elbows down a little, and hold for about 60 seconds; reproduced symptoms in the hand or forearm are a positive test. Tinel’s test: make a fist to find the tendon in the middle of the wrist, go a finger’s width to the side, relax the hand, and tap over the nerve; a tingling or numbness reproduced in the hand is positive. The hand elevation test (less specific): raise your hands above your head, push them back, and hold for about two minutes to see if symptoms are reproduced.
Exercises and Therapy
The therapy is nerve flossing — pulling the median nerve through the carpal tunnel to give it freedom and less compression. First, start in the prayer position, spread out your fingers, push the elbows up, keep the fingers in contact but move the palms apart, and push the wrists down; 15–20 repetitions, three sets. Second, the “upside-down spider”: from prayer position, fingers down and spread out, keeping them spread as you move. Third, “the shake”: imagine drying your hands after washing them — very effective.
You can also use a cold pack on the wrist (about 5–7 minutes per hour) to reduce inflammation and pressure on the nerve; wear a wrist splint at night to reduce movement; get a steroid injection from a GP or specialist; or have hands-on wrist mobilisation to open up the space for the nerve.
Supportive Supplements
Some supplements are discussed for their anti-inflammatory properties: omega-3 oil, turmeric (whose active ingredient is curcumin), and — especially for older patients — zinc. These are options that may support reducing inflammation. I hope you found value in this video. Good luck, and bye for now.
Summary
Carpal tunnel syndrome occurs when the median nerve is compressed as it passes through the carpal tunnel at the wrist, producing numbness, pins and needles, pain, or tingling in the thumb, index finger, middle finger, and half the ring finger — often worse at night and aggravated by writing, typing, and DIY. Around 5% of people experience it each year. Common causes include arthritis, hormonal fluid retention (such as in pregnancy), an underactive thyroid, obesity, and wrist-heavy work. This video demonstrates three self-tests to help confirm it — Phalen’s test, Tinel’s test, and the hand elevation test — followed by nerve-flossing exercises that gently glide the median nerve through the tunnel to reduce compression, plus self-care such as a cold pack, a night wrist splint, and hands-on wrist mobilisation. It also mentions supplements (omega-3, turmeric, and zinc) discussed for their anti-inflammatory properties, and notes that a GP or specialist can provide a steroid injection. Carpal tunnel can often be managed at home but may take months to improve; persistent, severe, or worsening symptoms — or any lasting weakness or numbness — should be professionally assessed.
Frequently Asked Questions
What are the symptoms of carpal tunnel syndrome?
Numbness, pins and needles, pain, or tingling in the thumb, index finger, middle finger, and half of the ring finger — the area supplied by the median nerve. The pain can travel up the arm and even to the neck, is often worse at night, and is aggravated by writing, typing, DIY, and housework. The hand may also feel weak, making fiddly tasks like doing up buttons harder.
What causes carpal tunnel syndrome?
It’s caused by pressure on the median nerve where it passes through the carpal tunnel at the wrist. Common contributors include arthritis (which narrows the tunnel, more common with age), hormonal fluid retention such as in pregnancy, an underactive thyroid, obesity, and work that places heavy demand on the wrist — painting, decorating, drilling, and sometimes prolonged mouse use.
How can I test for carpal tunnel at home?
Three tests are shown. Phalen’s test: press the backs of your hands together with the wrists bent to 90 degrees and hold for about 60 seconds. Tinel’s test: tap over the median nerve at the wrist (a finger’s width to the side of the tendon in the middle of the wrist). The hand elevation test: raise your hands above your head and hold for about two minutes. If any reproduces your symptoms, that’s a positive result suggesting carpal tunnel — though it indicates rather than confirms, which needs a professional assessment.
What is nerve flossing for carpal tunnel?
Nerve flossing gently glides the median nerve back and forth through the carpal tunnel to reduce its compression, rather than holding a static stretch. The video shows three: a prayer-position movement where the fingers stay in contact while the palms separate; an “upside-down spider”; and “the shake,” where you shake the hands as if drying them after washing. Around 15–20 repetitions for three sets.
When should I see a GP or specialist?
Carpal tunnel can often be managed at home, but it can take months to improve. If symptoms persist, worsen, or you develop lasting weakness or numbness, it’s worth seeing a GP or specialist — options include a steroid injection into the wrist. Hands-on wrist mobilisation to open up the space for the nerve is another avenue. Seek advice sooner if the symptoms are severe.
Do supplements help carpal tunnel?
The video discusses omega-3, turmeric (curcumin), and zinc for their anti-inflammatory properties, on the basis that reducing inflammation may ease pressure on the nerve. These are options to consider rather than proven cures, and it’s sensible to check with a pharmacist or GP before starting supplements — some, such as omega-3 and turmeric, can affect blood clotting, which matters if you take other medication.
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Fornham Chiropractic Clinic
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The Drift
Fornham St Martin
Bury St Edmunds
IP31 1SL