Carpal tunnel syndrome refers to an irritation or inflammation of the Median nerve in the wrist. This nerve supplies the first three fingers in the hand and half of the ring finger.  Patients complain of pain or numbness especially at night because your wrist may be bent causing pressure on the Median nerve in your wrist.  Evaluation in our office will determine the severity of the carpal tunnel syndrome.  If needed referral to a hand surgeon is possible but, in most cases, this can be treated non-surgically.