• Numbness, burning, or tingling in one or more of the fingers .
• Loss of grip strenght, sometimes associated with dropping things.
• Pain (at the nerve distribution site).
• Tight or swollen feeling in the hands.
• Temperature changes (e.g., hands being cold/hot all the time).
• Complaints of changes in sweating, sensitivity to temperature changes (esp. cold) and skin discoloration of the affected hand (these symptoms are due to autonomic nerve entrapment).

The symptoms often first appear gradually in one or both hands during the night, since many people sleep with their wrists flexed.Patients may also experience the symptoms on performing everyday tasks. A person with carpal tunnel syndrome may wake up feeling the need to “shake out” the hand or wrist. As symptoms worsen, they may also feel a tingling sensation throughout the day.