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Carpal Tunnel Syndrome – What Causes Carpal Tunnel Pain?

Last updated:
9 July 2026
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Written by
Kathryn Merrow
,
Neuromuscular Massage Therapist
This article was reviewed for accuracy by 
Linda Hayes
, BSc Microbiology and Laboratory Medicine.

In This Article

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In my land of “the way things ought to be,” we would all be in perfect physical (and mental!) balance.

We wouldn’t have any pain, of course, because most pain–about 90% of all pain–is caused by out-of-balance muscles. That includes carpal tunnel pain.

You might have thought that you have pain or numbness in your hand, wrist, fingers or arm because you are doing a lot of repetitive movements.

The real reason is that you are doing a lot of repetitive movements incorrectly.  (Or maybe you have some inflammation, extra weight, diabetes or something else going on.)

Hmmm. If you were using all of the rest of your muscles, you would be pretty well balanced. If you were pretty well balanced, you would hurt less.

But you don’t.

We use only about the same 60 or so muscles over and over. Most of us haven’t used ALL of our muscles since we were young kids.

And we have a LOT of muscles.

So, there are two parts to relieving your carpal tunnel pain when it is caused by repetitive movement (also called repetitive stress or motion.)

1. Doing repetitive movements in an incorrect way, for example, over-stretching your muscles. The cure for this would be to explore and find the least damaging ways to do repetitive movements.

For example, holding your elbow close to our body instead of reaching out with your arm. Holding your arm close to your waist causes less muscle strain, and so less pain in your arm and hand.

2. Being physically out-of-balance in general. When some of our muscles are being over-stretched and some are allowed to shorten–due to poor posture or habits–we get symptoms of pain, discomfort or numbness.

When we strengthen our back and the back of our arms and neck, we take a lot of pressure off the structures that cause carpal tunnel pain.

You can find a lot of simple strengthening movements by clicking here.

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A note from Kathryn: I am not a medical doctor. I am someone with a lot of experience and training in how bodies get pain and how they get rid of it. The information here is educational and based on my 40+ years as a neuromuscular therapist. If your pain continues, gets worse, or you are worried about it, please see your doctor or a specialist. Your body is worth it.
About the writer
Kathryn Merrow is a neuromuscular therapist with more than 40 years of experience helping people find the causes of their muscle pain and release it naturally. Known as The Pain Relief Coach, she teaches simple, logical ways to understand your body so you can get rid of pain instead of just managing it. Pain is a symptom. Kathryn helps you treat the cause.
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