Preventing carpal
tunnel syndrome

Why prevention matters

Carpal tunnel syndrome can make everyday life harder, especially when symptoms interrupt sleep or make it tough to grip, type, or cook.¹ ² The goal of prevention is not perfection, it is helping your wrist and hand tolerate daily demands with fewer flare-ups and less disruption.

For many people, simple steps like keeping the wrist in a neutral position at night, pacing repetitive tasks, and building steadier hand and arm capacity can meaningfully reduce symptoms over time.¹ ²

Managing carpal tunnel syndrome: what can trigger flare-ups?

Carpal tunnel symptoms can come and go. These common triggers can increase pressure on the median nerve and make symptoms more noticeable:

  • Sleeping with your wrist bent (flexed or extended), which can raise carpal tunnel pressure and worsen night symptoms.¹ ²
  • Long stretches of repetitive hand use (typing, gripping tools, scrolling, gaming) without breaks.¹ ²
  • Forceful gripping or pinching, especially when combined with repetition.¹ ³
  • Vibration exposure (for example, frequent use of powered tools), which is associated with higher risk of developing symptoms in some work settings.⁴
  • Sudden increases in hand load (doing a big DIY project or deep cleaning after weeks of lighter use).¹
  • Swelling or fluid shifts, such as during pregnancy, which can temporarily narrow the space in the carpal tunnel.¹ ²
  • Health factors that affect nerves or swelling, like diabetes or thyroid disease, which are associated with carpal tunnel syndrome.¹ ²

Habits that help prevent flare-ups

  • Keep your wrist neutral at night: If night tingling is a pattern for you, a neutral wrist splint can help keep the wrist from bending while you sleep, and can improve symptoms for mild to moderate cases.⁵
  • Use “micro-breaks” during repetitive tasks: Set a simple rhythm like 30 to 60 seconds of rest every 20 to 30 minutes, especially during typing, gripping, or scrolling-heavy days. Work exposure research suggests high repetition, especially when combined with other physical demands, is linked with higher risk.⁴
  • Reduce force before you reduce activity: When you must use your hands a lot, try to lower grip force first, use larger handles, and avoid sustained pinching. This can lower strain without making you stop the activities you need to do.¹ ²
  • Build capacity gradually: If you are returning to an activity that used to aggravate symptoms, increase time and intensity slowly. Step-ups beat “all at once” bursts, especially after a break.¹
  • Add gentle tendon and nerve gliding as a helper: Tendon and nerve gliding exercises can be a useful add-on for symptom control in some people, especially when paired with splinting and activity changes. Evidence is mixed, so think of these as a helper, not the whole plan.⁵ ⁶
  • Watch for early warning signs and respond early: If tingling starts showing up more often at night, during driving, or while holding a phone, treat it like a signal to reset your habits for a week or two (neutral wrist at night, more breaks, less force). Guidelines recommend stepping up care sooner if symptoms become constant or you notice weakness.¹ ²

How Sword supports ongoing strength and mobility

Move is a guided movement program designed to help you stay active by building strength, improving mobility, and supporting stable movement patterns over time. It’s often used after recovery from a flare-up to help maintain progress and support long-term movement health.

Sword offers movement support that fits into daily life, helping you continue building strength and mobility over time. Programs are guided by expert insight and supported by technology designed to help you stay consistent.

  • Focus on strength, mobility, and stability
  • Designed to support movement between flare-ups
  • Guided programs you can follow on your schedule
  • Non-invasive, evidence-informed approach
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Footnotes

1

NICE Clinical Knowledge Summary. Carpal tunnel syndrome: assessment and management. 2024–2025.

2

BMJ Best Practice. Carpal tunnel syndrome. Updated 2025.

3

American Academy of Orthopaedic Surgeons (AAOS). Updated Clinical Practice Guideline for the management of carpal tunnel syndrome. 2024.

4

Zivkovic S, et al. Quality measures in electrodiagnosis: carpal tunnel syndrome. Muscle Nerve. 2020.

5

Salimi M, et al. Diagnostic accuracy of ultrasonography for carpal tunnel syndrome. Clin Neurol Neurosurg. 2024.

6

Expert consensus on combined electrodiagnostic testing and neuromuscular ultrasound in carpal tunnel syndrome. Clin Neurophysiol. 2022.

7

Chesterton LS, et al. Corticosteroid injection versus night splinting for mild to moderate carpal tunnel syndrome (INSTinCTS RCT). Lancet. 2018.

8

Chesterton LS, et al. Long term outcomes of injection versus splinting for carpal tunnel syndrome: 24 month extension of INSTinCTS. Rheumatology. 2022–2023.

9

Page MJ, et al. Splinting for carpal tunnel syndrome. Cochrane Database Syst Rev. 2023 update.

10

Lusa V, et al. Surgical versus non surgical treatment for carpal tunnel syndrome. Cochrane Database Syst Rev. 2023.

11

Li Y, et al. Open versus endoscopic carpal tunnel release: systematic review and meta analysis of randomized controlled trials. BMC Musculoskelet Disord. 2020.

12

Malik AT, et al. Outcomes and cost of endoscopic versus open carpal tunnel release in a large database. World Neurosurg. 2022.

13

PLOS ONE. Diabetes and carpal tunnel syndrome: systematic review and meta analysis. 2024.

14

van den Berge M, et al. Physical and psychosocial work exposures and incident carpal tunnel syndrome: systematic review. Ann Work Environ Health. 2023.

15

The Lancet. Carpal tunnel syndrome: new evidence for common practices. 2025 clinical update commentary.

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