Carpal Tunnel Surgery
Overview
Carpal Tunnel Release is a surgical procedure that relieves pressure on the median nerve within the wrist’s carpal tunnel. This nerve compression often results in pain, numbness, tingling, and weakness in the hand and fingers. Surgery is recommended when conservative treatments fail to provide relief or symptoms significantly impair hand function.
Indications
Carpal Tunnel Surgery is typically recommended for patients with:
- Persistent numbness, tingling, or burning in the thumb, index, and middle fingers
- Hand weakness or clumsiness
- Symptoms that worsen at night or with repetitive hand movements
- Failure of non-surgical treatments such as bracing, corticosteroid injections, or physical therapy
A nerve conduction study or electromyography (EMG) is often used to confirm the diagnosis before surgery.
Procedure
There are two primary surgical approaches, both typically performed on an outpatient basis under local or regional anesthesia:
1. Open Carpal Tunnel Release
- A small incision is made in the palm near the wrist
- The surgeon cuts the transverse carpal ligament to relieve pressure on the median nerve
- The incision is closed with sutures and bandaged
2. Endoscopic Carpal Tunnel Release
- One or two smaller incisions are made
- A tiny camera (endoscope) guides the surgeon in cutting the ligament through a minimally invasive technique
- Often results in faster recovery and less postoperative pain
Risks & Considerations
While Carpal Tunnel Surgery is generally safe and effective, potential risks include:
- Infection
- Nerve or blood vessel injury
- Scar tenderness
- Incomplete symptom relief
- Temporary loss of grip strength during recovery
Recovery & Outcomes
- Most patients experience significant symptom improvement within days to weeks
- Light hand use can resume within a few days; full activities typically resume in 4–6 weeks
- Grip and pinch strength may take several months to fully return
- Both open and endoscopic techniques have high success rates, often >90% for long-term relief
Is Carpal Tunnel Surgery Right for You?
If you're experiencing persistent or worsening symptoms that interfere with daily life, and non-surgical methods have failed, carpal tunnel release may be a safe and effective solution. Our board-certified specialists will evaluate your condition and recommend the best treatment approach for lasting relief.
