Overview
A median nerve glide is a gentle movement drill sometimes used in a clinician-guided plan for carpal tunnel symptoms. It is not a test, a forceful stretch or a way to push through numbness.
If symptoms are constant, weakness is progressing, or the hand muscles are visibly shrinking, get assessed rather than adding more glides.
How to Do It
- Stand tall with the affected arm relaxed at your side and elbow bent.
- Turn the palm upward and gently open the fingers.
- Slowly straighten the elbow only as far as remains comfortable.
- As the elbow straightens, let the wrist stay neutral or gently bend the wrist toward you to reduce the pull.
- Return to the bent-elbow position before symptoms build.
- Begin with 5 gentle repetitions. The movement should be easy enough that symptoms settle immediately after each repetition.
What You Should Feel
At most, a mild, brief pulling or tingling sensation that settles as you return. You should not hold a strong stretch or try to create tingling.
Common Mistakes
- Straightening the elbow and bending the wrist back forcefully at the same time
- Holding the end position for a long stretch
- Repeating the movement when symptoms remain worse afterward
- Using it instead of a night splint, load change or assessment for progressive symptoms
Progression
Increase only the comfortable elbow range or repetitions, not both at once. If a clinician has recommended this drill, follow their specific dosage and stop rules.
Related Guidance
This is general education. Nerve symptoms deserve individual assessment when they are constant, progressive or associated with weakness.