The most common cause of carpal tunnel is chronic overloading of the hand and associated changes in the wrist – this need not involve hard manual work, you can suffer from carpal tunnel syndrome even if you work on a computer. If you suffer from nocturnal pain, tingling, and reduced sensitivity especially of the thumb, index and middle finger, or weakened fine motor control of the thumb, you should definitely see a specialist. Clinical diagnosis is specified by an EMG examination, which simultaneously determines the degree of nerve suppression. Carpal tunnel syndrome does not disappear easily and in the vast majority of cases worsens over time, so early diagnosis and treatment are essential for the recovery of the hand. The shortest healing time follows after endoscopic surgery, and almost comparable, but still slightly longer, comes after gentle surgical release. We no longer perform classical surgery (except where serious reasons exist).