The symptoms of carpal tunnel can be as varied as the patient, but clearly it must involve something in the hand and the wrist. Sometimes it can actually be painful. Sometimes it can just be numbness. Sometimes it can be a sense of clumsiness. “Can’t write those numbers in the checkbook like I used to.” “My handwriting isn’t the same.” My hand doesn’t it feel right.” Typically patients present with those symptoms at night because they’re not moving their hand well and the median nerve – that special nerve that’s in there with the tendons – isn’t getting enough blood flow and so it starts acting out.