Carpal Tunnel Syndrome (CTS) occurs when a nerve that goes into your hand is compressed at the wrist. Think of CTS being a "pinched nerve" in the wrist caused by swelling, a thickening of the tendons responsible for moving your fingers, or from trauma to the wrist. CTS typically begin as tingling in the hand (waking the patient at night), and can progress to muscle weakness, and finally atrophy of muscles in the effected hand. Your doctor can properly assess your condition to decide if chiropractic care is appropriate for you.