Carpel Tunnel syndrome is a problem that occurs at the wrist joint, but is often experienced a pain or numbness and tingling into the fingers, and thumb. CTS is common in those people who use their hands repetitively such as administration staff, typists, mechanics, but can occur in many people who use their hands extensively. A common symptom is pins/needles or numbness into the fingers or hands. It can be debilitating, and I have treated patients whose forearms have cramped. It is recoverable. I have personally treated numerous patients and many have avoided surgery. Yes, in extreme cases surgery may be required. You will need to discuss your options with your Physio, Physician, and Surgeon, but I professionally believe surgery should be a last resort, and conservative management at least attempted. Please call and make an appointment to discuss further.