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Symptoms usually build gradually rather than appearing overnight: Numbness or tingling in the thumb, index, middle, and part of the ring finger, notably not the little finger Symptoms that are often worse at night, sometimes waking you from sleep A sensation of swelling in the fingers even when theres no visible swelling Weak grip strength, dropping cups, struggling to open jars, or fumbling with buttons In advanced cases, visible wasting of the muscle at the base of the thumb If you notice symptoms in your ring and little finger instead, that pattern points toward a different nerve issue (often the ulnar nerve at the elbow) rather than classic carpal tunnel syndrome, worth mentioning when you see a doctor, since it changes the treatment approach