Carpal Tunnel Syndrome

Susan is a 48-year-old female presenting with hand numbness and tingling at night for 3 months. For the past three months I've been waking up in the middle of the night with numbness and tingling in my hands. It's mainly in my right hand, but the left has started doing it too over the past month. The numbness and tingling affect my thumb, index finger, and middle finger mostly. Your task is to take a focused history from this patient.