Am I experiencing pain in my right hand due to carpal tunnel syndrome or is it in my head?

It sounds like the discomfort in your right hand could be attributed to physical causes rather than just being in your head. Carpal tunnel syndrome (CTS) is a common culprit when it comes to experiencing pain and sensations like tingling or numbness, especially in the thumb, index, and middle fingers. However, what you’re describing with persistent pain in your right hand, particularly in the thumb and possibly the little finger, suggests we might need to consider other aspects or a combination of issues. Pain in the thumb region is often associated with CTS, where pressure on the median nerve within the wrist leads to characteristic symptoms. However, pain that involves the little finger may or may not align completely with classic CTS since the ulnar nerve, rather than the median nerve, is involved in sensation to the little finger and half of the ring finger.

This points to a possible overlap or coexistence of issues, maybe involving both carpal tunnel and ulnar tunnel conditions. It could also be the result of nerve compression elsewhere, such as the neck. So it’s essential to ensure an accurate diagnosis through comprehensive evaluation. In terms of what to do next, I recommend discussing with a hand specialist or neurologist. They might suggest nerve conduction studies or ultrasound to pinpoint where the nerve compression is occurring. Meanwhile, consider ergonomically adjusting your workspace, using wrist splints, especially at night, and managing activities that trigger symptoms. If symptoms persist or worsen, more invasive procedures like surgery might be considered as a last resort. Always reach out to a healthcare professional if symptoms might indicate something more serious or change suddenly, to ensure timely intervention.