I have had carpal tunnel for 13 years now. I started during pregnancy #2.
Here are my recommendations to avoid surgery, b/c surgery is not considered to be the best treatment. I thought that was common knowledge now. Some insurance companies won't even cover carpal tunnel surgery anymore unless other therapies have been tried and proven a failure....so lots of documentation is required.
-Continue to wear your brace(s) at night, especially if you sleep with your hands curled up. Then you'll probably wear them the rest of your life if you have this habit.
-Get PT. Seriously...they will analyze what is contributing to the carpal tunnel. It really helped me and I do very specific neck, should and wrist exercises. I've had orthopaedic docs tell me it's not related, but speaking from personal pain and rehab, it is all connected and contributes. My shoulders were slumped forward for so many years from large breasts, then I was in an accident...
-Ice your wrists to reduce swelling. There are handy wrist packs available at local drug stores. Pop them in the freezer and wear them a couple of times a day.
-Do Yoga. The poses and stretches on your hands, like Downward Dog and Plank have been hugely beneficial in strengthening my wrists and hands. If I skip Yoga for more than a couple of weeks, the tingling and numbing starts to return.
-Get accupuncuture. Can't say enough about this option.
I really understand, the shooting, numbing, pringling pain that wakes one up in the middle of the night is unbearable.
But if I take care of my hands and wrist and don't over work them...I'm good to go. I've had to give up heavy gardening over the years...the clipping was killing my hands.