Carpal Tunnel · Liverpool City Centre
Carpal Tunnel Physiotherapist Liverpool
Carpal tunnel syndrome causes pins and needles, numbness, and weakness in the hand. Most people are told it is splints or surgery, but for mild to moderate cases, physiotherapy is an effective third option.
- Conservative carpal tunnel treatment
- Avoid unnecessary surgery
- Appointments 8am to 8pm
£75 new patient assessment
Pins and needles in your hand?
Carpal tunnel syndrome happens when the median nerve is compressed at the wrist, causing tingling, numbness, and weakness in the thumb, index, and middle fingers. It is often worse at night. For mild to moderate cases, conservative physiotherapy resolves the majority without surgery.
- Pins and needles or numbness in the thumb, index, and middle fingers
- Worse at night waking you and easing when you shake the hand
- Weak grip dropping things or struggling with fine tasks
- Aching into the forearm sometimes up from the wrist
- Worse with repetitive use keyboard, tools, or gripping
- Told it is splints or surgery with no mention of physiotherapy
Causes and types
About carpal tunnel syndrome
Getting the specific cause right is what makes treatment work. We assess and treat:
Median nerve compression
The nerve squeezed in the carpal tunnel at the wrist.
Repetitive hand use
Keyboard, tools, and gripping increasing pressure.
Wrist posture
Sustained bent-wrist positions raising tunnel pressure.
Fluid and swelling
Including during pregnancy, which often resolves after.
Associated conditions
Diabetes and thyroid issues increasing risk.
Mild to severe
Ranging from occasional tingling to constant numbness and weakness.
Our approach
How we treat carpal tunnel
Accurate assessment
We confirm it is carpal tunnel and gauge severity, ruling out neck-related or other nerve causes that mimic it.
Nerve and hands-on work
Nerve gliding (mobilisation), manual therapy, and specific exercises to reduce pressure on the median nerve and ease symptoms.
Fix the cause
Ergonomics, wrist posture, splinting where helpful, and load management, so the nerve has room to settle.
The third option
Carpal tunnel without surgery
Most people with carpal tunnel are told their only options are splints or surgery. For mild to moderate cases, structured physiotherapy is an effective first step that resolves the majority.
Nerve mobilisation
Specific gliding and manual therapy to take pressure off the median nerve.
Ergonomic change
Wrist posture, workstation, and load adjustments so the nerve can settle.
When surgery fits
If physio is not right for your case, we will tell you honestly and refer.
Why us
Why FM Physio for carpal tunnel in Liverpool
A genuine third option
Accurate diagnosis
Nerve-focused treatment
Honest about surgery
No referral needed
Our therapists
Top rated carpal tunnel physio Liverpool
20+ years experience
All our sports therapists and physiotherapists are handpicked as the best in the industry.
300+ 5-star reviews
We do not bang our own drum, our clients do it for us.
HCPC and CSP registered
Fully qualified, regulated physiotherapists. You are always in safe, professional hands.
Carpal Tunnel FAQs
Can carpal tunnel be treated without surgery?
For mild to moderate cases, yes, conservative physiotherapy resolves the majority. Surgery is reserved for severe cases or those that do not respond. Physio should usually be tried before surgery for milder cases.
How long does it take to improve?
Mild to moderate carpal tunnel caught early often improves over 6 to 12 weeks of focused treatment. More established or severe cases take longer and may not fully resolve without surgery.
Why is it worse at night?
At night the wrist often bends and fluid settles, increasing pressure in the carpal tunnel, so symptoms flare and wake you. Shaking the hand temporarily relieves it.
Will I definitely need surgery?
Not for most mild to moderate cases. Surgery is for severe nerve compression or cases that have not responded to conservative care. We will be honest about when it is the right step.
What are your prices?
A new patient assessment is £75 for 45 minutes, including a full assessment, hands-on treatment, and a clear plan.
Related services and pages
These related pages may help:
Try physio first
Before you accept splints or surgery, book a carpal tunnel assessment and explore the third option with a Liverpool specialist.
Book appointment