Carpal tunnel syndrome physiotherapy in London
Tingling, numb hands that wake you at night. We confirm what is going on, treat what can be treated, and refer on promptly when surgery is the right answer.
- Initial assessment £85
- Hampstead & Highgate
- No GP referral needed
- Appointments in 24 to 48 hours
Medically reviewed by the SMARTPHYSIO clinical team · August 2026
Understanding carpal tunnel syndrome
- Tingling or numbness in the thumb, index and middle fingers
- Symptoms that wake you at night, eased by shaking the hand
- Clumsiness with buttons, coins and small objects
- Aching in the wrist and forearm
- Weakness of grip or pinch
- Symptoms building during driving or phone use
- Compression of the median nerve as it passes through the wrist
- Swelling in the tunnel from repetitive hand use or sustained positions
- More common in pregnancy, with thyroid conditions and with diabetes
- Sometimes no clear cause: the tunnel is simply snug
- If tingling or numbness is waking you at night
- If symptoms have lasted more than a few weeks
- If grip is weakening or muscles at the thumb base look smaller
- If constant numbness has replaced the tingling, seek assessment promptly
Our approach to carpal tunnel
Confirm the diagnosis, calm the nerve, and be honest about when surgery is the better route.
Your assessment confirms whether the median nerve at the wrist is truly the culprit, or whether the neck or other sites are contributing, which changes everything about the plan.
Mild to moderate cases often respond to night splinting, nerve and tendon gliding exercises, and changes to the positions and tasks that provoke symptoms. Severe or progressive cases do better with a surgical opinion sooner rather than later, and we will tell you plainly if that is you.
What your programme can include
Where to find us in London
Two clinics in north London, and home-visit teams working from Kensington and Chelsea. Can’t come to us? We come to you.
ClinicHampstead
444 Finchley RoadLondon NW2 2HY★ 4.8 · 140 reviewsView clinic →
ClinicHighgate
244 Archway RoadLondon N6 5AX★ 5.0 · 14 reviewsView clinic →Home-visit base
Kensington
2 Kensington SquareLondon W8 5EPHome visits across the areaHome visits from here →Home-visit base
Chelsea
48-56 Ebury Bridge RoadLondon SW1W 8QFHome visits across the areaHome visits from here →
What our patients say
“Shokola was great with my 12 year old daughter. She got straight to the issue and made good and practical suggestions for treatment.”
Google review →“Harsha has been kind, attentive and has helped me hugely with my hip and Achilles injuries. She’s a brilliant and very knowledgeable physiotherapist and I recommend her highly.”
Google review →“I have seen several different therapists at Sammy Margo’s over many years. Every one has been excellent. When I was recovering from a hip replacement the physio I received helped me recover really quickly. Highly recommended.”
Google review →“I had a full hip replacement following a cycle accident, and have daily physio visits on weekdays for three weeks. I am already able to walk short distances without a stick or crutch, and this is entirely due to the work they have done with me.”
Google review →“Thanks to Olga I have made great strides in my recovery from the after-effects of sepsis. My strength, balance and mobility have improved enormously under her excellent physiotherapy. I would recommend her wholeheartedly.”
Google review →Frequently asked questions
Why are my hands worse at night?
Can carpal tunnel get better without surgery?
How is it diagnosed?
Is it caused by typing?
What happens if I ignore it?
Let's get you moving again
Tell us about a home visit and we will call you back the same working day, or book a clinic appointment online.
We use essential cookies to make this site work, and optional analytics cookies to understand how it is used so we can improve it. See our privacy notice.