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Carpal tunnel syndrome causes pain and other symptoms in a specific part of the hand. It is as a result of pressure on the median nerve as it passes through the wrist. It is more commonly found in older people and in females more than males. The condition may vary in severity and often is worse at night. Causes are

1. Obesity.
2. Pregnancy.
3. A genetic pre-disposition.
4. Arthritic changes or a history of bone fracture.

Non-pharmaceutical management includes

1. Weight reduction through sensible diet and exercise.
2. Modify or avoid over use activities of the hand and wrist.
3. A wrist splint for night time.
4. If an underlying bio-mechanical cause can be identified then physiotherapy may assist in recovery.
5. Always follow the advice of your treating health professional.