This patient complained of on and off tingling sensation over the lateral 3 ½ fingers of the right hand. There was wasting of the thenar muscles as noted in this photo. Further testing showed that the thumb abduction and opposition was weak. Tinel’s sign and Phalen’s test was positive. A nerve conduction study was performed, which confirmed the presence of a compressive median neuropathy at the wrist. The patient was diagnosed to have carpal tunnel syndrome of the right hand.