Carpal Tunnel Syndrome (CTS) accounts for the most common cause for peripheral nerve lesions of the hand. 48% of brachialgia is as a result of CTS. Approx. 4% of the population suffers from CTS and women are more likely to develop CTS  than men. The disease predominantly occurs in the age group of 40 to 60 years olds. Itchiness at night, numbness of the hand,  a frequent need to shake so as to stop the  sensitive lack of feeling, are often quoted as anamnestic information. Inability/loss of strength ( “it fell out of my hand “) and cramps in the muscles in the ball of the thumb are also quoted. CTS develops slowly in those it has effected, rarely does it become acute.