What We Treat

Carpal tunnel syndrome treatment in Vancouver.

The hand that goes numb at 3am and wakes you shaking it out. The grip that drops a coffee mug without warning. It’s fixable, and it starts with a cause-first evaluation, not a guess.

Night numbness Weak grip Tingling fingers Talk to a Specialist

Sound Familiar?

Does this sound like you?

  • Waking at 3am to shake your hand back to life
  • Dropping your coffee because your grip let go without warning
  • Numb, tingling thumb and fingers the second you pick up your phone
  • Fumbling buttons and zippers your fingers used to handle without thinking
  • Pins and needles that flare every time you grip the steering wheel
  • Setting your fork down mid-meal to shake the tingling out of your hand

Two or more sound familiar? Keep reading.

Why It Happens

Numbness is a symptom. Something is squeezing the nerve.

Your hand doesn’t go numb for no reason. The median nerve runs through a narrow tunnel at your wrist, and when that space gets crowded, the nerve gets squeezed. It’s usually a mix of culprits: swollen tendons from repetitive gripping, a wrist that stays bent for hours, fluid that builds overnight, and daily habits at the keyboard or the wheel that keep loading the same spot.

None of that shows up on a quick glance. It takes a real, cause-first evaluation to sort out what’s actually pinching the nerve. That’s why a brace off the shelf or a generic stretch sheet so often falls short: they chase the symptom, not the source. Find the real cause, and surgery often comes off the table.

Person holding their wrist and hand in discomfort

The Honest Truth

Waiting on a nerve doesn’t make it wait on you.

If you keep waiting

  • The numbness stops coming and going and starts staying all day
  • Your grip keeps fading until jars, keys, and doorknobs become a fight
  • A nerve squeezed too long can lose muscle at the base of your thumb for good

If you start this week

  • You know the actual cause by the end of visit one
  • Hands-on relief and a night splint start calming the nerve right away
  • You get a plan with an endpoint: a real one, not an open tab of visits

Nobody regrets starting too early. Every week, someone in our clinic says they regret waiting.

How We Fix It

The same four phases. Built for your wrist.

Every plan has an endpoint. Here’s what the four phases look like for carpal tunnel.

Weeks 1–2

Pain

Calm the nerve down.

Activity changes, a custom night splint, and hands-on techniques take pressure off the median nerve, starting your very first visit.

Weeks 2–6

Prime

Get the nerve gliding again.

Targeted nerve-glides and wrist mobility restore the smooth movement the crowded tunnel has been choking off.

Weeks 6–10

Perform

Build a grip you can trust.

Progressive strengthening rebuilds the grip and thumb power the compression quietly stole.

Weeks 10+

Prevent

Keep it from coming back.

We retest your gripping, typing, and wrist mechanics under real load, then set up your desk and habits so it stays gone: that’s the endpoint, not just another appointment.

I was having so much wrist pain and Andy took a look, knew exactly what was wrong with me, and did some manipulations. Within a few days the pain subsided and I was able to do pushups again and have full range of motion.

Shared by Carli S. · Carpal tunnel & wrist

Week 1: wrist pain with everything, no way she’d push up off the floor

Week 3: back to pushups with full range of motion

Carpal tunnel & wrist 3 weeks

Related Conditions

Pain rarely stays in one place.

Compensation patterns often show up nearby. Here’s what else we treat.

1

Carpal Tunnel Syndrome

Numbness, tingling, and a grip that fades right when you need it.

Learn More 2

Tendinitis

Reaching overhead or gripping flares a tendon that will not calm down.

Learn More 3

Nerve Pain

Burning, tingling, or numbness down your arm that no one has explained.

Learn More

Questions, Answered

What people ask before booking for carpal tunnel.

No. You can book directly, no referral needed. Most carpal tunnel improves without a nerve conduction test, and a study rarely changes the first steps of care. We start with a cause-first evaluation to find what is squeezing the nerve, and if testing ever becomes genuinely necessary, we will help you get it. You don't have to wait on a test to start feeling better.

Usually not. Plenty of people put off carpal tunnel for months and still recover well with hand therapy. The sooner you start the better, because a nerve left compressed too long can lose ground, but it is rarely too late to try. We work one-on-one with a Certified Hand Therapist, every visit, to calm the nerve and often keep you out of surgery.

Most people feel meaningful change within a few visits. A full plan for carpal tunnel runs through all four phases, Pain, Prime, Perform, and Prevent, typically over 8 to 10 weeks, depending on how long you've been dealing with it. Either way, you get a plan with an endpoint: you'll always know which phase you're in and what's left, not an open-ended string of appointments.

Book Your Visit

Ready when you are.

Request a time and a real person calls you back, usually within two business hours. No phone tree. No ‘someone will reach out.’ Just a plan.

  • Hours Mon - Fri: 8am - 5pm
  • (360) 309-0176 Prefer to talk now? Call us.
  • Same-week appointments available

5.0 · 19 Google reviews

Typical response: under 2 business hours

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Care this good, this close.

Dynamic Arm & Hand Therapy

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