Carpal Tunnel is a common painful condition that affects the hands and arms. Most common symptoms are tingling, pain, numbness of the thumb and index but middle and ring fingers can also get affected. Weakness is also a common symptom but tends to be develop later. Most common cause is compression of the median nerve. Risk factors include but not limited to inflammatory conditions, obesity, jobs that require typing, nerve damaging conditions. Diagnosis is made by history taking, examination, nerve conduction test. Treatment includes splinting, anti-inflammatory, steriod injection and surgical decompression of carpal ligament.