Carpal Tunnel Syndrome (CTS) is the most common entrapment neuropathy in the United States. It happens when the median nerve undergoes abnormal compression within the carpal tunnel in the wrist. CTS symptoms are similar to other neuropathies and may include: pain, tingling, numbness, and “pins & needles.” These symptoms are often felt in the distal forearm or wrist and radiate into the thumb, pointer and middle finger. CTS can also progress into muscular atrophy in the thumb, pointer, and middle finger. Patients with CTS may also complain of decreased grip strength, hand clumsiness, and waking up in the night due to wrist/hand pain. It is important to rule out any involvement from nerves in the neck that can be presenting like CTS.