It is most common to see a gradual onset of the symptoms of carpal tunnel, which include burning, tingling, or an itchy sort of numbness in the fingers, the palm of the hand, and often in the wrist. Most people with the syndrome experience the symptoms in the thumb and index and middle fingers of the affected hand. In addition, symptoms may manifest in either or both hands, while the symptoms between the hands differ. On occasion, the fingers feel stiff and swollen, although there is no apparent swelling. Most patients experience the onset of symptoms upon waking in the morning, and these become more and more acute as the day passes.