Carpal tunnel surgery
Carpal tunnel surgery, also known as carpal tunnel release, is a procedure designed to alleviate the symptoms of carpal tunnel syndrome. This condition is caused by compression of the median nerve as it passes through the carpal tunnel in the wrist, leading to pain, numbness, and weakness in the hand and fingers.
The goal of the surgery is to relieve pressure on the median nerve by cutting the ligament that forms the roof of the carpal tunnel.
Procedure overview
Type of anaesthetic
Local
Length of operation
30 mins
Length of hospital stay
Same day discharge
Recovery period
A fews days to 1 week off work
6 weeks before strenuous exercise
What you need to know
Suitability
Carpal tunnel surgery is a procedure designed to relieve the symptoms of carpal tunnel syndrome. The goal of the surgery is to reduce pressure on the median nerve, thereby alleviating symptoms and improving hand function.
Carpal tunnel surgery is suitable for individuals who have been diagnosed with carpal tunnel syndrome and have not found relief through non-surgical treatments such as splinting, anti-inflammatory medications, or physical therapy. Ideal candidates experience persistent symptoms that interfere with daily activities.
Post surgery care
Carpal tunnel surgery may be followed with other treatments to enhance results. These may include physical therapy to strengthen the wrist and hand, occupational therapy to improve hand function, or ergonomic adjustments to prevent future strain. Discussing your overall goals with your healthcare provider will help in creating a comprehensive treatment plan tailored to your needs.
Procedure details
Carpal tunnel surgery involves making a small incision in the palm of the hand to access the carpal tunnel. During the procedure, the surgeon carefully dissects through the skin and underlying tissues to reach the transverse carpal ligament, a band of fibrous tissue that forms the roof of the carpal tunnel. The transverse carpal ligament is then precisely cut, or released, to create more space within the carpal tunnel. This release alleviates the pressure on the median nerve, which is responsible for the pain, numbness, and tingling associated with carpal tunnel syndrome.
After the ligament is cut, the surgeon will inspect the surrounding area to ensure there is adequate decompression of the nerve. The incision is then closed with sutures, and a dressing is applied to protect the area during the initial healing period. This procedure helps restore normal nerve function and alleviate the symptoms caused by nerve compression.
Long-Term Outcomes
The long-term outcomes of carpal tunnel surgery are generally positive, with most patients experiencing significant relief from symptoms and improved hand function. However, some patients may experience persistent or recurrent symptoms. Maintaining good wrist ergonomics and avoiding repetitive stress on the wrist can help prevent recurrence. Regular follow-ups with your healthcare provider can help manage long-term outcomes and ensure ongoing hand health.
Recovery
Patients can expect some swelling, stiffness, and discomfort in the wrist and hand, which can be managed with pain medications and ice packs. It's important to follow your surgeon’s post-operative care instructions, including keeping the hand elevated, performing prescribed exercises to restore movement, and avoiding strenuous activities until fully healed. Most patients can return to light activities within a few days, but complete recovery may take several months.
Potential complications
As with any surgical procedure, carpal tunnel surgery carries risks such as infection, bleeding, scarring, and adverse reactions to anesthesia.
Specific complications might include nerve or blood vessel injury, stiffness, and incomplete relief of symptoms.
Mrs Teo will discuss all possible risks and complications during your consultation to ensure you make an informed decision.
FAQs
-
Carpal tunnel surgery is a procedure designed to relieve the symptoms of carpal tunnel syndrome by reducing pressure on the median nerve in the wrist. This can be achieved through open surgery or endoscopic surgery, both of which involve cutting the transverse carpal ligament.
-
Carpal tunnel surgery is generally very effective, with most patients experiencing significant relief from symptoms and improved hand function. However, the success rate can vary, and some patients may still experience some symptoms post-surgery.
-
The surgery usually takes about 20 to 30 minutes per hand, depending on the complexity.
-
Yes, there will be a scar at the incision site. In open surgery, the scar is usually on the palm, while in endoscopic surgery, the scars are smaller and less noticeable.
-
Post-operative care involves keeping the incision site clean and dry, following Ms Teo’s instructions for wound care, and attending follow-up appointments. Physical therapy exercises may be recommended to restore full range of motion and strength in the hand and wrist.
-
Carpal tunnel surgery is typically covered by health insurance, especially when it is deemed medically necessary due to severe symptoms or nerve damage. It is advisable to check with your insurance provider for specific coverage details.
Book a Consultation Today
Take the first step of your cosmetic surgery journey by booking a personalised consultation with Isabel, where you can ask detailed questions, discuss your specific goals, and receive expert guidance tailored to your unique needs.