Carpal tunnel syndrome (CTS) is a condition that occurs when the median nerve is compressed as it passes through the wrist. The carpal tunnel is a narrow passage in the wrist that also contains several tendons and blood vessels. Any factor that reduces the cross-sectional area of the tunnel or increases the volume of its contents—such as inflammation, swelling, or structural changes—can compress the median nerve and trigger the hallmark symptoms of CTS, including pain, numbness, tingling, and weakness in the hand and fingers. Clinical guidelines generally recommend conservative care as the first line of treatment for CTS. Chiropractic care, which may include manual therapy, nerve gliding techniques, exercise, and ergonomic advice, is a well-supported conservative approach. However, in some cases, more invasive interventions such as surgery may be necessary.