Carpal Tunnel

What we will see

• Early <6 months intermittent pins and needles in median nerve distribution (thumb/index/middle and half ring finger).

What we won’t see

The following should be referred to secondary care:

• Persistent pins and needles +/- muscle weakness and wasting in median nerve distribution (thumb/index/middle and half ring finger)
• The diagnosis is unclear.
• There are persistent symptoms despite a trial of conservative treatment(s) in primary care.
• There are progressive symptoms or severe disease impacting on daily function.
• There are recurrent or persistent symptoms following carpal tunnel surgery.

Secondary care options include Plastic Surgery/Hand Surgery opens a new window or Neurology opens a new window