XV · THE AQUEDUCT · Nerve pathways

Neuropathy & Carpal Tunnel Care

Clinical assessment and electrodiagnostic testing for selected nerve symptoms in the hands, feet, arms or legs.

The location of tingling does not always reveal the cause

Hand numbness can arise from the wrist, elbow, neck, a generalised neuropathy or another neurological condition. Foot symptoms can also have several possible causes.

Assessment reviews the distribution and timing of symptoms, weakness, balance, medical conditions, medicines and examination findings. This helps determine whether EMG/NCS, laboratory testing, imaging or another specialist assessment may be useful.

Common problems evaluated

Carpal tunnel syndrome

Numbness or tingling in the hand, often worse at night, with possible grip weakness.

Ulnar nerve symptoms

Tingling toward the little finger or weakness that may relate to compression around the elbow or wrist.

Peripheral neuropathy

Burning, altered sensation or weakness affecting feet and sometimes hands.

Nerve-root symptoms

Arm or leg symptoms potentially related to the neck or lower back.

Focal nerve injury

Symptoms after trauma, surgery, sustained pressure or another local event.

Unexplained weakness

A structured evaluation when nerve or muscle function is a concern.

Care depends on the underlying problem

  • EMG/NCS for selected nerve and muscle questions.
  • Activity, ergonomic and splint advice for selected compression problems.
  • Rehabilitation to maintain strength, mobility, balance and function.
  • Coordination of medical investigation for potentially reversible causes.
  • Injection, surgical or specialist referral where clinically appropriate.
Seek urgent assessment for sudden one-sided weakness, facial droop, speech difficulty, rapidly progressive weakness, new severe balance loss or breathing difficulty.

Frequently asked questions

Does numbness always mean neuropathy?

No. Numbness can arise from local nerve compression, a nerve root, generalised neuropathy, circulation problems or other neurological causes.

Can EMG/NCS confirm carpal tunnel syndrome?

Electrodiagnostic testing can help assess median nerve function across the wrist and estimate severity in appropriate cases, alongside symptoms and examination.

Can a normal EMG/NCS exclude every nerve problem?

No. The test has specific strengths and limitations. Its interpretation depends on the clinical question and timing.

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