Hand & Wrist

Carpal Tunnel Syndrome

Carpal Tunnel Syndrome is a common condition where the median nerve of the hand becomes trapped in the wrist at the carpal tunnel.

About Carpal Tunnel

Carpal Tunnel Syndrome can affect one or both wrists. 

Signs & Symptoms

Symptoms of Carpal Tunnel Syndrome usually start gradually and mostly affects the thumb, index and middle fingers.

The common symptoms of Carpal Tunnel Syndrome are:

  • weakness and/or numbness in the hand
  • pins and needles
  • reduced grip
  • pain
  • radiating pain into the hand and fingers

These symptoms may be worse at night and with driving or gripping objects. 

Carpal Tunnel Syndrome can be diagnosed by your clinical symptoms and confirmed by Nerve Conduction Studies and Electromyography performed generally by a Neurologist. An ultrasound may also be ordered.

Treatment Options

Risks & Concerns

Risks of carpal tunnel surgery include:

  • Infection
  • Scar
  • Pain
  • Stiffness
  • Swelling
  • Complex Regional Pain Syndrome
  • Need for further surgery
  • Failure to relieve symptoms
  • Worsening pain
  • Bleeding
  • Neurovascular deficit or injury
  • Risk of anaesthetic
  • Recurrence

If you experience any problems or have any concerns following your surgery, please do not hesitate to contact the office. A/Prof. Lawson-Smith’s staff with ensure that A/Prof Matthew Lawson-Smith is kept informed of what is occurring and will advise you the best course of action.

If you are unable to reach the office, please do not hesitate to contact your GP or if it is an emergency, please present to your nearest Emergency Department.

Make an appointment

Call 08 6332 6325 or contact us to book an appointment.
You’ll need a referral from your GP.


A/Prof Matthew Lawson-Smith

A fully qualified, internationally and  locally trained upper limb surgeon, specialising in hand, wrist, elbow and shoulder surgery. A/Prof Matthew Lawson-Smith has a special interest in hand and wrist conditions, including trauma and Workers Compensation cases.

Perth orthopaedic surgeon Mr Matthew Lawson Smith, profile photo