I was raised in Rochester. Great town, except for the 6 months of grey skies. (damn I miss Pontillo's pizza).
Anyway, the other poster is definitely correct about the symptoms possibly originating in the neck. It is hard to do a good exam that will thoroughly go through all of the facets of this type of pathology. Really, a good practicioner should check every major joint from the neck on down to see if it is in the neck (stenotic IV foramen, etc.) shoulder (TOS), elbow (cubitl tunnel) or if in fact it is coming from the wrist (said carpal tunnel).
Now, you could be "the proud owner of two pathologies" (to quote Arthur Nitz). There could be a slightly narrowed IV foramen in the neck with a bit of enclosure upon your carpal tunnel. These two together will magnify the symptoms felt at your neck.
There is your background on CTS (carpal tunnel syndrome) and referred upper extremity pain. Now it is your turn to give me some info so that I may help you better. Did you get a nerve conduction velocity study done on your wrist? (If they do, make sure they check all the way up to the shoulder) Did the therapists look at all your joints involved? Neck as well?
Active Release Therapy will take care of tissue adhesions if in fact there are any at the wrist, but it will be of no use to dig away at those flexor tendons if there is not any pathology in the first place.
PM me if you need any more info.