The typical presentation of carpal tunnel is numbness and tingling in the thumb, index finger, middle finger, and ring finger. It generally does not present with pain. In fact, oftentimes I see patients who present complaining of hand pain and they think that they have carpal tunnel syndrome. Carpal tunnel syndrome typically does not present with pain (although it can) but classically the presentation of carpal tunnel is numbness and tingling in the thumb, index, middle, and ring fingers. The numbness and tingling can be in any of those fingers. Typically it is all of the fingers, but sometimes patients will present with isolated numbness in the middle finger or index finger, but generally it’s the thumb, index, middle, and ring finger.