Typically, carpal tunnel presents with nocturnal symptoms – meaning symptoms at night. Oftentimes patients wake up in the middle of the night and have to shake their hands out because they’re numb. Other times when the symptoms can be bothersome is working at a computer, driving, anything where your risks are flexed or extended. Because risk flexion diminishes the space available for the median nerve in the palm. And so anything like this *Demonstrates* or like this *Demonstrates*, sleeping like this *Demonstrates*, for instance, can irritate the media nerve and causes numbness and tingling in the fingers. Carpal tunnel symptoms can come and go but generally, even if they do come and go, patients present because it’s bothersome to them and it affects their quality of life and their ability to work. If you’re feeling numbness and tingling in the thumb, index finger, middle finger, and ring finger, particularly at night or when performing activities of daily living, such as driving or working at your computer, then that would be a time to consider going in to see a hand specialist to assess for carpal tunnel syndrome.